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정성민(Sung Min Jung),안철수(Chul Soo Ahn),이승규(Sung Gyu Lee),이영주(Young Joo Lee),박광민(Kwang Min Park),황신(Shin Hwang),김기훈(Ki Hun Kim),문덕복(Deok Bog Moon),하태용(Tae Yong Ha) 한국간담췌외과학회 2011 한국간담췌외과학회지 Vol.15 No.1
Purpose: Although surgical resection is the most effective treatment for hepatocellular carcinoma (HCC) accompanied by portal vein tumor thrombus (PVTT), the recurrence rate is very high and prognosis is poor. This retrospective analysis aimed to establish a surgical strategy for patients with portal vein thrombus and to identify predictors of tumor thrombus in these patients. Methods: From 2006 to 2007, 63 hepatocellular carcinoma patients with portal vein thrombus detected by preoperative imaging underwent hepatic resection, and their clinical data were retrospectively analyzed. Possible prognostic factors for survival were analyzed with postoperative survival curves, and significant factors were determined by univariate and multivariate analysis. Results: 31 patients (49.2%) with portal vein tumor thrombus were detected by pathologic reports in 63 HCC patients with portal vein thrombus. Significant prognostic factors included Serum Albumin ≤3.5 g/dl, Alkaline phosphatase (ALP)≥100 IU/L, Tumor size≥10 cm, non-expanding type, PVTT and Alpha-feto protein (AFP)≥104 IU/L by univariate analysis. Independent prognostic factors included PVTT. Conclusion: PVTT is not always detected in patients with HCC accompanied by portal vein thrombus. Although patients have a portal vein tumor thrombus, some patients have greater long-term survival. Hepatic resection should be considered for patients with portal vein thrombus.
간이식 수술 후 재발된 B형 간염 환자 및 de novo 감염 환자에서 Adefovir의 치료 효과에 대한 예비 보고
김건국 ( Keon Kuk Kim ),김기훈 ( Ki Hun Kim ),황신 ( Shin Hwang ),안철수 ( Chul Soo Ahn ),문덕복 ( Deok Bog Moon ),하태용 ( Tae Yong Ha ),이승규 ( Sung Gyu Lee ) 대한소화기학회 2005 대한소화기학회지 Vol.45 No.3
Background/Aims: Anti-viral therapy using hepatitis B immune globulin and lamivudine could not prevent HBV recurrence after liver transplantation (LT) completely. Adefovir dipivoxil is a acyclic nucleotide phosphate analogue and known to have potent anti-
상간하대정맥부터 총장골정맥분지까지 연장된 하대정맥 평활근 육종의 체외절제 후 인공 하대정맥 재건 및 자가 간이식
문덕복(Deok-Bog Moon),이승규(Sung-Kyu Lee),김기훈(Ki-Hum Kim),안철수(Chul-Soo Ahn),하태용(Tae-Yong Ha),송기원(Gi-Won Song),정동환(Dong-Hwan Jung),유제호(Je-Ho Ryu),김관우(Kwan-Woo Kim),고경훈(Kyoung-Hoon Ko),최남규(Nam-Kyu Choi) 한국간담췌외과학회 2008 한국간담췌외과학회지 Vol.12 No.3
Ex situ resection and hepatic auto-transplantation as devised by Pichlmayr may be an answer for a lesion that has close proximity to or has invade the major hepatic veins. We report here on a 31-year-old female patient with a leiomyosarcoma extending from the suprahepatic vena cava to the bifurcation of the common iliac vein, and this tumor was deemed not accessible by the conventional in situ surgical techniques. The liver and retrohepatic inferior vena cava was removed en bloc and taken to the back-table where the neoplasm invading the cava wall was removed together with the inferior vena cava. The inferior vena cava was then replaced by a 26- mm Dacron graft proximally and a 20-mm ringed polytetrafluoroethylene (PTFE) graft distally, and the outflows of the liver was reconstructed to a single opening with using longitudinallyopened autogenous great saphenous vein fencing. The liver was then autotransplanted by the Piggyback technique. Both renal veins were not reconstructed because both gonadal veins were preserved during the operation. The postoperative course was uneventful and the patient is in good health until now.