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최평화(Pyong Wha Choi),유창식(Chang Sik Yu),정상훈(Sang Hun Jung),김대동(Dae Dong Kim),홍동현(Dong Hyun Hong),김희철(Hee Cheol Kim),김진천(Jin Cheon Kim) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.74 No.4
Purpose: Resection of the bowel or solid organs may be required for pelvic tumor surgery. The present study was performed to assess combined surgical procedures and determine the role of the general surgeon in gynecologic oncology surgery Methods: We performed a retrospective study of 135 patients with gynecologic malignancy who underwent a combined operation with a general surgeon between January 2000 and December 2005 at Asan Medical Center. The purpose of the combined operation was categorized into 3 groups: a tumor debulking operation, a resolution of intraoperative complications by a gynecologic surgeon, or an intraoperative diagnostic change. Results: The incidence of combined operations for debulking, resolution of intraoperative complications, and intraoperative diagnostic changes were 103 cases (76.3%), 22 cases (16.3%), and 10 cases (7.4%), respectively. Ovarian cancer was the most common gynecologic malignancy (74.1%) and the rate of a combined operation with a general surgeon in ovarian cancer was 18.5% during the time period. Colorectal resection was the most common procedure by a colorectal surgeon (61.5%). Twenty four patients (17.8%) experienced postoperative complications, including ileus, wound infection, pancreas leakage, and stomal necrosis, with no significant differences according to the purpose of combined operation, pathologic diagnosis, or bowel preparation. The rate of a preoperative consultation to a general surgeon by gynecologic surgeons in cases with colorectal or solid organ invasion preoperatively was 53.2%. Conclusion: A general surgeon is an important consultant in a debulking operation of gynecologic malignancies, especially ovarian cancer, or treatment of complications. Thorough preoperative evaluation, bowel preparation, and preoperative consultation to a general surgeon is important in gynecologic oncology surgery.
유창식 ( Chang Sik Yu ),김희철 ( Hee Cheol Kim ),양석균 ( Suk Kyun Yang ),민영일 ( Young Il Min ),김진천 ( Jin Cheon Kim ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<목적> 궤양성 대장염으로 수술받은 환자의 수술관련 합병증과 기능적 결과를 알아보고자 하였다. <방법> 1994년 1월부터 2001년 8월까지 서울중앙병원 외과에서 궤양성 대장염으로 수술받은 51예의 환자를 대상으로 수술관련 합병증과 기능적 결과를 평균 30(1~76)개월의 추적기간동안의 진료기록을 후향적으로 분석하였다. 수술은 전대장 및 직장절제술과 회장낭 항문문합술을 원칙으로 하였으며 회장낭은 전 예에서 15㎝ 길이의 J형으로 조성하였다. <결과>
궤양성 대장염 환자에게 시술된 복원성 대장직장절제술 50예
유창식 ( Chang Sik Yu ),김희철 ( Hee Cheol Kim ),양석균 ( Suk Kyun Yang ),민영일 ( Young Il Min ),김진천 ( Jin Cheon Kim ) 대한소화기학회 2002 대한소화기학회지 Vol.40 No.6
Background/Aims: This study was performed to investigate the complications and functional outcomes after restorative proctocolectomy (RP) in patients with ulcerative colitis. Methods: Fifty patients (M:F=24:26) who underwent RP were enrolled. Postoperative complications and functional outcomes after RP were analyzed retrospectively by reviewing the medical records. Median follow-up period was 36 (6-80) months. Results: Among 50 RP cases, RP was performed by staged operation because of poor conditions in 2 cases. Pouch-anal anastomoses were performed by stapled technique in 31 (62.0%) cases and hand-sewn method in 19 (18.0%) cases. Diverting ileostomy was constructed in 31 cases (62.0%). Twenty-five (50.0%) patients showed the complication and one mortality was identified. Pouchitis was the most prevalent complication, followed by 9 cases (18.0%) of small bowel obstruction and 6 cases of anastomosis leakage (12.0%). Pouch-vaginal fistula and entero-cutaneous fistula were observed in 3 and 2 cases, respectively. Anastomosis leakage developed more frequently in RP without ileostomy (26.3% vs. 3.2%, p=0.018). Pouch failure rate was 4.0%. Daily bowel movements were (2-10). One fecal incontinence and six cases of seepage were identified. Conclusions: Restorative proctocolectomy in patients with ulcerative colitis can be performed safely with low mortality and acceptable morbidity. Functional outcomes are complacent, but the technical refinement is needed to improve surgical outcome. (Korean J Gastroenterol 2002;40:379-385)
김창남(Chang Nam Kim),유창식(Chang Sik Yu),한명식(Myoung Sik Han),이한일(Han Il Lee),조영미(Young Mee Cho),김온자(On Ja Kim),유빈(Bin Yoo),김진천(Jin Cheon Kim) 대한소화기학회 1998 대한소화기학회지 Vol.30 No.3
Polyarteritis nodosa(PAN) is a systemic vasculitis affecting mainly small and medium sized arteries. Over 50% of the cases, PAN may cause gastrointestinal symptoms. Main gastrointestinal symptoms are abdominal pain, vomiting, nausea, diarrhea and melena. A very rare case of isolated PAN affecting the jejunum, manifested as stricture, is reported. A 55-year-old woman with prior history of hypertension presented herself complaining of abdominal pain and weight loss. Radiologic studies showed a segmental narrowing of the jejunum. At the time of surgery, 3cm length narrowed, thickened fibrotic intestinal wall was found at 110cm distal to the Treitz ligament. Pathological finding showed acute necrotizing vasculitis of a medium sized artery. (Korean J Gastroenterol 1997; 30:411-414)
윤용식 ( Yong Sik Yoon ),박인자 ( In Ja Park ),이강홍 ( Kang Hong Lee ),김희철 ( Hee Cheol Kim ),유창식 ( Chang Sik Yu ),김진천 ( Jin Cheon Kim ) 대한소화기학회 2004 대한소화기학회지 Vol.44 No.5
Background/Aims: Small bowel diverticulum is a rare disease that can be found incidentally during a surgical operation. Since reported complication rate is low, uncomplicated small bowel diverticula are generally recommended to be untreated. The aim of th