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위암에서 복강경 위절제술과 개복 위절제술의 비무작위 전향적 비교 연구
조규석(Gyu-Seok Cho),김형철(Hyung-Chul Kim),이문수(Moon-Su Lee),임철완(Cheol-Wan Lim),신응진(Eung-Jin Shin),주종우(Chong-Woo Chu),강길호(Kil-Ho Kang),김용진(Young-Jin Kim),유기원(Ki-Won Yu),이효원(Hyo-Won Lee),송옥평(Ok-Pyung Song) 대한외과학회 2006 Annals of Surgical Treatment and Research(ASRT) Vol.70 No.3
Dukes’ B 병기의 대장암 환자에서 Cytokeratin-19 항체를 이용한 림프절 미세전이의 발견
신응진(Eung Jin Shin),김형철(Hyung Chul Kim),임철완(Chul Wan Lim),조규석(Gyu Seok Cho),주종우(Chong Woo Chu),백무준(Moo Joon Baek),박내경(Nae Gyung Park),장용석(Yong Seok Jang),김재준(Jae Joon Kim),송옥평(Ok Pyung Song),이민혁(Min Hy 대한외과학회 2004 Annals of Surgical Treatment and Research(ASRT) Vol.66 No.5
갑상선유두암에서 갑상선전절제술과 중심경부림프절절제술 후 발생하는 저칼슘혈증 예측 인자 연구
이옥주(Ok Joo Lee),김형철(Hyung Chul Kim),임철완(Cheol Wan Lim),신응진(Eung Jin Shin),조규석(Gyou Suk Cho),정준철(Jun Chul Jung),정귀애(Gui Ae Jung),김지선(Zisun Kim),정재홍(Jae Hong Jeong),최규성(Kyusung Choi),한선욱(Sun Wook Han),허 대한갑상선-내분비외과학회 2015 The Koreran journal of Endocrine Surgery Vol.15 No.3
Purpose: Total thyroidectomy with central lymph node dissection (CLND) is a treatment modality of choice for thyroid cancer. Hypocalcemia is the most common complication after total thyroidectomy. The aim of the current study was to determine the association between surgery-related clinical factors and postoperative hypocalcemia. Methods: A prospective analysis was performed for 101 patients who underwent total thyroidectomy with CLND for papillary cancer from June 2013 to June 2014. Correlation between clinicopathologic factors and postoperative hypocalcemia was analyzed. Results: Based on the postoperative day-2 calcium, 56 patients (55%) developed hypo-calcemia and 45 patients (45%) were normal. No significant differences in histopathologic (tumor size, tumor focality, histologic type, number of retrieved lymph nodes, metastatic lymph node, thyroiditis, retrieved parathyroid gland) findings were observed between the hypocalcemia group and normal calcium group. Mean value of the postoperative day-0 parathyroid hormone (PTH) was significantly lower in the hypocalcemia group (hypoca1cemia group: 14.3±9.4 pg/mL; normal group: 25.0±16.4 pg/mL; P<0.001). In logistic regression analysis, postoperative PTH was a factor significantly affecting postoperative hypocalcemia (OR 0.93; CI: 0.90-0.97; P<0.001). In ROC analysis, the cut-off value of PTH was 19.965 (sensitivity 79%, specificity 58%), and area under the curve (AUC) was 0.709 (95% CI: 0.607-0.811). Conclusion: Postoperative PTH was a factor predicting hypocalcemia after total thyroidectomy with CLND. Use of postoperative PTH as a screening tool for prediction of postoperative hypocalcemia would be useful in management of patients with hypocal-cemia.