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최병현(Byoung Hyun Choi),김지훈(Ji Hoon Kim),곽진호(Jin Ho Kwak),장혁재(Hyuck Jae Jang),한명식(Myung Sik Han) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.4
Purpose: T2 gastric cancer is tumor invading proper muscle or subserosal layer. The 2002 American Joint Committee on Cancer subdivided the pT2 gastric adenocarcinoma into a type pT2a (invasion of the proper muscle) and a type pT2b (invasion of the subserosa). The aim of this study was to evaluate the differences between pT2a and pT2b gastric cancers of the clinicopathological features and the prognostic factors. Methods: A series of curative operations were performed on 194 patients with pT2 gastric cancer from January 1999 to February 2006. We reviewed, retrospectively, the clinicopathologic characteristics, the 3-year disease free survival and the 5-year disease specific survival rates. Results: There were significant clinicopathologic differences between pT2a and pT2b gastric cancer in tumor size and the number of metastatic lymph nodes. Both of the 3-year disease free survival time and the 5-year disease specific survival time were much longer for the pT2a gastric carcinoma patients than those for the pT2b gastric carcinoma patients. Conclusion: It is important to consider the differences between pT2a and pT2b gastric cancers for prediction of recurrence or prognosis. Furthermore, new staging of pT2a and pT2b cancer may be necessary.
외상에 의한 후복막 출혈환자에서 발생한 복부구획증후군을 침상 옆 백선 근막 절개술로 치료한 증례
김지훈 ( Ji Hoon Kim ),한명식 ( Myung Sik Han ),최건무 ( Gun Moo Choi ),장혁재 ( Hyuck Jae Jang ),곽진호 ( Jin Ho Kwak ) 대한외상학회 2011 大韓外傷學會誌 Vol.24 No.1
Abdominal compartment syndrome (ACS) is a life-threatening disorder caused by rapidly increasing intra-abdominal pressure. ACS can result in multiorgan failure and carries a mortality of 60~70%. The treatment of choice in ACS is surgical decompression. There are very few reports of ACS and experience in Korea. We report 12-year-old male patient who developed an abdominal compartment syndrome due to traffic-accident-induced retroperitoneal hematomas, Which was successfully treated by performing a bedside emergency surgical decompression with open linea alba fasciotomy with intact peritoneum. When patients do not respond to medical therapy, a decompressive laparotomy is the last surgical resort. In patients with severe abdominal compartment syndrome, the use of a linea alba fasciotomy is an effective intervention to lower intra-abdominal hypertension (IAH) without the morbidity of a laparotomy. Use of a linea alba fasciotomy as a first-line intervention before committing to full abdominal decompression in patients with abdominal compartment syndrome improves physiological variables without mortality. Consideration for a linea alba fasciotomy as a bridge before full abdominal decompression needs further evaluation in patients with polytrauma abdominal compartment syndrome. (J Korean Soc Traumatol 2011;24:56-59)
윤종희(Jong Hee Yoon),김지훈(Ji Hoon Kim),곽진호(Jin Ho Kwak),최건무(Gun Moo Choi),장혁재(Hyuck Jae Jang),한명식(Myung Sik Han) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.4
A pyometra is an accumulation of pus in the endometrial cavity mostly due to obstruction of the cervical canal. It is a rare condition, and usually affects postmenopausal women. Moreover, spontaneous rupture of the uterus is an extremely rare complication of pyometra. We present a case of spontaneous perforation of pyometra, which presented as an acute abdomen in emergency and was misdiagnosed as gastrointestinal tract perforation.
장막침범이 없는 진행성 위암의 2년 이내 재발과 연관된 E-cadherin, β-catenin, Cdx2, MMP7 발현양상
김지훈(Ji Hoon Kim),엄대운(Dae Yoon Eom),김찬욱(Chan Wook Kim),최남규(Nam Kyu Choi),곽진호(Jin Ho Kwak),최건무(Gun Moo Choi),장혁재(Hyuck Jae Jang),한명식(Myung Sik Han) 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.1
Purpose: The aim of this study was to examine the expression of E-cadherin, β-catenin, Cdx2, MMP7 in gastric cancer and to evaluate the clinical significance of these molecules in tumor recurrence within 2 years of pT2 and N1/N2 gastric cancer. Methods: In 122 patients who underwent radical resection of gastric cancer, we investigated the association between the expression of these molecules and clinicopathologic factors by immunohistochemistry. The included criteria were pT2 and N1 or N2 (6th AJCC TNM). Results: The expression of MMP7 was significantly associated with N stage (N1 vs. N2) (P=0.011). The negative expression of β-catenin was strongly correlated with tumor recurrence within a 2-year period. However, the expression of these molecules was not related with recurrent sites. Multivariate analysis demonstrated that negative expression of β-catenin was an independent predictor for tumor recurrence within 2 years (OR 2.366; 95%CI 1.056∼5.297; P=0.036). Conclusion: Negative expression of β-catenin may serve as a significant indicator for predicting tumor recurrence within a 2-year period in pT2 and N1/N2 gastric cancer.