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- 저자 : 최광준(Kwang Jun Choe) (검색결과 2 건)
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수술전 다방면요법으로 절제가 가능했던 원발성 간암 2예
최흥재(Heung Jai Choi),한광협(Kwang Hyub Han),전재윤(Chae Yoon Chon),김원호(Won Ho Kim),송시영(Si Young Song),최광준(Kwang Jun Choe),성진실(Jin Sil Sung),박소연(So Yeon Park) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
The resectability of hepatocellular carcinoma(HCC) is very low, because of a high incidence of associated liver cirrhosis and/or the malignant nature of this tumor. Recently, various modalities of treatment including hepatic artery ligation, hepatic artery embolization, infusion of chemotherapeutic agents or I-lipiodol into hepatic artery, external radiation and hyperthermia have been tried for unresectable HCC. We report 2 cases of 64-year-old male and 56-year-old female patients with unresectable primary HCC which became resectable after treatment with external radiation and hyperthermia. Their postoperative course was good without the evidence of recurrence over 1 year.
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간장 ( 肝臟 ) , 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : 만성췌장염의 임상적 고찰
강진경(Jin Kyung Kang),최흥재(Heung Jai Choi),박인서(In Suh Park),정재복(Jae Bock Chung),김원호(Won Ho Kim),송시영(Si Young Song),최광준(Kwang Jun Choe) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3
N/A Chronic pancreatitis is characterized by both persistent and irreversible progression of pancreatic lesions with various clinical manifestations and complications. In the Western country, alcohol abuse predominates as the most common cause of chronic pancreatitis. However, the causes and clinical features of chronic pancreatitis in Korea are still unknown. Here, we analyzed 83 cases of chronic pancreatitis diagnosed by clinical symptoms, imaging studies, operative or histological findings at the Department of Internal Medicine, Yonsei University College of Medicine, form January 1981 to December 1989. The results were as follows; 1) Mean age of 83 patients with chronic pancreatitis was 52.1 years (14-81), and the majority was in 4th, 5th and 6th decades. The male to female ratio was 3 : l 2) Alcohol was considered as the cause of chronic pancreatitis in 34(40.9%) of 83 cases, but in remainder the cause was not evident. 3) Abdominal pain was the most common symptoms (83.1%), followed by weight loss (16.9%), jaundice (12.0%) and steatorrhea (12.0%). 4) Hyperglycemia (43.3%) was the most common laboratory finding followed by anemia (33.7%), elevated transaminase (26.5%) and jaundice (14.5%). The serum amylase was elevated in 11 cases (13.3%). 5) Plain abdominal X-ray showed calcified density in pancreatic area in 29 (48.3%) arnong 60 cases. Ultrasonography showed the characteristic findings of chronic pancreatitis in 40 (58.8%) of 68 cases tested, the computed tomography 29 (70.7%) of 41 cases and the retrograde cholangiopancreatography 60 (100%) of 60 cases. 6) The most common complication was main pancreatic duct stone (18.1%) followed by pancreatic pseudocyst (9.6%), obstructive jaundice (9.6%), pleural effusion (7.2%) and pancreatic abscess (1.2%). 7) Conservative treatment was given in 64 cases (77.1%) and operation was performed in 19 cases (22.9%). Operative procedures included partial pancreatectomy with drainage procedure in 14 cases, transduodenal pancreaticolithotomy in 1 case and pancreaticoduodenectomy in 4 cases.
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