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허경열(Kyung Yul Hur),송태건(Tae Geon Song),박경규(Kyung Kyu Park),송영식(Young Sik Song),김익수(Ik Soo Kim) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.6
N/A Background/Ainis: We planed the study to evaluate the ideal procedure in surgical aspect of peptic ulcer through comparision of results in each procedure. Methnds: we reviewed l47 patients treated during l987 to 1993 at department of surgery, Socmchunhyang University Hospital. Results: The indications of operation were perforation(63.3%), obstruction(17.7%), bleeding(15.0%), intractabi- lity(2.0%) and others(2.0%) in order of frequency. Truncal vagotomy and pyloroplasty was perfor- med in 70 patients(47.6%), truncal vagotomy and antrectomy in 27 patients(18.4%), subtotal gastrectomy in 19 patients(I2.9%), truncal vagotomy and gastrojejunostomy in 15 patients(l0.2%.), primary closure in 10 patients(6.8%) and other procedures in 6 patients(4.1 fo). Perioperative morta- lity rate was l.4%(2 patients1 tha( these patients have severe and uncontrolled medical illness. Among 147 cases, follow-up evaluation was possible in 83 cases. The 66 cases(79.6%) was classified excellent and very good group according to Golighers modified Visick classification. In this study, ulcer recurrence rate was as follows: tnmcai vagotomy and antrectomy 0 il,, truncal vagotnmy and pyloroplasty 7.9%, subtotal gastrectomy 9.1Fo, truncal vagotomy and gastrojejunos- tomy 22.2%, and primary closure 60.0%. Reoperation was necessary in 4 cases after antrectomy and truncal vagotomy(14.8'7c), l patient after truncal vagotomy and pyloroplasty(1.5Fo) and 2 cases after truncal vagotomy and gastrojejunostomy(l3.3%). Conclusions: Considering postoperative complication and reoperation rate, we conclude that truncal vagotomy and pyloroplasty was more acceptable and safe procedure than truncal vagotomy and antrectomy in perforated peptic ulcer, even though its re]atively higher recurrence rate. (Korean J Gastroenterol 1995;27: 626-634)
위암에서 림프절 미세전이의 면역조직화학적 방법에 의한 측정 및 생존율과의 상관관계
문철,박경규,이문수,허경열,장용석,김재준,이민혁,진소영,이동화,Moon Chul,Park Kyung-Kyu,Lee Moon Soo,Hur Kyung Yul,Jang Yong Seog,Kim Jae Joon,Lee Min Hyuk,Jin So-Young,Lee Dong Wha 대한위암학회 2002 대한위암학회지 Vol.2 No.1
Purpose: The purpose of this study is to identify immunohistochemical evidence of lymph-node micrometastasis in histologic node-negative gastric cancer patients and to evaluate the prognostic significance of lymph-node micrometastasis.Materials and Methods: A retrospective study of 50 gastric cancer patients who underwent curative resections from October 1990 to November 1994 was performed. Two consecutive sections were prepared: one for ordinary hematoxylin and eosin staining, and the other for immunohistochemical staining with Pan cytokeratin antibody (Novocastra, UK). In the univariate analysis, the survival rate was calculated using the Life Table Method, and the multivariate analysis was determined using a Cox Proportional HazardsModel. The statistical analyses of the relationships between the clinicopathologic factors and micrometastases were performed by using a Chi-square test. Results: Of 2522 harvested lymph nodes, 81 ($4.1\%$) nodes and 19 ($38\%$) of 50 patients were identified as having lymphnode micrometastases by using immunohistochemical staining for cytokeratin. The incidence of lymph-node micrometastases was significantly higher in diffuse type carcinomas ($54\%$, P=0.024) and in patients with serosal invasion ($52.2\%$, P=0.05). For patients with lymph-node micrometastases (n=19), the 5-year survival rate was significantly decreased ($73.7\%$, P=0.015). The Lauren's classirication (P=0.021) and the depth of invasion (P=0.035) were shown by multivariate analysis to have a significant relationship with the presence of micrometastases. Multivariate analysis revealed that lymph-node micrometastasis was independently correlated with survival in histologic node-negative gastic cancer patients. Conclusion: The presence of cytokeratin detected lymphnode micrometastases correlates with the worse prognosis for patients with histologic node-negative gastric cancer.
비장 종대 및 범혈구 감소증을 동반한 간외 문맥류 1 예
이현아(Hyeon A Yi),남궁은경(Eun Kyung Namgung),허경열(Kyung Yul Hur),윤석구(Suk Gu Yoon),원종호(Jong Ho Won),홍대식(Dae Sik Hong),이혜경(Hae Kyung Lee),송영식(Young Sik Song),박희숙(Hee Sook Park) 대한내과학회 1996 대한내과학회지 Vol.51 No.5
Aneurysm of the portal vein is a rare entity. Portal vein aneurysms are lesions whose etiology, clinical features, and management are not well understood. Recently we experienced a case of portal vein aneurysm which was diagnosed by ultrasonography, abdominal computed tomography and angiography. A 26-year-old woman was admitted because of palpable mass on left upper quadrant abdomen and general weakness. Physical examination revealed remarkable splenomegaly. Laboratory date yieled the following results: WBC 2,000/㎣, Hb 8.7g/dl; Hct 22.5%; platelet 32,000/㎣, PT 57%; HBs Ag(+); HBs Ab(-); HBc Ab IgG(-); HCV Ab(-). Two D and coronal view of three D abdominal computed tomography demonstrated well defined circumscribed, oval and enhancing mass in the portal vein and enhancing mass that contained thrombosis in the splenic vein. Arterial portography via splenic artery showed fusiform portal vein aneurysm and splenie vein aneurysm containing thrombosis. She has achieved clinical improvement after splenectomy.