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황일우(Il Woo Whang),지성구(Sung Ku Ji),유완식(Wan Sik Yu) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.1
N/A The extrahepatic bile duct cancer is known to have a poor prognosis because of late diagnosis. Curative surgical resection is recommended to provide long-term survival of the patients. Recently, non-operative percutaneous transhepatic biliary drainage have attracted great popularity as a palliative procedure. Over a period of recent 8 years, 82 patients with malignant tumors of the extraphepatic bile duct were treated at Kyungpook National University Hospital. The results of clinical analysis of these patients and the significance of percutaneous transhepatic biliary drainage in these patients were summarized as follows. The mean age was 58 and the male to female ratio was 2.4:l. The clinical manifestations were jaundice (92%), hepatomegaly (68%), abdominal pain (65%), pruritus (61%) and dark urine (53%), etc. Percutaneous transhepatic cholangiography was the most definite diagnostic procedure. The tumors were located at upper one third in 32 cases (39%), at middle one third in 11 cases (13 %) and at the lower one third in 22 cases (27%), Seventeen cases (21%) were diffuse type. Curative resection was performed in 7 patients, palliative procedure in 31 patients, and exploratory laparotomy in 5 patients. Percutaneous transhepatic biliary drainage (PTBD) was performed in 33 patients (internal drainage 14, external drainage 19). There were 9 postoperative complications: 4 cases of cholangitis, 1 case of bile leakage, 1 case of wound infection, 1 case of T-tube obstruction, 1 case of sepsis and 1 case of intraabdominal abscess. And there were 11 complications of PTBD: 5 cases of cholangitis, 3 cases of bile leakage, 2 cases of catheter obstruction and 1 case of intraabdominal bleeding. The mean duration of hospital stay was 27 days after operation and 25 days after PTBD. The rates of disappearance of jaundice and recovery of liver function after PTBD revealed similar to those after operation. Mean survival period was 11.8 months after operation and 4.8 months after PTBD. Especially in cancer of the upper bile duct, the mean survival period was 7.5 months after operation and 3.8 months after PTBD. For the palliation of symptoms of the unresectable cancer of the extrahepatic bile duct, PTBD procedure is strongly recommended in terms of liver function recovery and of decreasing complications secondary to obstructive jaundice.
황일우(Il Woo Whang),유완식(Wan Sik Yu),서명균(Myeong Gyun Seo) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.2
N/A To establish proper diagnosis and treatment of gastrointestinal myogenic tumor, we reviewed thirty patients with the myogenic tumor of gastrointestinal tract who underwent various types of operation at Department of Surgery, Kyungpook National University Hospital from 1981 through 1991. The age of the patients ranged from 14 to 84 years, and peak incidence was in the fifties and sixties (56%). The ratio of male to female was 1.7:1. Abdominal pain (77%) and gastrointestinal bleeding (40%) were the most common clinical symptoms. The most common primary site was stomach (60%). Endoscopic examination, roentgenographic examination and abdominal CT scan presented the same diagnostic accuracy. The pathologie diagnoses were leiomyoma 23 (77%), leiomyosarcoma 5 (17%), and leiomyoblastoma 2 cases (6%). We performed 26 curative resections and 4 palliative resections. Median survival time of five patients with leiomyosarcoma was 5 months.