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정갑중,정영하,이경노,김석권 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.1
Many methods are used for vaginoplasty, such as split thickness skin graft, full thickness skin graft, inverted penile skin flap, intestinal flap and so on. Small intestine, ascending colon, sigmoid colon can be used for intestinal flap method, and considering the anatomical location and physiologic function. This retrospective study includes 9 cases of vaginoplasty to whom underwent rectosigmoid interpositional intestinal flap. Rectosigmoid colon seems to be the most ideal material for vaginoplasty and has many merits. We, Department of Plastic and Reconstructive Surgery of Dong-A medical college, had performed 9 cases of rectosigmoid vaginoplasty and achieved good results and we could get many merits as follows. 1. Sensibility is present in this rectosigmoid colon 2. There is natural lubrication. 3. Sufficient blood supply is preserved. 4. There is no malodor, which can be produced as skin lines the body cavity. 5. Long term vaginal stent is not necessary. 6. Scar on the donor site can be minimized. 7. There is normal texture and visual quality. 8. Rectosigmoid interpositional vaginoplasty is the best surgical method for transsexual with amputated penis.
Review of 100 cases of single port laparoscopic cholecystectomy
Eun Jung Koo,Soon Hwa Youn,Yang Hyun Baek,Young Hoon Roh,Hong Jo Choi,Young Hoon Kim,Ghap Joong Jung 대한외과학회 2012 Annals of Surgical Treatment and Research(ASRT) Vol.82 No.3
Purpose: Single port laparoscopic cholecystectomy (SPLC) is a new advanced technique in laparoscopic surgery. Many laparoscopic surgeons seek to gain skill in this new technique. However, little data has been accumulated and published formally yet. This article reports the achievement of 100 cases of SPLC with the hopes it will encourage laparoscopic surgery centers in the early adoption of SPLC. Methods: A retrospective review of 100 prospectively selected cases of SPLC was carried out. All patients had received elective SPLC by a single surgeon in our center from May 2009 to December 2010. Our review suggests patients’ character, perioperative data and postoperative outcomes. Results: Forty-two men and 58 women with an average age of 45.8 years had received SPLC. Their mean body mass index (BMI) was 23.85 ㎏/㎡. The mean operating time took 76.75 minutes. However, operating time was decreased according to the increase of experience of SPLC cases. Twenty-one cases were converted to multi-port surgery. BMI, age, previous low abdominal surgical history did not seem to affect conversion to multi-port surgery. No cases were converted to open surgery. Mean duration of hospital stay was 2.18 days. Six patients had experienced complications from which they had recovered after conservative treatment. Conclusion: SPLC is a safe and practicable technique. The operating time is moderate and can be reduced with the surgeon’s experience. At first, strict criteria was indicated for SPLC, however, with surgical experience, the criteria and area of SPLC can be broadened. SPLC is occupying a greater domain of conventional laparoscopic cholecystectomy.
Management of giant hepatic cysts in the laparoscopic era
Chan Joong Choi,Young Hoon Kim,Young Hoon Roh,Ghap Joong Jung,Jeong Wook Seo,Yang Hyun Baek,Sung Wook Lee,Myung Hwan Roh,San Young Han,Jin Sook Jeong 대한외과학회 2013 Annals of Surgical Treatment and Research(ASRT) Vol.85 No.3
Purpose: We sought to evaluate the feasibility and outcomes of laparoscopic resection of giant hepatic cysts and surgical success, focusing on cyst recurrence. Methods: From February 2004 to August 2011, 37 consecutive patients with symptomatic hepatic cysts were evaluated and treated at Dong-A University Hospital. Indications were simple cysts (n = 20), multiple cysts (n = 6), polycystic disease (n = 2), and cystadenoma (n = 9). Results: The median patient age was 64 years, with a mean lesion diameter of 11.4 cm. The coincidence between preoperative imaging and final pathologic diagnosis was 54% and half (n = 19) of the cysts were located in segments VII and VIII. Twenty-two patients had American Society of Anesthesiologists (ASA) classification I and II, and nine had ASA classification III. Surgical treatment of hepatic cysts were open liver resection (n = 3), laparoscopic deroofing (n = 24), laparoscopic cyst excision (n = 4), laparoscopic left lateral sectionectomy (n = 2), hand assisted laparoscopic procedure (n = 2), and single port laparoscopic deroofing (n = 2). The mean fellow-up was 21 months, and six patients (16%) experienced radiographicapparent recurrence. Reoperation due to recurrence was performed in two patients. Among the factors predicting recurrence, multivariate analysis revealed that interventional radiological procedures and pathologic diagnosis were statistically significant. Conclusion: Laparoscopic resection of giant hepatic cysts is a simple and effective method to relieve symptoms with minimal surgical trauma. Moreover, the recurrence is dependent on the type of pathology involved, and the sclerotherapy undertaken.
Long-Term Outcomes and Feasibility with Laparoscopy-Assisted Gastrectomy for Gastric Cancer
Kim, Ki-Han,Kim, Min-Chan,Jung, Ghap-Joong,Kim, Hyung-Ho The Korean Gastric Cancer Association 2012 Journal of gastric cancer Vol.12 No.1
Purpose: Recently, laparoscopy-assisted gastrectomy (LAG) has been widely accepted modality for early gastric cancer in Korea. The indication of LAG may be extended in an experienced institution. In our institution, the first case of laparoscopy-assisted gastrectomy (LAG) for gastric cancer was performed in May 1998. We retrospectively reviewed the long-term oncologic outcomes over 12 years to clarify the feasibility of LAG for gastric cancer. Materials and Methods: The authors retrospectively analyzed 753 patients who underwent LAG for gastric cancer, from May 1998 to August 2010. We reviewed clinicopathological features, postoperative outcomes, mortality and morbidity, recurrence, and survival of LAG for gastric cancer. Results: During the time period, 3,039 operations for gastric cancer were performed. Among them, 753 cases were done by LAG (24.8%). There were 69 cases of total gastrectomy, 682 subtotal gastrectomies, and 2 proximal gastrectomies. According to TNM stage, 8 patients were in stage 0, 619 in stage I, 88 in stage II, and 38 in stage III. The operation-related complications occurred in 77 cases (10.2%). Median follow-up period was 56.2 months (range 0.7~165.6 months). Twenty-five patients (3.3%) developed recurrence, during the follow-up period. The overall 5-year and disease free survival rates were 97.1% and 96.3%, respectively. Conclusions: The number of postoperative complications and survival rates of our series were comparable to the results from that of other reports. The authors consider LAG to be a feasible alternative for the treatment of early gastric cancer. However, rationale for laparoscopic surgery in advanced gastric cancer has yet to be determined.