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수술 전 대장내시경 정복을 시도한 양성 및 악성 병변에 의한 회결장형 장중첩증 2예
이일영,김재우,예창진,채명훈,성중경,석기태,백순구,조미연 대한소화기내시경학회 2008 Clinical Endoscopy Vol.37 No.4
장중첩증은 주로 소아에서 흔히 발생하며 뚜렷한 원인이 없이 발생하는 경우가 많다. 이에 반해 성인의 장중첩증은 매우 드물게 발생하는 질환이며 기질적인 원인이 있는 경우가 대부분이다. 진단은 최근 전산화단층촬영이 보편화된 후 수술 전 진단율이 높아졌으나 대부분 수술과정에서 이루어지고 있다. 치료방법에는 현재 대부분의 보고들에서 개복술을 필수적으로 생각하고 있으나 뚜렷하게 정립되어 있는 방법은 아직 없다. 최근 소수의 환자이지만 대장내시경으로 장중첩증을 정복했다는 보고가 있고, 수술을 시행하더라도 회결장형 장중첩증의 경우 중첩된 회장이 매우 긴 경우가 많아 정복을 먼저 시도해 본다면 과도한 절제를 막는 데 도움을 줄 수 있다고 알려져 있다. 이에 저자들은 비록 정복은 되지 못했으나 양성 및 악성 병변에 의해 장중첩증이 발생한 성인 환자에서 수술 전 대장내시경으로 장중첩증을 진단하고 내시경적 정복을 시도해 본 환자를 경험하였기에 문헌 고찰과 함께 보고한다.
이석열,백강석,전철우,이승진,이철세,이길노 대한흉부외과학회 2007 Journal of Chest Surgery (J Chest Surg) Vol.40 No.9
50세 남자 환자가 갑작스런 복통으로 내원하였다. 다중 검출 복부 컴퓨터 단층촬영상 상장간막 동맥의 근위부 폐쇄가 관찰되었다. 입원 당일 응급으로 개복술을 실시하여 혈전제거술을 실시하였고 다음날 다시 혈전제거술과 일부 소장 절제를 하였다. 저자들은 상장간막 동맥 폐쇄증을 치험하였기에 보고하는 바이다.
상피성 난소암 환자에서 임상적 관해도 평가를 위한 이차 추시개복술의 의의
박영준 ( Park Yeong Jun ),이유석 ( Lee Yu Seog ),이규락 ( Lee Gyu Lag ),김영재 ( Kim Yeong Jae ),박건호 ( Park Geon Ho ),김성희 ( Kim Seong Hui ),박진실 ( Park Jin Sil ),박민수 ( Park Min Su ),김현희 ( Kim Hyeon Hui ),호정규 ( Ho 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.9
Objective : To evaluate pathological complete remission rate (pCR), survival rate, recurrence rate, 91 patients who had clinical complete remission with epithelial ovarian cancer were studied. Methods : From 1983 to 2002, 91 consecutive patients with epit
Surgical Correction and Componential Analysis of Enterolith in Horse
양영진,조영재,조길재 한국임상수의학회 2014 한국임상수의학회지 Vol.31 No.3
After clinical and laboratory tests of a 12-year-old warmblood horse (castrated male, 540 kg) displayingsymptom of pain, a diagnosis of intestinal obstruction due to foreign substances like sand was made and an abdominalsection and enterotomy were conducted to confirm and extract the intestinal stone (enterolith) on the right dorsal partof the ascending colon. The extracted intestinal stone was around 2.9 kg and greenish brown rugby ball sized(22 cm × 10 cm) stone. Analysis of the element components (EDX) using a scanning electron microscope revealedpercentages of C (30.08%), O (39.85%), Mg (3.89%), P (11.15%), and Ca (11.16%) at a magnification of 400. Thiswas the first example of a successful extraction and treatment of intestinal stone in a horse domestically and therebyhas its significance.
Effects of Vitamin C on Oxidative Stress Due to Anesthesia and Surgical Trauma in Dogs
최경하,이재연,정성목,Gregory K Joo,김명철 한국임상수의학회 2011 한국임상수의학회지 Vol.28 No.5
The study evaluated the antioxidant effects of ascorbic acid (AA) against oxidative stress during laparotomy in dogs under general anesthesia using isoflurane. Twelve dogs were randomly assigned to either the ascorbic acid group (AAG) or the sham group (SG). AAG received intravenous dosage of 100 mg/animal of standard AA 10 minutes before anesthesia. Plasma levels of cortisol, glucose, total oxidant status (TOS), total antioxidant status (TAS), and oxidative stress index (OSI) were measured. Cortisol level increased significantly with time in both groups (p < 0.05). The change of glucose levels was not significantly different between both groups. TOS and OSI increased significantly with time in the SG (p < 0.05), whereas it did not significantly change with time in the AAG. The TOS and OSI of the AAG were significantly lower than in the SG (p < 0.05). However, TAS did not significantly change between both groups. The results suggest that the decrease of TOS in the AAG might be related to the conversion of antioxidants to oxidants. The decrease of OSI indicates that the decrease of reactive oxygen species (i.e., oxidative stress) produced at the site of injury is able to decrease surgical side effects of abnormal blood circulation, organ failure, and inflammation. Therefore, AA can be used to protect a surgical patient from oxidative stress in canine laparotomy.
최지식(Ji Sik Choi),이기환(Ki Hwan Lee),홍달수(Dal Su Hong),민경수(Kyong Su Min),남상륜(Sang Lyun Nam),강길전(Kil Chun Kang) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8
Objective : The objective of this study was to compare laparoscopic surgery with laparotomy for surgical management of ovarian dermoid cysts. Methods : One hundred and fifteen patients were managed with laparoscopy and eighty two patients were managed with laparotomy. Two groups were compaired for age, marrital status, parity, tumor size, operation type, previous surgery, operating time, blood loss, pre-, and postoperative hemoglobin change, hospital stay, complications and recurrences. Results : Unilateral slapingo-oophorectomy was the most common type of operation in either group. Between twenty one and thirty was the most common age in either group and para 0 in laparoscopy and para 2 in laparotomy group was the most common. Unilateral ovarian cystectomy was significantly more common for para 0 in laparoscopy group (p=0.035). Number of singles were significantly higher in laparoscopy group (p=0.046). Tumor size was significantly larger in laparotomy group (6.1 vs 7.8 cm). Operating time was shorter for unilateral ovarian cystectomy in laparoscopy group. Blood loss, pre-, and postoperative hemoglobin change, hospital stay was significantly less in laparoscopy group. Febrile morbidity was higher in laparotomy group (p<0.001). However no major complications were noted in either group. Conclusion : We conclude that operative laparoscopy has many advantages in the management of ovarian dermoid cysts. However tumor size was a relative limitations for laparoscopy compaired with laparotomy.
김주경 ( Ju Kyoung Kim ),장보승 ( Bo Seung Chang ),김승찬 ( Seung Chan Kim ),윤영은 ( Young Eun Yun ),박옥랑 ( Ok Rang Park ),손경락 ( Kyoung Rak Son ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.12
Uterine papillary serous carcinoma (UPSC) behave more aggressively than other endometrial carcinomas and have a propensity for intraabdominal spread, simulating the behavior of ovarian carcinoma. Because of high relapsing rate, and high mortality rate of