Journal of the Korean Surgical Society最新文献_第10页

Histologic confirmation of huge pancreatic lipoma: a case report and review of literatures. 巨大胰腺脂肪瘤的组织学证实:1例报告及文献复习。

Journal of the Korean Surgical Society Pub Date : 2011-12-01 Epub Date: 2011-11-25 DOI: 10.4174/jkss.2011.81.6.427

Jee Yeon Lee, Hyung-Il Seo, Eun Young Park, Gwang Ha Kim, Do Youn Park, Suk Kim

引用次数: 16

Factors affecting long-term survival after surgical resection of pancreatic ductal adenocarcinoma. 影响胰管腺癌手术切除后长期生存的因素。

Journal of the Korean Surgical Society Pub Date : 2011-12-01 Epub Date: 2011-11-25 DOI: 10.4174/jkss.2011.81.6.394

Kyoung Won Yoon, Jin Seok Heo, Dong Wook Choi, Seoung Ho Choi

{"title":"Factors affecting long-term survival after surgical resection of pancreatic ductal adenocarcinoma.","authors":"Kyoung Won Yoon, Jin Seok Heo, Dong Wook Choi, Seoung Ho Choi","doi":"10.4174/jkss.2011.81.6.394","DOIUrl":"https://doi.org/10.4174/jkss.2011.81.6.394","url":null,"abstract":"Purpose: Some patients who undergo surgical resection of pancreatic cancer survive longer than other patients. The purpose of this study was to identify the factors that affect long-term survival after resection of histopathologically confirmed pancreatic ductal adenocarcinoma.Methods: A single-center, retrospective study was conducted among 164 patients who underwent surgical resection of pancreatic cancer, between May 1995 and December 2004. The patient follow-up process was conducted via telephone survey and review of electronic medical records for at least 5 years or until death.Results: We compared patients with long-term (≥60 months, n = 19) and short-term survival (<60 months, n = 145). Resection margin status, differentiation of the tumor, tumor stage, pre-operative serum level of albumin, total bilirubin and carbohydrate antigen (CA) 19-9 level are related with survival difference (all factors, P < 0.05). Multivariate analysis revealed that a pre-operative serum total bilirubin level <7 mg/dL and a pre-operative serum CA19-9 level <37 U/mL is a statistically significant prognostic factor for long-term survival.Conclusion: The preoperative serum total bilirubin and serum CA19-9 levels are associated with long-term survival after surgical resection of pancreatic cancer.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"81 6","pages":"394-401"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2011.81.6.394","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30351151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Edematous and painful external hemorrhoids following intersphincteric resection for low rectal cancer. 低位直肠癌括约肌间切除术后的水肿和疼痛的外痔。

Journal of the Korean Surgical Society Pub Date : 2011-12-01 Epub Date: 2011-11-25 DOI: 10.4174/jkss.2011.81.Suppl1.S39

Quor Meng Leong, Dong-Nyoung Son, Se-Jin Baek, Jae-Sung Cho, Azali Amar, Jung-Myun Kwak, Seon-Hahn Kim

{"title":"Edematous and painful external hemorrhoids following intersphincteric resection for low rectal cancer.","authors":"Quor Meng Leong, Dong-Nyoung Son, Se-Jin Baek, Jae-Sung Cho, Azali Amar, Jung-Myun Kwak, Seon-Hahn Kim","doi":"10.4174/jkss.2011.81.Suppl1.S39","DOIUrl":"https://doi.org/10.4174/jkss.2011.81.Suppl1.S39","url":null,"abstract":"Intersphincteric resection (ISR) is the ultimate sphincter saving procedure for low rectal cancer. Hemorrhoids are a common benign condition. We present and discuss a case of ISR which developed painful edematous hemorrhoids after ISR. A 62-year-old female with low rectal cancer received neoadjuvant chemoradiotherapy with successful down staging of tumor before undergoing robot assisted ISR with coloanal hand-sewn anastomosis. She had pre-existing external hemorrhoids which were not excised. She developed painful and edematous external hemorrhoids 4 days after surgery. These were treated conservatively before discharge. Many colorectal surgeons performing ISR have experienced similar situations in their patients, but none have reported on this phenomenon. We discuss the possible factors that may contribute to this situation. A possible solution is prophylactic excision of the hemorrhoids during coloanal anastomosis. Painful hemorrhoids may occur after ISR and if managed conservatively, the outcome is skin tags.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"81 Suppl 1 ","pages":"S39-42"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2011.81.Suppl1.S39","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30447201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Spontaneous left external iliac vein rupture. 自发性左髂外静脉破裂。

Journal of the Korean Surgical Society Pub Date : 2011-12-01 Epub Date: 2011-11-25 DOI: 10.4174/jkss.2011.81.Suppl1.S82

Ick Hee Kim, Gyu Rak Chon, Yoon Sik Jo, Sung Bae Park, Sang Don Han

引用次数: 13

Carcinoembryonic antigen level of draining venous blood as a predictor of recurrence in colorectal cancer patient. 排静脉血癌胚抗原水平对结直肠癌患者复发的预测作用。

Journal of the Korean Surgical Society Pub Date : 2011-12-01 Epub Date: 2011-11-25 DOI: 10.4174/jkss.2011.81.6.387

Soo Young Lee, Kyung Sun Min, Jung Kee Chung, In Mok Jung, Young Joon Ahn, Ki-Tae Hwang, Hye Seong Ahn, Seung Chul Heo

{"title":"Carcinoembryonic antigen level of draining venous blood as a predictor of recurrence in colorectal cancer patient.","authors":"Soo Young Lee, Kyung Sun Min, Jung Kee Chung, In Mok Jung, Young Joon Ahn, Ki-Tae Hwang, Hye Seong Ahn, Seung Chul Heo","doi":"10.4174/jkss.2011.81.6.387","DOIUrl":"https://doi.org/10.4174/jkss.2011.81.6.387","url":null,"abstract":"Purpose: We designed this study to evaluate the efficacy of carcinoembryonic antigen in draining venous blood (vCEA) as a predictor of recurrence.Methods: Draining venous and supplying arterial bloods were collected separately during the operation of 82 colorectal cancer patients without distant metastasis from September 2004 to December 2006. Carcinoembryonic antigen was measured and assessed for the efficacy as a prognostic factor of recurrence using receiver operating characteristic (ROC) and Kaplan-Meier curves.Results: vCEA is a statistically significant factor that predicts recurrence (P = 0.032) and the optimal cut-off value for vCEA from ROC curve is 8.0 ng/mL. The recurrence-free survival between patients with vCEA levels >8 ng/mL and ≤8 ng/mL significantly differed (P < 0.001). The significance of vCEA as a predictor of recurrence gets higher when limited to patients without lymph node metastasis. The proper cut-off value for vCEA is 4.0 ng/mL if confined to patients without lymph node metastasis. The recurrence-free survival between the patients of vCEA levels >4 ng/mL and ≤4 ng/mL significantly differed (P < 0.001). Multivariate analysis revealed vCEA is an independent prognostic factor in patients without lymph node metastasis.Conclusion: vCEA is an independent prognostic factor of recurrence in colorectal cancer patients especially in patients without lymph node metastases.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"81 6","pages":"387-93"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2011.81.6.387","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30351150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Mucinous cystadenoma of the liver with ovarian-like stroma: the need for complete resection. 肝粘液囊腺瘤伴卵巢样间质:完全切除的必要性。

Journal of the Korean Surgical Society Pub Date : 2011-12-01 Epub Date: 2011-11-25 DOI: 10.4174/jkss.2011.81.Suppl1.S51

Myung Hee Yoon, Ju Won Yoon, Byung Hoon Han

引用次数: 4

Initial experience of single port laparoscopic totally extraperitoneal hernia repair: nearly-scarless inguinal hernia repair. 单孔腹腔镜全腹膜外疝修补术的初步经验:几乎无瘢痕的腹股沟疝修补术。

Journal of the Korean Surgical Society Pub Date : 2011-11-01 DOI: 10.4174/jkss.2011.81.5.339

Ji Hoon Kim, Seung Man Park, Jin Jo Kim, Yoon Suk Lee

{"title":"Initial experience of single port laparoscopic totally extraperitoneal hernia repair: nearly-scarless inguinal hernia repair.","authors":"Ji Hoon Kim, Seung Man Park, Jin Jo Kim, Yoon Suk Lee","doi":"10.4174/jkss.2011.81.5.339","DOIUrl":"https://doi.org/10.4174/jkss.2011.81.5.339","url":null,"abstract":"Purpose: In the early 1990's laparoscopic hernioplasty gained popularity worldwide. Thereafter, laparoscopic surgeons have attempted to improve cosmesis using single port surgery. This study aims to introduce and assess the safety and feasibility of single port laparoscopic total extraperitoneal (TEP) hernia repair with a nearly-scarless umbilical incision.Methods: Sixty three single port laparoscopic TEP hernia repairs were performed in sixty patients from June 2010 to March 2011 at Incheon St. Mary's Hospital, with the use of a glove single-port device and standard laparoscopic instruments. Demographic and clinical data, intraoperative findings, and postoperative course were reviewed.Results: Of the 63 hernias treated, 31 were right inguinal hernias, 26 were left inguinal hernias and 3 were both inguinal hernias. There was one conversion to conventional three port laparoscopic transabdominal preperitoneal hernioplasty. Mean operative time was 62 minutes (range, 32 to 150 minutes). There were no intraoperative complications. Postoperative complications occurred in two cases (wound seroma and urinary retension) and were successfully treated conservatively. Mean hospital stay was 2.15 days.Conclusion: Single port laparoscopic TEP hernia repair is safe and feasible. Umbilical incision provides an excellent cosmetic outcome. Prospective randomized studies comparing single port and conventional three port laparoscopic TEP repairs with short-term outcome and long-term recurrence rate are needed for confirmation.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"81 5","pages":"339-43"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2011.81.5.339","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30307677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

Comparison of clinical outcomes and hospital cost between open appendectomy and laparoscopic appendectomy. 开放式阑尾切除术与腹腔镜阑尾切除术的临床疗效及住院费用比较。

Journal of the Korean Surgical Society Pub Date : 2011-11-01 DOI: 10.4174/jkss.2011.81.5.321

Ho Jun Lee, Yong Hwan Park, Jae Il Kim, Pyong Wha Choi, Je Hoon Park, Tae Gil Heo, Myung Soo Lee, Chul Nam Kim, Surk Hyo Chang

{"title":"Comparison of clinical outcomes and hospital cost between open appendectomy and laparoscopic appendectomy.","authors":"Ho Jun Lee, Yong Hwan Park, Jae Il Kim, Pyong Wha Choi, Je Hoon Park, Tae Gil Heo, Myung Soo Lee, Chul Nam Kim, Surk Hyo Chang","doi":"10.4174/jkss.2011.81.5.321","DOIUrl":"https://doi.org/10.4174/jkss.2011.81.5.321","url":null,"abstract":"Purpose: Laparoscopic appendectomy has been recognized to have many advantages such as greater cosmetic results, less postoperative pain and shorter hospital stays. On the other hand, the cost of laparoscopic procedures is still more expensive than that of open procedures in Korea. The aim of this study is to compare clinical outcomes and hospital costs between open appendectomy and laparoscopic appendectomy.Methods: Between January 1, 2010 and December 31, 2010, 471 patients were diagnosed with acute appendicitis. Of these, 418 patients met the inclusion criteria and were divided into two groups of open appendectomy (OA) group and laparoscopic appendectomy (LA) group. We analyzed the clinical data and hospital costs.Results: The mean operation time for laparoscopic appendectomy (72.17 minutes) was significantly longer than that of open appendectomy (46.26 minutes) (P = 0.0004). The mean amounts of intravenous analgesics for OA group (2.00 times) was greater than that of LA group (1.86 times) (P < 0.0001). The complication rate was similar between the two groups (OA, 6.99% vs. LA, 10.87%; P = 0.3662). The mean length of postoperative hospital stay was shorter in LA group (OA, 4.55 days vs. LA, 3.60 days; P = 0.0002). The mean total cost covered by the National Health Insurance was more expensive in LA group (OA, 1,259,842 won [Korean monetary unit] vs. LA, 1,664,367 won; P = 0.0057).Conclusion: Clinical outcomes of laparoscopic appendectomy were superior to that of open appendectomy even though the cost of laparoscopic appendectomy was more expensive than that of open appendectomy. Whenever surgeons manage a patient with appendicitis, laparoscopic appendectomy should be considered as the procedure of choice.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"81 5","pages":"321-5"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2011.81.5.321","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30307752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

A missense polymorphism (rs11895564, Ala380Thr) of integrin alpha 6 is associated with the development and progression of papillary thyroid carcinoma in Korean population. 整合素α 6的错义多态性(rs11895564, Ala380Thr)与韩国人群甲状腺乳头状癌的发生发展有关。

Journal of the Korean Surgical Society Pub Date : 2011-11-01 DOI: 10.4174/jkss.2011.81.5.308

Su Kang Kim, Dong Kwan Kim, In-Hwan Oh, Jeong Yoon Song, Kee Hwan Kwon, Bong-Keun Choe, Yong Ho Kim

{"title":"A missense polymorphism (rs11895564, Ala380Thr) of integrin alpha 6 is associated with the development and progression of papillary thyroid carcinoma in Korean population.","authors":"Su Kang Kim, Dong Kwan Kim, In-Hwan Oh, Jeong Yoon Song, Kee Hwan Kwon, Bong-Keun Choe, Yong Ho Kim","doi":"10.4174/jkss.2011.81.5.308","DOIUrl":"https://doi.org/10.4174/jkss.2011.81.5.308","url":null,"abstract":"Purpose: Integrins play crucial roles in the pathogenesis of papillary thyroid carcinoma (PTC). The aim of this study was to investigate whether two single nucleotide polymorphisms (SNPs) (rs2141698, -1687A/G; rs11895564, Ala380Thr) of the integrin alpha 6 (ITGA6) gene are associated with the development and clinicopathologic characteristics of PTC such as the size (<1 cm and ≥1 cm), number (unifocality and multifocality), location (one lobe and both lobes), extrathyroid invasion, and cervical lymph node metastasis.Methods: We enrolled 104 PTC patients and 318 control subjects. Genotypes of each SNP were determined by direct sequencing. SNPStats, SNPAnalyzer, and Helixtree programs were used to evaluate odds ratios (ORs), 95% confidence intervals (CIs), and P-values. Multiple logistic regression models were performed to analyze genetic data.Results: A missense SNP rs11895564 was associated with the development of PTC. The A allele frequency of rs11895564 was higher in PTC patients than in controls (13.5% vs. 7.1%; P = 0.005; OR, 2.04; 95% CI, 1.24 to 3.37). In the clinicopathologic characteristics, the A allele frequency of rs11895564 showed difference in the size (19.6% in <1 cm vs. 6.9% in ≥1 cm; P = 0.010; OR, 0.30; 95% CI, 0.12 to 0.75) and number (8.5% in unifocality vs. 20.8% in multifocality; P = 0.015; OR, 2.85; 95% CI, 1.23 to 6.59) of PTC.Conclusion: These results suggest that the A allele of rs11895564 (Ala380Thr) in ITGA6 may be a risk factor of PTC, and also contribute to the progression of PTC in the Korean population.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"81 5","pages":"308-15"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2011.81.5.308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30307750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Hungry bone syndrome after parathyroidectomy of a minimally invasive parathyroid carcinoma. 微创甲状旁腺癌甲状旁腺切除术后的 "饥饿骨综合征"。

Journal of the Korean Surgical Society Pub Date : 2011-11-01 DOI: 10.4174/jkss.2011.81.5.344

Kwang-Min Kim, Joon-Beom Park, Keum-Seok Bae, Seong-Joon Kang

引用次数: 0