Journal of the Korean Surgical Society最新文献_第4页

Clinical and radiologic preoperative predicting factors for GB cholesterol polyp. GB胆固醇息肉的临床及术前放射学预测因素。

Journal of the Korean Surgical Society Pub Date : 2012-04-01 Epub Date: 2012-03-27 DOI: 10.4174/jkss.2012.82.4.232

Hye-Lin Song, Jun-Ho Shin, Hungdai Kim, Yong-Lai Park, Chang-Hak Yoo, Byung-Ho Son, Ji-Sup Yoon, Hyung-Ok Kim

{"title":"Clinical and radiologic preoperative predicting factors for GB cholesterol polyp.","authors":"Hye-Lin Song, Jun-Ho Shin, Hungdai Kim, Yong-Lai Park, Chang-Hak Yoo, Byung-Ho Son, Ji-Sup Yoon, Hyung-Ok Kim","doi":"10.4174/jkss.2012.82.4.232","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.4.232","url":null,"abstract":"Purpose: To use the clinical and radiological data to differentiate non-cholesterol versus cholesterol gall bladder (GB) polyps, which can be useful in deciding the treatment of the patient.Methods: One hundred and eighty-seven patients underwent cholecystectomy for GB polyps of around 10 mm for 10 years, and were divided into two groups, cholesterol polyps (146 patients) and non-cholesterol polyps (41 patients) based on the postoperative pathological findings. Gender, age, body weight, height, body mass index (BMI), symptoms, laboratory findings, size, number of polyps, presence of GB stone and maximum diameter measured by preoperative ultrasonography (USG), computed tomography (CT), and pathological diameter were subjected to comparative analysis.Results: Patients diagnosed with cholesterol polyps were younger in age and had higher BMI, and the total cholesterol levels and white blood cell levels were higher, but were not statistically significant. It was notable to see that 28.6% of the cholesterol polyps were not found in the preoperative CT yet the percentage of the undetectable rate was significantly lower (8%) in the non-cholesterol polyp group. There was a discrepancy in maximum diameters between the two radiological methods in both groups but the discrepancy was significantly larger in the cholesterol polyp group.Conclusion: The clinical signs that can be helpful to diagnose whether it is a cholesterol polyp or not are younger patients who have high BMI, polyps which are detectable only on the USG and large maximum diameters between the USG and CT. And if the discrepancy of the maximum diameter is lesser than 1mm the polyp may be considered as a non-cholesterol polyp.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 4","pages":"232-7"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.4.232","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30567579","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: 11

Spontaneous aortic rupture in a patient with neurofibromatosis type 1. 1型神经纤维瘤病患者的自发性主动脉破裂。

Journal of the Korean Surgical Society Pub Date : 2012-04-01 Epub Date: 2012-03-27 DOI: 10.4174/jkss.2012.82.4.261

Yang Jin Park, Keun Myoung Park, Jiyoung Oh, Hong Suk Park, Jung-Sun Kim, Young-Wook Kim

引用次数: 14

Bilateral adrenal pheochromocytoma with a germline L790F mutation in the RET oncogene. 双侧肾上腺嗜铬细胞瘤伴RET癌基因L790F突变。

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.185

Jun Won Min, Youn Joon Park, Hee Jin Kim, Myung-Chul Chang

引用次数: 3

Risk factors of circumferential resection margin involvement in the patients with extraperitoneal rectal cancer. 腹膜外直肠癌患者围切缘累及的危险因素分析。

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.165

Sung Jin Oh, Jin Yong Shin

{"title":"Risk factors of circumferential resection margin involvement in the patients with extraperitoneal rectal cancer.","authors":"Sung Jin Oh, Jin Yong Shin","doi":"10.4174/jkss.2012.82.3.165","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.3.165","url":null,"abstract":"Purpose: Currently, circumferential resection margins (CRM) are used as a clinical endpoint in studies on the prognosis of rectal cancer. Although the concept of a circumferential resection margin in extraperitoneal rectal cancer differs from that in intraperitoneal rectal cancer due to differences in anatomical and biologic behaviors, previous reports have provided information on CRM involvement in all types of rectal cancer including intraperitoneal lesions. Therefore, the aim of this study was to analyze risk factors of CRM involvement in extraperitoneal rectal cancer.Methods: From January 2005 to December 2008, 306 patients with extraperitoneal rectal cancer were enrolled in a prospectively collected database. Multivariate logistic regression analysis was used to identify predictors of CRM involvement.Results: The overall rate of CRM involvement was found to be 16.0%. Multivariate analysis showed that male sex, larger tumor size (≥4 cm), stage higher than T3, nodal metastasis, tumor perforation and non-sphincter preserving proctectomy (NSPP) were risk factors for CRM involvement.Conclusion: Male sex, larger tumor size (≥4 cm), advanced T stage, nodal metastasis, tumor perforation, and NSPP are significant risk factors of CRM involvement in extraperitoneal rectal cancer. Given that postoperative chemoradiotherapy is recommended for patients with a positive CRM, further oncologic studies are warranted to ascertain which patients with these risk factors would require adjuvant therapy.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 3","pages":"165-71"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.3.165","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40152937","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: 24

A hybrid operation in a patient with complex right subclavian artery aneurysm. 复合手术治疗复杂右锁骨下动脉瘤1例。

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.195

Young-Nam Roh, Kwang-Bo Park, Young-Soo Do, Wook-Sung Kim, Young-Wook Kim, Dong-Ik Kim

引用次数: 21

Large tubular colonic duplication in an adult treated with a small midline incision. 成人大管状结肠复制，中线小切口治疗。

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.190

Yuen Geng Yong, Kyung Uk Jung, Yong Beom Cho, Seong Hyeon Yun, Hee Cheol Kim, Woo Yong Lee, Ho-Kyung Chun

{"title":"Large tubular colonic duplication in an adult treated with a small midline incision.","authors":"Yuen Geng Yong, Kyung Uk Jung, Yong Beom Cho, Seong Hyeon Yun, Hee Cheol Kim, Woo Yong Lee, Ho-Kyung Chun","doi":"10.4174/jkss.2012.82.3.190","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.3.190","url":null,"abstract":"Tubular colonic duplication presenting in adults is rare and difficult to diagnose preoperatively. Only a few cases have been reported in the literature. We report a case of a 29-year-old lady presenting with a long history of chronic constipation, abdominal mass and repeated episodes of abdominal pain. The abdominal-pelvic computed tomography scan showed segmental bowel wall thickening thought to be small bowel, and dilatation with stasis of intraluminal content. The provisional diagnosis was small bowel duplication. She was scheduled for single port laparoscopic resection. However, a T-shaped tubular colonic duplication at sigmoid colon was found intraoperatively. Resection of the large T-shaped tubular colonic duplication containing multiple impacted large fecaloma and primary anastomosis was performed. There was no perioperative complication. We report, herein, the case of a T-shaped tubular colonic duplication at sigmoid colon in an adult who was successfully treated through mini-laparotomy assisted by single port laparoscopic surgery.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 3","pages":"190-4"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.3.190","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40152941","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

Association of CTTN polymorphisms with the risk of colorectal cancer. CTTN多态性与结直肠癌风险的关系

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.156

Seok Youn Lee, Dong Baek Kang, Won Cheol Park, Jeong Kyun Lee, Soo Cheon Chae

{"title":"Association of CTTN polymorphisms with the risk of colorectal cancer.","authors":"Seok Youn Lee, Dong Baek Kang, Won Cheol Park, Jeong Kyun Lee, Soo Cheon Chae","doi":"10.4174/jkss.2012.82.3.156","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.3.156","url":null,"abstract":"Purpose: Various studies searching for biomarkers to predict tumor metastasis or prognosis in both esophageal squamous cell carcinoma (ESCC) and head and neck squamous cell carcinoma (HNSCC) are currently underway. However, few data have been reported on its association with colorectal cancer (CRC). Single nucleotide polymorphisms (SNPs) are the most common known form of human genetic variation and may contribute to an increased susceptibility to cancer including CRC. The present study aimed to investigate whether the polymorphisms in the CTTN gene are associated with susceptibility to CRC in the Korean population.Methods: A case-control study was performed to examine the relationship between the CTTN g.-9101C>T, g.-8748C>T, and g.72C>T polymorphisms and the risk of CRC. Polymerase chain reaction-restriction fragment length polymorphism analysis of g.-8748C>T, g.-9101C>T and Taqman analysis of g.72C>T were performed on blood samples from 218 patients with CRC and 533 control individuals. The g.-9101C>T, g.-8748C>T, and g.72C>T SNPs in CTTN and their haplotypes were analyzed.Results: The genotype and allele frequencies of g.-9101C>T, g.-8748C>T, and g.72C>T did not differ between the patient group and the control group. Further, the haplotype of CTTN g.-9101C>T, g.-8748C>T, and g.72C>T did not differ between patient group and the control group. However, the genotype and allele frequencies of CTTN g.-9101C>T were significantly increased in the lymph node positive CRC group compared to the control group.Conclusion: The CTTN g.-9101C>T polymorphism may influence lymph node positive CRC.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 3","pages":"156-64"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.3.156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40152936","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: 5

Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery. 腹腔镜阑尾切除术后疼痛:经脐单孔与常规腹腔镜手术的比较。

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.172

Hyung Ook Kim, Chang Hak Yoo, Sung Ryol Lee, Byung Ho Son, Yong Lai Park, Jun Ho Shin, Hungdai Kim, Won Kon Han

{"title":"Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery.","authors":"Hyung Ook Kim, Chang Hak Yoo, Sung Ryol Lee, Byung Ho Son, Yong Lai Park, Jun Ho Shin, Hungdai Kim, Won Kon Han","doi":"10.4174/jkss.2012.82.3.172","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.3.172","url":null,"abstract":"Purpose: Conventional laparoscopic appendectomy is performed using three ports, and single-port appendectomy is an attractive alternative in order to improve cosmesis. The aim of this study was to compare pain after transumbilical single-port laparoscopic appendectomy (SA) with pain after conventional three-port laparoscopic appendectomy (TA).Methods: From April to September 2011, 50 consecutive patients underwent laparoscopic appendectomy for simple appendicitis without gangrene or perforation. Patients who had undergone appendectomy with a drainage procedure were excluded. The type of surgery was chosen based on patient preference after written informed consent was obtained. The primary endpoint was postoperative pain evaluated by the visual analogue scale score and postoperative analgesic use. Operative time, recovery of bowel function, and length of hospital stay were secondary outcome measures.Results: SA using a SILS port (Covidien) was performed in 17 patients. The other 33 patients underwent TA. Pain scores in the 24 hours after surgery were higher in patients who underwent SA (P = 0.009). The change in postoperative pain score over time was significantly different between the two groups (P = 0.021). SA patients received more total doses of analgesics (nonsteroidal anti-inflammatory drugs) in the 24 hours following surgery, but the difference was not statistically significant. The median operative time was longer for SA (P < 0.001).Conclusion: Laparoscopic surgeons should be concerned about longer operation times and higher immediate postoperative pain scores in patients who undergo SA.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 3","pages":"172-8"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.3.172","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40152938","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: 62

Report of a case of ischemic colitis with bilaterally patent internal iliac arteries after endovascular abdominal aneurysm repair. 血管内腹腔动脉瘤修复术后伴双侧髂内动脉未闭的缺血性结肠炎1例报告。

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.200

Hyangkyoung Kim, Tae-Won Kwon, Yong-Pil Cho, Ki-Myung Moon

{"title":"Report of a case of ischemic colitis with bilaterally patent internal iliac arteries after endovascular abdominal aneurysm repair.","authors":"Hyangkyoung Kim, Tae-Won Kwon, Yong-Pil Cho, Ki-Myung Moon","doi":"10.4174/jkss.2012.82.3.200","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.3.200","url":null,"abstract":"During endovascular aneurysm repair (EVAR), interruption of the internal iliac arteries (IIAs) or the inferior mesenteric artery by stents or embolization is thought to cause colon ischemia. To minimize this risk, attempts have been made to preserve the IIAs using iliac branch devices or IIA revascularization. Here we present our experience of colon ischemia after EVAR in a patient with bilaterally patent IIAs without evidence of embolism. A 70-year-old man had abdominal pain and a ruptured abdominal aortic aneurysm was found. We performed EVAR with custom-made tube grafts preserving the bilateral IIAs. On postoperative day 2, the patient complained of abdominal pain, a sigmoidoscopy was performed revealing colon ischemia. On laparotomy, transmural infarction of the sigmoid colon was found and resected. Because IIA preservation cannot guarantee protection against colon ischemia, surgeons should maintain a high level of suspicion and use surveillance liberally after EVAR for early diagnosis of colon ischemia, even if both IIAs are preserved.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 3","pages":"200-3"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.3.200","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40152943","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: 7

Can serum interleukin-2 receptor alpha predict lymph node metastasis in early gastric cancer? 血清白细胞介素-2受体α能否预测早期胃癌淋巴结转移?

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.143

Yong-Hae Baik, Ji Yeong An, Jae-Hyung Noh, Tae-Sung Sohn, Sung Kim

{"title":"Can serum interleukin-2 receptor alpha predict lymph node metastasis in early gastric cancer?","authors":"Yong-Hae Baik, Ji Yeong An, Jae-Hyung Noh, Tae-Sung Sohn, Sung Kim","doi":"10.4174/jkss.2012.82.3.143","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.3.143","url":null,"abstract":"Purpose: Although local resection like endoscopic mucosal resection for early gastric cancer is accepted as a treatment option, one of the most important drawbacks of such an approach is the inability to predictlymph node metastasis. The aim of this study was to evaluate the serum soluble receptor alpha for interleukin-2 (IL-2Rα) level as a predictor of lymph node metastasis in the patients with early gastric cancer.Methods: Assessment of pre-operative serum IL-2Rα levels was performed on 86 patients with early gastric cancer treated by gastrectomies combined with D2 lymph node resections and 20 healthy controls at Samsung Medical Center. Data on patient age and gender, tumor size, depth of invasion, histologic differentiation, and endoscopic findings were reviewed post-operatively. The submucosal lesions were divided into three layers (sm1, sm2, and sm3) in accordance with the depth of invasion.Results: Lymph node metastasis was observed in 16 patients (18.6%). Statistically, the serum IL-2Rα level was an important predictive factor of lymph node metastasis in undifferentiated gastric cancer, and the cut-off point for the predictive value of serum IL-2Rα level was 200 U/mL.Conclusion: The serum IL-2Rα level might be a good predictor of lymph node metastasis in undifferentiated early gastric cancer.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 3","pages":"143-8"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.3.143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40153023","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: 3