• Title/Summary/Keyword: 복강암(腹腔癌)

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Nationwide Survey of Laparoscopic Gastric Surgery in Korea, 2004 (2004년 전국 복강경 위 수술 현황)

  • Kim, H.H.;Kim, K.H.;Kim, D.H.;Kim, M.C.;Kim, B.S.;Kim, Y.W.;Kim, Y.I.;Kim, Y.H.;Kim, W.;Kim, W.W.;Kim, J.J.;Kim, T.B.;Ryu, S.Y.
    • Journal of Gastric Cancer
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    • v.5 no.4 s.20
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    • pp.295-303
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    • 2005
  • The Korean laparoscopic Gastrointestinal Surgery Study Group made a survey of laparoscopic gastric surgeries which were performed in Korea during 2004. Thirty-eight surgeons from 36 Institutions responded to the questionnaires. One thousand eighty-nine laparoscopic gastric operations were performed during 2004. The cumulative number from 1995 to 2004 was about 2,386. Seven hundred fifty-four operations for a gastric adenocarcinoma were performed during 2004 which is almost two times the number performed during 2003. Laparoscopic radical procedures, such as a laparoscopy-assisted distal gastrectomy or total gastrectomy (LADG and LATG) have increased rapidly since 2001 (55 cases in 2001, 150 cases in 2002, 364 cases in 2003 and 738 cases in 2004). Especially, laparoscopic total gastrectomies were explosively adopted last year (20 cases in 2003 and 112 cases in 2004). However, laparoscopic function-preserving gastrectomies, which included one laparoscopy-assisted pylorus-preserving gastrectomy and laparoscopy-assisted proximal gastrectomy, are rarely performed at this time. One hundred forty-two wedge resections for a gastric submucosal tumor were performed during 2004. Hand-assisted laparoscopic surgery (HALS) was performed in 39 cases in 2001, 55 in 2002, and 49 in 2003; however, only 5 such surgeries were performed during 2004. In 2003, laparoscopic bariatric surgery began, and during 2004, 49 operations were performed. In terms of indications of laparoscopic gastric surgery for adenocarcinoma, 19 surgeons performed a LADG only for a T1 lesion, and 7 surgeons extended their indications to T2N0 lesions. In the near future, laparoscopic procedures for gastric cancer will be widely adopted in Korea if the medical-insurance obstacle is overcome, and the long-term survival results are verified.

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Diagnosis and Treatment of Gastric Cancer (위암의 진단과 치료)

  • Song, S.K.
    • Journal of Yeungnam Medical Science
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    • v.13 no.2
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    • pp.173-181
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    • 1996
  • 위암 환자의 수술후 5년 생존율은 조기암의 경우 90%이상으로 매우 좋으나 진행암의 경우 20~30%를 넘지 못한다. 위암의 예후에 영향을 주는 요인 중 조기 발견보다 더 중요한 것은 없으며, 조기암의 진단율에 노력을 기울이는 것이 현실적 타개책이라 하겠다. 현재 우리나라의 조기암 진단율은 16~22%로 일본의 40~45%보다 극히 저조하므로 소화기계 증상이 있는 경우 위내시경 검사를 적극 권고함이 바람직하다. 위암은 외과적 절제술이 유일한 근치치료법임은 주지의 사실이며 근래에는 위내시경 및 복강경을 이용하여 위장관 기능을 보존하는 술식도 시도되고 있어 바람직한 발전이라 사료되나, 림프절 곽청의 원칙을 훼손하지 않는 범위내에서 이루어져야할 것이다. 근치적 절제술의 정의에 합당한 외과적 치료법만이 5년 생존율 향상을 기대할 수 있으며, 보조적 항암화학요법과 면역요법은 대상 환자의 엄선으로 부분적 치료효과를 기대할 수 있다. 절제불능 위암이나 국소진행암에서 절제율을 높이기 위한 술전치료방법들의 적극적 도입이 바람직하다. 그러나 대상 환자의 선정에 있어 객관적 타당성이 있는 병기 결정 방법과 치료효과를 판정하는 방법의 혁신이 있어야 할 것으로 사료되며 현재의 부정확한 검사방법들의 대안으로 복강경의 이용이 바람직하리라 사료된다.

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Evaluation of the Photoprotective Effect of Dongchongxiacao ($Paecilomyces$ $japonica$) Extract against Ultraviolet Radiation-induced Skin Wrinkling and Cancer (자외선 유도 피부주름 및 암발생에 대한 누에동충하초($Paecilomyces$ $japonica$)의 보호효과 평가)

  • Lee, Hae-June;Moon, Chang-Jong;Kim, Jong-Choon;Jung, U-Hee;Jo, Sung-Kee;Jang, Jong-Sik;Kim, Sung-Ho
    • Journal of Radiation Protection and Research
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    • v.37 no.1
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    • pp.50-55
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    • 2012
  • To evaluate the ability of Dongchongxiacao ($Paecilomyces$ $japonica$) extract (PJE) to protect the skin from photodamage, the gross and microscopic changes in the skin of hairless mice and PJE-treated mice exposed chronically to ultraviolet (UV) were examined. The skin of the UV-irradiated mice showed characteristic signs of photoaging, such as deep wrinkles across the back. PJE-treated mice showed a significantly decreased wrinkling score. By the 22nd week, 88.9% (i.p. with saline) or 44.4% (topical administration with cream base) of the UV-irradiated mice developed at least one tumor. PJE delayed tumor onset significantly. PJE (i.p.) was also effective in reducing the occurrence of UV radiation-induced skin tumors and reduced the number of tumors per mouse. After 22 weeks of treatment, 80.0% (i.p.) and 75.0% (topical) of the mice treated with PJE were tumor-free. Tumor multiplicity was reduced by 96.2% (i.p.) in the PJE treated groups. It is noted that skin that is chronically exposed to UV is subject to photoaging and photocarcinogenesis and regular use of PJE would prevent these photodamaging effects of UV.

식분탕(息賁湯)이 항암(抗癌) 및 면역조절작용(免疫調節作用)에 미치는 영향(影響)

  • Yun, Seong-Muk;Ha, Ji-Yong
    • THE JOURNAL OF KOREAN ORIENTAL ONCOLOGY
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    • v.2 no.1
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    • pp.25-42
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    • 1996
  • In order to study the effect of Sikbuntang on the in vitro Cell-cytotoxicity, this study had put through MTT Assay. And to investigate the effects of Sikbuntang on the ICR mice which had Abdominal tumor induced by Sarcoma-180 cell line, C57Bl/6 mice which had pulmonary melanoma induced by B16 cell line. After Sarcoma-180 cell line and B16 cell line were transplanted, the extract of Sikbuntang was orally administered to the mice to observe the extension of survival time of the mice, inhibition of solid tumor, inhibition of pulmonary melanoma metastasis, productivity of Interleukin-2, NK-Activity. The results were summarized as follows : 1. On the MTT assay, in case of $100{\mu}g/ml$ and $10{\mu}g/ml$ of Sikbuntang concentration were inhibited cell viability significantly. But $1{\mu}g/ml$ of Sikbuntang concentration just had tend to inhibit cell viability. 2. In the effect of life extension, Sikbuntang treated group appeared to survive longer than the control group, but which were not significant. 3. In the effect of inhibition solid tumor, Sikbuntang treated group appeared to decrease than the control group, but which were not significant. 4. In the effect of inhibition melanoma pulmonary metastasis, Sikbuntang treated group appeared to inhibit than the control group significantly. 5. In the productivity of Interleukin-2, on 7 and 14 day, Sikbuntang treated group increased than control group significantly. But on 21 day, Sikbuntang treated group had tend to increase with no significance. 6. In the NK-Activity, the ratio of effector cell and target cell. In case which the ratio was 50:1, Sikbuntang treated group showed increase than control group significantly. But in another cases, they showed increase with no significance.

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Acute Toxicity of Lactobacillus plantarum AF1 Isolated from Kimchi in Mice (김치로부터 분리한 Lactobacillus plantarum AF1의 마우스에 대한 급성독성)

  • Lee, Hwan;Lee, Jae-Joon;Chang, Hae-Choon;Lee, Myung-Yul
    • Food Science and Preservation
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    • v.19 no.2
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    • pp.315-321
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    • 2012
  • The $in$ $vivo$ single-dose acute toxicity of $Lactobacillus$ $plantarum$ AF1, a lactic acid bacterium isolated from kimchi, in ICR male and female mice was investigated. The test article was intraperitoneally or orally administered once to both sexes of mice. The motalites, clinical findings, autopsy findings, and body weight changes were monitored daily for 14 days. In the oral acute toxicity test, the male and female mice were gavaged with four doses (5.0, 2.5, 1.25 and 0.625 g/kg) of $Lb.$ $plantarum$ AF1. The oral $LD_{50}$ of the $Lb.$ $plantarum$ AF1 was considered higher than 5.0 g/kg. In the intraperitoneal acute toxicity test, mice were injected intraperitoneally with dosages of 0.7, 0.9, 1.1, 1.3, 1.5, 1.7, 1.9, 2.1, 2.3 and 2.5 g/kg. The intraperitoneal 50% lethal dose ($LD_{50}$) of the $Lb.$ $plantarum$ AF1 was >2.5 g/kg in the male and female mice. No significant changes in the general conditions, body weights, clinical signs, and gross lesions were observed in both sexes of mice to which $Lb.$ $plantarum$ AF1 was administered intraperitoneally or orally. The results suggest that the no-adverse-effect level of $Lb.$ $plantarum$ AF1 is estimated to be more than 5.0 g/kg in the oral route and 2.5 g/kg in the intraperitoneal route.

Hormonal Effects on Egg Transportation in Rana pipiens (Rana pipiens에서 호르몬이 난자운반에 미치는 영향)

  • Ohm, Jai-Woong
    • The Korean Journal of Physiology
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    • v.8 no.1
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    • pp.1-6
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    • 1974
  • Rana pipiens의 난자운반은 섬모운동에 의하여 이루어지며 섬모운동은 배란시에 분비되는 난소호르몬에 의존하는 것으로 알려져 왔다. 저자는 이러한 난자운반이 순전히 난소호르몬에 의존하는가 난소호르몬 이외의 기타 호르몬이 관여하는 것인가 또는 난소호르몬 없이도 수행될 수 있는가를 알아보려고 본 실험을 시도하였다. 난관 적출된 개구리에 배란을 유도시켜 얻어진 복강난자를 난소적출을 실시한 암 Rana pipiens의 복강내에 이전시킨 대조군과 이전 직후 뇌하수체, 뇌하수체와 progesterone, progesterone, FSH, LH 또는 estrogen 등을 각각 주사시킨 각 호르몬 투여군의 6군으로 나누고 이식한 난자들에 대한 각 호르몬의 효과를 관찰하여 아래와 같은 결과를 얻었다. 1. 난소적출 Rana pipiens에 배란된 난자를 이식시키면 이식체내에서 난자운반이 진행되었다. 2. Progesterone, estrogen, FSH, LH 및 progesterone과 뇌하수체 호르몬 투여군의 난자운반은 대조군과 비슷한 현상을 보여 주었으므로 이들이 섬모운동에 직접 관여하는 것으로 보여지지 않았으나 뇌하수체 호르몬은 섬모운동과 난관투입에 유효한 영향을 미치었다. 3. 난자의 난관으로의 진입은 복강내에 난자수가 일정량(약 200)에 다달아야 이루어졌다. 4. 난소적출 개구리에서의 난자운반 진행상황으로 보아 난소가 섬모운동, 난자운반을 촉진하는 것으로 보이지 않았으며 섬모운동을 일으키는 요인은 복강내에 있는 난자 자체가 어떤 액성물질을 분비하는 것으로 고찰하였다.

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괄루근과 포공영 렉틴의 특성 및 활성

  • 이정규
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.04a
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    • pp.241-241
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    • 1994
  • 괄루근과 포공영으로 부터 수용성 다당류를 분리하고 제단백 및 DEAE cellulose column을 이용한 정제과정을 거쳐 얻은 렉틴성 다당류를 시료로 하여 면역기능에 미치는 효과와 고형암에 대한 성장억제효과를 검토하여 얻은 결과는 다음과 같다. 시료 렉틴류는 혈중 백혈구수와 총복강세포수를 현저히 증가하며 이러한 현상은 포공영의 경우가 보다 강하며 또한, 1주일의 한도내에서 시간이 경과할수록 뚜렷하였고 총복강세포의 수는 제1일에는 포공영의 경우에 특히 크게 증가하였으나 시간이 경과할수록 정상치 가까이 회복하였다. 과민성에 미치는 영향을 검토한 실험에서는 암세포이식으로 인해 항체생산능 및 T lymphocyte reactivity가 크게 저하되었으나 시료의 투여로 현저한 회복현상을 보였다. 고형암 성장 억제 실험에 의하면 5mg/kg의 낮은 투여량에서 성장억제도는 현저하며 이러한 현상은 정제의 단계가 진행될수록 커졌다.

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반하후박탕(半夏厚朴湯)이 항암(抗癌) 및 면역조절작용(免疫調節作用)에 미치는 영향(影響)

  • Gang, Jae-Man;Gang, Jae-Chun;Ha, Ji-Yong
    • THE JOURNAL OF KOREAN ORIENTAL ONCOLOGY
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    • v.2 no.1
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    • pp.57-73
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    • 1996
  • These studies were consist of two sub-experiment. In order to study the effect of Banhahubaktang on the Cell-cytotoxicity In vitro. We had put through MTT Assay. In order to investigate the effects of Banhahubaktang on the ICR mice which had Abdominal tumor induced by Sarcoma-180 cell line, C57BL/6 mice which had pulmonary melanoma induced by B16 cell line. After Sarcoma-180 cell line and B16 cell line were transplanted, the extract of Banhahubaktang was orally administered to the mice to observe the extension of survival time of the mice, inhibition of solid tumor, inhibition of pulmonary melanoma metastasis. productivity of Interleukin-2, NK-Activity. The results were summarized as follows: 1. On the MTT assay, in case of $100{\mu}g/ml$ and $10{\mu}g/ml$ of Banhahubaktang concentration were inhibited cell viability significantly. But $1{\mu}g/ml$ of Banhahubaktang was tended to inhibit cell viability with no significance. 2. In the effect of life extension, Banhahubaktang treated group appeared to survive longer than the control group, but which were not significant. 3. In the effect of inhibit solid tumor, Banhahubaktang treated group appeared to decrease than the control group, but which were not significant. 4. In the effect of inhibit melanoma pulmonary metastasis. Banhahubaktang treated group appeared to inhibit than the control group significantly. 5. In the productivity of Interleukin-2, on 7 and 14 day, Banhahubaktang treated group increased than control group, which were significant. But on 21 day, test group and control group were much in common. 6. In the NK-Activity, Banhahubaktang treated group and control group were much in common.

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