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Huge Intraabdominal and Thoracic Desmoid Tumor -Surgical experience in one case - (복강 및 흉강 내 거대 데스모이드 종양 수술 치험 1예)

  • 김경화;서연호;구자홍;김민호
    • Journal of Chest Surgery
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    • v.36 no.8
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    • pp.623-626
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    • 2003
  • Desmoid tumors are benign neoplasms with high rates of recurrence. A case of huge desmoid tumor of the intrathoracic and intraabdominal space is presented. The patient was treated with resection, which involved hepatic left lobectomy and diaphragmatic resection and partial pericardiectorny and wedge resection of left lower lobe of lung. The resulting defect over the pericarium and diaphragm was reconstructed by bovine pericardium and Marlex mesh. Prevention of presumed local recurrence of desmoid tumors requires wide excision margin.

육종학계의 어제와 오늘과 내일

  • Hyeon, Sin-Gyu
    • The Science & Technology
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    • v.10 no.9 s.100
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    • pp.55-59
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    • 1977
  • 종래 생물이 지니는 능력을 능가하는 생물의 신종을 창성하므로서 폭발적으로 증가하는 인구의 의식주 특히 식량문제 해결에 기여하려는 육종이 과학과 기술의 발달이 신생국가의 건실한 성장의 필수요건이 되는 것은 물론이다. 더우기 인구의 반이상을 점하는 국민의 생업이 농업이요 국토의 3분지2를 점하는 것이 산림이요 도 국토의 삼면이 바다로 둘려 있는 신생 대한민국의 건전한 성장을 위해서는 농림산수산업의 조속한 발달이 급선무이기 때문에 해방후 UN의 한국재건단은 농림수산업의 세계적인 원숙한 기술자를 한국에 초빙하여 삼분야의 실태를 조사케하고 그재건과 발달에 대하여 자문을 받은 일은 당연한 일이었다. 따라서 대한민국 수립후 정부가 농업과학의 발달과 이에 의한 농촌근대화를 위하여 주력해 온것도 사실이며 농촌근대화 특히 식량의 자급달성에 있어서 주동적 역할을 하여 온 것이 육종의 과학과 기술이며 이에 의하여서 녹생혁명을 결과케 된것도 사실이다.

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ORAL AND MAXILLOFACIAL RECONSTRUCTION WITH BONE ALLOGRAFT (동종 골 이식을 이용한 구강악안면 재건)

  • Yim, Chang-Joon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.3
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    • pp.217-231
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    • 1997
  • Autogenous bone grafting has a broad range of applications and implications, and also limitations, though it is the oldest and most important reconstructive techniques in the oral and maxillofacial surgical field.Further understanding of bone healing mechanisms, bone physiology and bone biology, transplantation immunology, and development of tissue banking procedures had enabled oral and maxillofacial surgeons to reconstruct even the most difficult bony defects successfully with the preserved allogeneic bone implant. Now autogenous bone and allogeneic bone implants present a wide variety of surgical options to surgeons, whether used separately or in combination. The surgeons are able to make judicious and fruitful choices, only with a through knowledge of the above-mentioned biologic principles and skillful techniques. The author evaluated 116 cases where allogeneic bones were transplanted for oral and maxillofacial reconstruction.

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THE OROFACIAL RECONSTRUCTION USING FREE RADIAL FOREARM FLAP ; THE EXPERIENCE OF 12 CONSECUTIVE FOREARM FLAPS (유리전완요골판(Free Radial Forearm Flap)을 이용한 구강안면부 결손의 재건 ; 전완요골판 12례의 경험)

  • Lee, Jong-Ho;Seo, Ku-Jong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.3
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    • pp.305-318
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    • 1991
  • Reconstructive techniques of orofacial defects are very varied. In recent years, myocutaneous flaps, in particular the pectoralis major or latissimus doris myocutaneous flap have achieved popularity. In 1983, Soutar et. al. used the forearm free flap that had been developed in in China and popularised the radial forearm fasciocutaneous flap to reconstruct defects in the orofacial region. This paper presents the authors experience with 10 consecutive patients in which 12 flaps were used either as a fascioncutaneous flap or as a composite flap incorporating part of the radius. Some literatures were reviewed and the clinical results were discussed.

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Palatoplasty with Reconstruction of Levator Sling (Preliminary Report) (근륜(Levator Sling)재건술식을 이용한 구개성형술 (일차보고))

  • Choi, See-Ho
    • Journal of Yeungnam Medical Science
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    • v.7 no.2
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    • pp.49-54
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    • 1990
  • Ten cleft palate patients were operated with reconstruction of levator sling without pushback for the purpose of not to make raw surface in the anterior portion of hard palate to prevent maxillary retrognathia. Speech was evaluated by using speech assessment list. Maxillary growth was not evaluated due to in-growing age in majority patient. The report will be followed in next chance. We could impose the significance in clinical application of levator sling palatoplasty without any complications but improving speech.

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Aortic Valve Replacement with Pulmonary Autograft in Patient with Congenital Aortic Stenosis : Ross Procedure without Homograft -one case report - (선천성 대동맥판 협착증에서 폐동맥판 자가이식편을 이용한 대동맥판 교체술:동종판막을 쓰지 않는 Ross술식)

  • 이은상;윤태진;서동만
    • Journal of Chest Surgery
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    • v.32 no.3
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    • pp.303-306
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    • 1999
  • This is a genuine case report of the Ross operation without the use of homografts or heterografts in reconstruction of the right ventricular outflow tract. A 8-year-old boy with congenital aortic stenosis underwent aortic valve replacement with a pulmonary autograft and right ventricular outflow tract reconstruction with a pericardial conduit bearing autologous aortic monocusp. The postoperative echocardiography and cardiac angiography revealed good ventricular function and competent neoaortic valve. He has been followed up for 19 months.

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Reconstruction of Density Distribution for Unsteady and Asymmetric Flow Using Three-dimensional Digital Speckle Tomography (3차원 디지털 스펙클 토모그래피를 이용한 비정상 비대칭 유동의 밀도 분포 재건)

  • Kim, Yong-Jae;Ko, Han-Seo;Baek, Seung-Hwan
    • 한국가시화정보학회:학술대회논문집
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    • 2006.12a
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    • pp.21-24
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    • 2006
  • Transient and asymmetric density distributions have been investigated by a digital speckle tomography with a novel integration method. Multiple CCD images captured movements of speckles in three angles of view simultaneously because the flows were asymmetric and unsteady. The speckle movements which have been formed by a ground glass between no flow and downward butane flow from an elliptical nozzle have been calculated by a cross-correlation tracking method so that those distances can be transferred to deflection angles of laser rays for density gradients. A novel integration method has been developed to obtain projection data from the deflection angles for the speckle tomography. The unsteady density fields have been reconstructed from the accurate projection values by the digital speckle tomography method using the developed integration method.

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Deep Burn Injuries on the Lower Abdomen after HIFU Treatment for Uterine Myoma (자궁 근종에 대한 HIFU 치료 후 발생한 하부 복부의 심부 화상)

  • Yu, Sung Hoon;Kim, Dong Chul
    • Journal of the Korean Burn Society
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    • v.23 no.2
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    • pp.64-67
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    • 2020
  • High-intensity focused ultrasound (HIFU) has been regarded as a non-invasive uterine-preserving treatment for women with uterine myoma. Numerous studies have reported that it is a relatively safe and effective treatment for uterine myoma. However, severe complications, such as deep thermal burn injuries, bowel perforation, and bladder injury, were reported on rare occasions. We report a case of a 4th degree burn on the lower abdomen after HIFU treatment for uterine myoma. Physicians must consider the possibility of deep thermal burn injuries when managing uterine myoma with HIFU.

The Early Experience with a Laparoscopy-assisted Pylorus-preserving Gastrectomy: A Comparison with a Laparoscopy-assisted Distal Gastrectomy with Billroth-I Reconstruction (복강경 보조 유문부보존 위절제술의 초기 경험: 복강경 보조 원위부 위절제술 후 Billroth-I 재건술과의 비교)

  • Park, Jong-Ik;Jin, Sung-Ho;Bang, Ho-Yoon;Chae, Gi-Bong;Paik, Nam-Sun;Moon, Nan-Mo;Lee, Jong-Inn
    • Journal of Gastric Cancer
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    • v.8 no.1
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    • pp.20-26
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    • 2008
  • Purpose: Pylorus-preserving gastrectomy (PPG), which retains pyloric ring and gastric function, has been accepted as a function-preserving procedure for early gastric cancer for the prevention of postgastrectomy syndrome. This study was compared laparoscopy-assisted pylorus-preerving gastrectomy (LAPPG) with laparoscopy-assisted distal gastrectomy with Billroth-I reconstruction (LADGB I). Materials and Methods: Between November 2006 and September 2007, 39 patients with early gastric cancer underwent laparoscopy-assisted gastrectomy in the Department of Surgery at Korea Cancer Center Hospital. 9 of these patients underwent LAPPG and 18 underwent LADGBI. When LAPPG was underwent, we preserved the pyloric branch, hepatic branch, and celiac branch of the vagus nerve, the infrapyloric artery, and the right gastric artery and performed D1+$\beta$ lymphadenectomy to the exclusion of suprapyloric lymph node dissection. The distal stomach was resected while retaining a $2.5{\sim}3.0\;cm$ pyloric cuff and maintaining a $3.0{\sim}4.0\;cm$ distal margin for the resection. Results: The mean age for patients who underwent LAPPG and LADGBI were $59.9{\pm}9.4$ year-old and $64.1{\pm}10.0$ year-old, respectively. The sex ratio was 1.3 : 1.0 (male 5, female 4) in the LAPPG group and 2.6 : 1.0 (male 13, female 5) in the LADGBI group. Mean total number of dissected lymph nodes ($28.3{\pm}11.9$ versus $28.1{\pm}8.9$), operation time ($269.0{\pm}34.4$ versus $236.3{\pm}39.6$ minutes), estimated blood loss ($191.1{\pm}85.7$ versus $218.3{\pm}150.6\;ml$), time to first flatus ($3.6{\pm}0.9$ versus $3.5{\pm}0.8$ days), time to start of diet ($5.1{\pm}0.9$ versus $5.1{\pm}1.7$ days), and postoperative hospital stay ($10.1{\pm}4.0$ versus $9.2{\pm}3.0$ days) were not found significant differences (P>0.05). The postoperative complications were 1 patient with gastric stasis and 1 patient with wound seroma in LAPPG group and 1 patient with left lateral segment infarct of liver in the LADGB I group. Conclusion: Patients treated by LAPPG showed a comparable quality of surgical operation compared with those treated by LADGBI. LAPPG has an important role in the surgical management of early gastric cancer in terms of quality of postoperative life. Randomized controlled studies should be undertaken to analyze the optimal survival and long-term outcomes of this operative procedure.

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