• Title/Summary/Keyword: 폐 수술

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Pulmonary Artery Intimal Sarcoma with Lung Metastasis (폐 전이를 동반한 주폐동맥의 혈관 내막 육종)

  • 김인섭;정성철;김우식;배윤숙;신용철;정승혁;유환국;이정호;김병열
    • Journal of Chest Surgery
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    • v.36 no.12
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    • pp.979-984
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    • 2003
  • Primary pulmonary artery sarcoma is very rare disease. The diagnosis of pulmonary artery sarcoma is frequently confused with pulmonary embolism because its clinical symptom and radiologic findings are similar with pulmonary embolism. It was often diagnosed at autopsy as it progresses rapidly. So Pulmonary artery sarcoma must be suspected if the origin of thrombus is not known and anticoagulation therapy is not effective. In this case, a 57 years old man who has been diagnosed pulmonary embolism was transferred to our department because of ineffective anticoagulant therapy and its worsening lesion despite of 5 month-therapy. In operative findings, it was pulmonary artery sarcoma that invaded to pericardium. There was angiosarcoma in right pulmonary artery, which metastasized to lung parenchyme. Under cardiopulmonary bypass, we resected main pulmonary artery and right lung. The Gore-tex graft was interposed between main pulmonary artery and left pulmonary artery. He was discharged after chemotherapy.

Osteosarcoma of the Talus - Case Report - (거골에 발생한 골육종 - 증례 보고 -)

  • Kim, Byoung-Suck;Lim, Ho-Yeung;Cho, Jae-Hyun;Kim, Tae-Hong;Lee, Kyi-Beom
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.3
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    • pp.90-95
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    • 2002
  • A 42 year old male patient complained of increasing pain and mass around the right ankle with 4 months duration. Simple Roentgenogram and CT showed ill-defined osteolysis and cortical perforation in the neck of the right talus. The pathologic findings showed high grade osteoblastic osteosarcoma. The tumor mass of the ankle increased and pulmonary metastasis was found in spite of administrating of two cycles of preoperative chemotherapy. Below-knee amputation and open wedge pulmonary resection were performed for primary lesion and multiple pulmoanry metastasis, respectively. However, the patient died with multiple pulmonary metastasis in spite of three cycles of postoperative chemotherapy at ten months after the operation.

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Congenital Cystic Adenomatoid Malformation Associated with Extralobar Pulmonary Sequestration - A case report - (외엽형 폐격리증을 동반한 선천성 낭종성 신종양 기형 - 1례 보고 -)

  • Lee, Jae-Kwang;Kweon, Jong-Bum;Park, Kuhn;Kwack, Moon-Sub;Sim, Sung-Bo
    • Journal of Chest Surgery
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    • v.33 no.7
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    • pp.594-596
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    • 2000
  • Congenital cystic adenomatoid malformation and Extralobar Pulmonary sequestration are very rare congenital anomalies. We experienced a 4 year-old female patient who had Congenital cystic adenomatoid malformation in her lower lobe of left lung. We accidently found extralobar pulmonary sequestration associated with Congenital cystic adenomatoid malformation at operation field. The resection of the left lower lobe and the extralobar pulmonary sequestration were performed. The arterial supply of the extralobar pulmonary sequestration was one anomalous artery arised from the thoracic aorta. The Venous drainage of expralobar pulmonary sequestration was intercostal vein into the azygous vein. The patient was discharged without any problem.

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Closure of VSD in a Patient with Tracheostoma-A case report- (기관절개구가 있는 환아에서 심실중격결손증의 치험-1례보고-)

  • 김상익;박철현;박국양;오상준
    • Journal of Chest Surgery
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    • v.34 no.3
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    • pp.246-251
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    • 2001
  • 심장 탈장은 심낭을 열고 전폐절제술을 시행 후 드물게 발생되는 합병증으로 수술이 끝날때나 수술직후 발생된, 44세 남자환자에서 심낭을 열고 좌측 폐를 전절제술 후 심낭 결손부위를 인공조직으로 봉합하였다. 수술이 종료될 때 심장탈장이 발생되어 개흉에 의한 응급 복원을 시행하였으나 심한 저 산소성 뇌 손상이 발생되었다.

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Video Assisted Thoracic Surgery of Spontaneous Pneumothorax (비디오 흉강경을 이용한 자연성 기흉 수술)

  • Ryu, Ji-Yun;Kim, Seung-U;Jo, Gwang-Hyeon
    • Journal of Chest Surgery
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    • v.30 no.5
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    • pp.512-516
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    • 1997
  • We have experienced 66 cases of video assisted thoracic surgery(VATS) of spontaneous pneumothorax. The patients ranged in age from 1 Syears to 46years(mean age, 22.3years) and male patients were sixty three. The indications of video assisted thoracic surgery of spontaneous pneumothorax were recurrence, continuous air leakage, visible blabs on the chest X-ray & others. Infraoperative findings were as follows; blabs, pleural adhesion and pleural effusion. The operation was performed under general anesthesia wit double lumen endobronchial tube. Operative procedures included blebectomy and/or wedge resection of lung, vibramycin Pleurodesis with mechanical abrasion. In most cases, postoperative courses were uneventful and patients were discharged without significant complications. VATS provided the benefits of lesser postoperative pain, rapid recovery, short hospitalization, and smaller scar of wound. Conclusively VATS is a new interesting modality of surgical treatment of spontaneous pneumothorax and also can be extensively applicable in the diagnosis and treatment of other intrathoracic disease.

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