• Journal of Chest Surgery
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• 제29권11호
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• pp.1212-1217
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• 1996

경북대학교병원 흉부외과에서는 1993년 12월부터 1995년 5월까지 14례(남자 9명, 여자 5명)의 상행대동맥 및 대동맥궁질환을 수술하였으며, 환자들의 나이는 25세 에서 65세로 평균 50.4세였다. 진단은 급성 대동맥 박리가 6례(43%)로 4례는 파열이 되었으며, 상행 대동맥류가 4례(29%)로 1례에서 대동맥궁까지 확장되어 있었고 3례에서 파열이 되었으며, 대동맥 판륜확장이 3례(21%)로 1례에서 파열이 동반되었고, 대동맥궁류가 1례(7%)였다. 전례에서 심초음파와 컴퓨터 단층촬영을 시행하였으며, 혈관촬영은 2례에서 시행하였다. 수술의 적응은 파열 5례, 급성 대동맥 박리 5례, 심한 울혈성 심부전 2례, 진행성의 대동맥판막 폐쇄부전 1례 및 동맥류가 커서 파열의 위험성이 있는 경우 1례였다. 수술은 10례(71%)에서 응급으로 시행하였다. Cabrol 수술 6례, 대동맥궁 치환을 겸한 Cabrol 수술 1례, 변형된 Bentall수술 1례, 상행 대동맥 치환 4례, 대동맥궁 치환 1례 및 대동맥궁 치환을 겸한 상행 대동맥 치환의 경우가 1례였다. 술후 합병증으로는 순환정지를 62분 시행한 환자가 경련을 보였고, 심방세동이 2례, 흉골 열개가 1례 그리고 종격동염이 1례 있었다. 술후 조기사망은 2례(14%)에서 있었으며 각각 과다 출혈과 다발성 장기부전이 원인이었다. 심실 부정맥으로 인한 만기사망이 1례(7%)에서 있었다. 11명의 생존 환자들의 추적관찰기간은 2개월에서 20개월로 전례에서 경과는 양호하였다.

• Journal of Chest Surgery
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• 제29권10호
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• pp.1102-1110
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• 1996

1955년 9월 부터 1995년 7월까지 230례의 승모판치환수술이 시행되었다. 이 중 남자는 77명 여자가 153명이 었고 평균 연령은 35.7였다. 동반된 수술은 대동맥 판막치 환술(40례), 삼첨 판윤성 형술(25례), 대동맥판치환술+삼첨판성형술(8례),삼첨판치환술(2례)등이 있었다. 139례의 기계판막과 91개의 조직판막이 치환되었으며, 판막의 크기와 사용된 수는 31 mm(75개), 29mm(66개), 33mm(46개), 27mm(29개) 및 25mm(14개) 등이었다. 수술전 NYHA 기능적 등급은 II(76례), III(123례), IV(31례)였으며 술후 I(175례), II(49례) 등으로 호전되었다. 술후 조기 합병증은 28에서 발생하였으며 저심박출증씨 8례로 가장 많았다. 조기사망은 6례 (2.6%)였으며 사망원인은 저심박출증(2례), 부정맥(2례), 심장파열(2례) 등이 었다. 총 추적 기간 누계는 764.4 환자-년이었으며 평균추적 기간은 43.9개월이었다. 판막과 유관한 장기 합병증은 21례에서 발생하였으며 이중 판막파괴가 10례(1.3%1환자-년), 항응혈제 출혈 5례(0.7%/환자-년), 심내막염 4례(0.5%1환자-년) 혈색전증 2례(0.3%/환자-년) 등이었고 심장에 연유한 사망은 5례(0.7%/환자-년)에서 발생하였다. 9년 장기추적중 합병증 및 사망비발생률이 판막 상호간에 유의한 차가 없었으나 판막파괴비 발생률이 기계 판막(100%)과 조직 판막(34.4%) 사이에 유의한 차가 있었다(p=0.032). 9년간 보험통계적 생존률은 96.6%였다.

• Journal of Chest Surgery
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• 제5권1호
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• pp.45-56
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• 1972

Esophageal perforation is one of the most grave prognostic problems among thoracic and general surgical emergencies which necessitate urgent operative measures. In Korea,there are still many persons ingesting lye for suicidal attempt and thoracic surgeons in Korea have more chances to deal with lye burned esophagus with or without instrumental perforation than those in Western countries. Main cause of esophageal perforation in Korea is instrumental perforation in patients with lye stricture of the esophagus during diagnostic endoscopy or therapeutic bouginage. Other causes are corrosion of the esophagus due to ingestion of caustic agents, pathologic perforation, surgical trauma, stab wound and spontaneous rupture of the esophagus in our series. Therapeutic measures are various,and depend on duration of perforation, severity of its complications, pathology of perforated portion of the esophagus and degrees of inflammation at the point of perforation. The most important therapeutic measures are prevention of this grave condition during esophagoscopy, bouginage and surgical procedures on lungs and mediastinal structures and to make early diagnosis with prompt therapeutic measures. During the period of January, 1959, to December, 1971, the authors experienced 65 cases ofesophageal perforation including acquired esophagorespiratory fistula at Dept. of Chest Surgery, the National Medical Center in Seoul, and obtained following results in the series. 1. Female were 35 cases, and peak age incidence was 2nd and 3rd decades of life. 2. Among 65 cases, 43 were corrosive esophagitis or benign stricture of the esophagus due to caustic agents, 7 were patients with esophageal cancer. and there were 5 cases of esophageal perforation developed after pneumonectomy or pleuropneumonectomy. 3. Causes of perforation are instrumental perforation in 45, acute corrosion in 7, pathologic perforation in 7, surgical trauma in 3, stab wound in 2 cases, and one spontaneous rupture of the esophagus. 4. Most frequent sites of esophageal perforation were upper and mid thoracic esophagus, and 8 were cases with cervical esophageal perforation. 5. Complications of esophageal perforation were mediastinitis in 42, empyema or pneumothorax in 35, esophagorespiratory fistula in 12, retroperitoneal fistula or abscess in 5,pneumoperitoneum in 3, and localized peritonitis in 1 case. 6. Cases with malignant esophagorespiratory fistula were only 3 in the series which is predominant cause of acquired esophagorespiratory fistula in Western countries. 7. Various therapeutic measures were applied with mortality rate of 27.7% in the series. 8. In usual cases early treatment gave better prognosis, and least mortality rate in cases with perforation in mid thoracic esophagus. 9. Main causes of death were respiratory complications,acute hemorrhage with asphyxia, and septic complications. 10. Esophageal perforation developed after pneumonectomy gave more difficult therapeutic problems which were solved in only 1 among 5 cases.

• Journal of Chest Surgery
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• 제31권6호
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• pp.604-609
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• 1998

흉부외상은 응급실에서 중요한 부분을 차지하고 있다 대부분의 외상은 보존적인 요법으로 치료가 되나, 소수의환자에서는 조기소생술후에 응급 수술이 시행되어져야 한다. 1986년 3월부터 1997년 6월 까지 흉부외상으로 응급수술한 126례을 대상으로 보고하고자 한다. 남자가 96례 여자가 30례 이고, 나이의 분포는 4세에서 72세며 평균 연령은 32.8세이였다. 수상의 원인은 자상 55례(44%), 둔상 70례(55%), 총상 1례(1%)이였고, 조기수술 105례(83%), 후기 수술 21례(17%)이였다. 수술 적응증은 혈흉 및 쇼크 66례(52%), 심압전 27례(21%), 횡격막 파열 33례(27%)을 수술하였다. 대부분의 환자에서는 성공적인 치료가 되었으나, 21례에서 사망하였고, 사망율은 16.6%였다 그리고 사망원인은 불가역적인 쇼크와 저산소증이 흔한 원인이였다.

• Journal of the Korean Wood Science and Technology
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• 제24권1호
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• pp.81-86
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• 1996

This study was performed to evaluate the reduction in bending properties of radiata pine sapwood associated with incipient brown-rot decay. Decayed bending specimens by Tyromyces palustris and Gloeophyllum trabeum for varoious periods were tested destructively. Brown-rot decay by T. palustris and G. trabeum caused serious reduction in bending properties at very early stages of decay, with about 30 percent decrease in bending strength observed for only 1~2 percent weight loss. In general, the reduction in bending properties caused by T. palustris was somewhat greater than that by G. trabeum. Work to maximum load was reduced most severely and rapidly from the onset of decay, while modulus of elasticity showed a much more moderate rate of reduction. Modulus of rupture was affected by decay to a greater extent than was modulus of elasticity. Since a relatively strong correlation between weight loss and bending strength was observed, the residual strength of decayed wood can be predicted by weight loss due to decay. The results of this study indicate that very early stages of brown-rot decay reduce the bending strength significantly. Thus, it is recommended that all load-bearing members in wooden structures, especially those that are periodically wetted, should be inspected regularly to prevent a sudden failure even though there are no definite signs of decay.

• Journal of Gastric Cancer
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• 제17권4호
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• pp.354-362
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• 2017

Purpose: Laparoscopic gastrectomy is accepted as a standard treatment for patients with early gastric cancer in Korea, Japan, and China. However, duodenal stump leakage remains a fatal complication after gastrectomy. We conducted a prospective phase II study to evaluate the safety of the new technique of laparoscopic reinforcement suture (LARS) on the duodenal stump. Materials and Methods: The estimated number of patients required for this study was 100 for a period of 18 months. Inclusion criteria were histologically proven gastric adenocarcinoma treated with laparoscopic distal or total gastrectomy and Billroth II or Roux-en-Y reconstruction. The primary endpoint was the incidence of duodenal stump leakage within the first 30 postoperative days. The secondary endpoints were early postoperative outcomes until discharge. Results: One hundred patients were enrolled between February 2016 and March 2017. The study groups consisted of 65 male and 35 female patients with a mean age (years) of 62.3. Of these, 63 (63%) patients had comorbidities. The mean number of retrieved lymph nodes was 38. The mean operation time was 145 minutes including 7.8 minutes of mean LARS time. There was no occurrence of duodenal stump leakage. Thirteen complications occurred, with one case of reoperation for splenic artery rupture and one case of mortality. Conclusions: Based on the results of this prospective phase II study, LARS can be safely performed in a short operation period without development of duodenal stump leakage. A future randomized prospective controlled trial is required to confirm the surgical benefit of LARS compared to non-LARS.

• Journal of Chest Surgery
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• 제52권2호
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• pp.70-77
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• 2019

Background: Extracorporeal life support (ECLS) is used as a bridge to revascularization in high-risk patients with ischemic heart disease. We reviewed our experiences of coronary artery bypass grafting (CABG) after ECLS in patients with cardiac arrest or refractory cardiogenic shock. Methods: We retrospectively reviewed 4,616 patients who underwent CABG at our institution between May 2006 and February 2017. We identified patients who underwent CABG following ECLS for cardiogenic shock or cardiac arrest. Twenty-three patients (0.5% of all CABG cases) were enrolled in the analysis. Their median age was 65 years (Q1-Q3, 58-77 years). Nine patients (39.1%) were diagnosed with ST-elevation myocardial infarction. Mechanical complications after acute myocardial infarction, including acute mitral regurgitation, left ventricular rupture, and ventricular septal defect, occurred in 9 patients (39.1%). Results: The median time from cardiopulmonary resuscitation to ECLS initiation was 25 minutes (Q1-Q3, 18.5-28.5 minutes). Conventional CABG was performed in 10 patients (43.5%) who underwent concomitant intracardiac procedures. Postoperative ECLS was required in 16 patients (69.5%). The rate of successful ECLS weaning was 91.3% (n=21). There were 6 early mortalities (26.1%). Conclusion: CABG after ECLS was very rare in real-world circumstances. Although the early mortality rate was high, the risk of mortality may be acceptable under such devastating circumstances.

• Clinics in Shoulder and Elbow
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• 제25권1호
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• pp.36-41
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• 2022

Background: Distal biceps rupture is a relatively uncommon injury that can significantly affect quality of life. Early complications following biceps tendon repair are not well described in the literature. This study utilizes a national surgical database to determine the incidence of and predictors for short-term complications following distal biceps tendon repair. Methods: The American College of Surgeons' National Surgical Quality Improvement Program database was used to identify patients undergoing distal biceps repair between January 1, 2011, and December 31, 2017. Patient demographic variables of sex, age, body mass index, American Society of Anesthesiologists class, functional status, and several comorbidities were collected for each patient, along with 30-day postoperative complications. Binary logistic regression was used to calculate risk ratios for these complications using patient predictor variables. Results: Early postoperative surgical complications (0.5%)-which were mostly infections (0.4%)-and medical complications (0.3%) were rare. A readmission risk factor was diabetes (risk ratio [RR], 4.238; 95% confidence interval [CI], 1.180-15.218). Non-home discharge risk factors were smoking (RR, 3.006; 95% CI, 1.123-8.044) and ≥60 years of age (RR, 4.150; 95% CI, 1.611-10.686). Maleness was protective for medical complications (RR, 0.024; 95% CI, 0.005-0.126). Surgical complication risk factors were obese class II (RR, 4.120; 95% CI, 1.123-15.120), chronic obstructive pulmonary disease (COPD; RR, 21.981; 95% CI, 3.719-129.924), and inpatient surgery (RR, 8.606; 95% CI, 2.266-32.689). Conclusions: Complication rates after distal biceps repair are low. Various patient demographics, medical comorbidities, and surgical factors were all predictive of short-term complications.

• Clinical and Experimental Pediatrics
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• 제48권3호
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• pp.333-336
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• 2005

저자들은 1년간의 오심과 상복부 통증으로 인해 만성위염으로 오진되었던 기관지성 낭종 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 대한기관식도과학회지
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• 제10권2호
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• pp.72-75
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• 2004

Pemphigus vulgaris is a rin, chronic intraepidermal bullous disease with potentially fatal outcome. Oral lesions precede skin lesions in at least $70\%$ of cases, and in cutaneous disease, concomitant oral lesions are encountered in $90\%$ of patients. This disorder involve the skin and mucous membranes, especially the oral and pharyngeal mucosa, but may also involve the nasal, oropharyngeal, laryngeal and esophageal mucosa. Oral lesions are initially vesicobullous but rapidly rupture, leaving a painful erosion that shows little tendency to heal. Pemphigus vulgaris affecting the oral mucosa is still diagnosed only after considerable delay, because oral ulceration in common, and clinicians believed the lesions to be caused by more common conditions such as recurrent aphthous stomatitis rather than a rare disorder such as pemphigus vulgaris. The definitive diagnosis of pemphigus vulgaris should be undertaken as early as possible, so that treatment can be started at an earl·y stage. Because of the presence of nonspecific oral ulcer, high degree of suspicion is often required to ultimately make the diagnosis of pemphigus vulgaris and then we report a case of pemphigus vulgaris with a literature review.