• 제목/요약/키워드: Esophagus, surgery

검색결과 465건 처리시간 0.02초

동전에 의한 경부식도천공: 1례보고 (Coin Perforation of the Esophagus)

  • 김성철
    • Journal of Chest Surgery
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    • 제24권3호
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    • pp.306-309
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    • 1991
  • Esophageal perforation by a ingested coins is a rare but usually life threatening complication, particularly if there is a delay in their removal. We report a case of esophageal perforation which occurred in a 4-year-old child after ingestion of a coin. The coin was removed through a left cervical esophagostomy approach. A gastrograffin study of the esophagus, performed four days after surgery, revealed the fistula had reopened. The wound was reexplored and the fistula was closed again with some debridement. In spite of the procedure, there had been continuous drainage of the saliva through the cervical fistula of esophagus. However within three weeks of conservative management, aided by a local drainage and hyperalimentation, the fistula of the esophagus was closed spontaneously.

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국소 진행된 갑상선암의 수술 - 기관 및 후두, 식도 침범의 치료 (Surgical Treatment in Locally Advanced Thyroid Cancer - Trachea, Larynx, Esophagus Invasion Management)

  • 이국행;강주용
    • International journal of thyroidology
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    • 제11권2호
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    • pp.99-108
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    • 2018
  • Most thyroid cancers are well-differentiated cancers and have a very good prognosis. About 10% of thyroid cancer, however, invades the surrounding tissues, causing local recurrence and distant metastasis, and eventually affecting survival rate. In locally advanced thyroid cancers, the invasion of trachea, larynx and esophagus, can be occurred by primary tumor and may also result in lymph nodes metastasis. Surgical resection is still mainstay for the treatment of locally advanced thyroid cancer. The main purpose of the surgical resection is to eliminate the cancer completely, therefore, it can cause many complications such as dysfunction of the larynx, trachea and esophagus. It can have a serious effect on the quality of life, therefore there is still controversy on the extent of the surgery. The authors compare and analyze the opinions which were already discussed in the literatures published so far. These will help to select the surgical method.

식도 근육층에 함몰한 기관지성 낭종 - 1예 보고 - (Intramural Bronchogenic Cyst of the Esophagus - A case report -)

  • 강정호;장효준;정원상;김혁;박문향;김영학
    • Journal of Chest Surgery
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    • 제40권7호
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    • pp.520-522
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    • 2007
  • 기관지성 낭종은 일반적으로 폐실질 내 혹은 종격동 내에 발생하는 것으로 알려져 있다. 종격동 내에 위치하는 경우 기관지와 식도 부근에 위치하나 식도에 함몰되어 있는 경우는 매우 드물다. 수술 전에 기관지성 낭종과 식도 낭종을 구분하는 것은 매우 어려워 식도 양성 종양으로 의심하고 수술을 시행하게 된다. 저자들은 우연히 발견된 식도 내 종양이 수술 절제를 통해 기관지성 낭종으로 밝혀져 보고하는 바이다.

둔상에 의한 경부 식도의 파열 (Rupture of the Cervical Esophagus from Blunt Trauma)

  • 남승혁;노선균;정진환;박기철;이철범
    • Journal of Trauma and Injury
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    • 제26권4호
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    • pp.316-318
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    • 2013
  • Rupture of the esophagus after blunt trauma is a rare event. But any type of esophageal rupture has the high morbidity and mortality rate. In these situations, the sign and symptom of the esophageal rupture is subtle and nonspecific; therefore, the physicians are usually not suspicious. Delaying in diagnosis prevents proper treatment (surgical or non-surgical) before significant complications occurred. We report a case of a cervical esophageal perforation with primary repair and drainage after blunt trauma.

식도 평활근종의 수술 치험 1례 (Leiomyoma of the Esophagus - A Case Report -)

  • 유재현;임승평
    • Journal of Chest Surgery
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    • 제24권6호
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    • pp.590-594
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    • 1991
  • We experienced a case of leiomyoma on proximal thoracic esophagus. The patient, a 42-year-old female, noted the insidious onset of dysphagia and chest discomfort for 6 months. Esophagogram showed a smooth filling defect in upper third of thoracic esophagus, T1-T4 level and esophagoscopy revealed a firm mobile mass about 6cm in length with normal overlying mucosa. The lesion was approached the Rt. posterolateral thoracotomy through 4th ICS and enucleated of tumor without difficulty. The patient`s hospital course was uncomplicated.

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상부 식도에 발생한 식도 평활근종 -2례 보고- (Esophageal Leiomyoma in the Upper Thoracic Esophagus)

  • 최영호
    • Journal of Chest Surgery
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    • 제28권11호
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    • pp.1063-1066
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    • 1995
  • Though leiomyoma is the most common benign esophageal tumor, it is rare in the upper third of esophagus. Recently, we experienced two cases of esophageal leiomyoma in the upper third of esophagus. The patient were a 53 year old female and a 40 year old male. On esophagoscopy, masses were found at 20\ulcorner23 cm, 22\ulcorner26 cm from upper incisor with normal overlying mucosa. Enucleation was done through a right posterolateral thoracotomy without complications.

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식도와 연결된 선천성 기관지성 낭종의 치험 1례 보 (Bronchogenic cyst communicating with esophagus: report of a case)

  • 이철주;최원희;하정옥
    • Journal of Chest Surgery
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    • 제17권3호
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    • pp.505-510
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    • 1984
  • Among varieties of the mediastinal tumors, benign developmental cysts [Entergenous cysts] occur about 10% of them. From the primitive foregut, tracheobronchial tree and esophagus develop at 3 weeks of its embryonal age, and bronchogenic cyst arises from accessory or supernumerary lung bud. Usually it remains isolated with surrounding structures, and causes no specific symptoms. But few cases of bronchogenic cysts have fistulous communication with esophagus causing compressive symptoms. We report a case of unusual complicated case of bronchogenic cyst with review of literatures.

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Boerhaave syndrome의 외과적 치험 (Surgical Experiences of Boerhaave`s Syndrome -10 Cases analysis-)

  • 최병철
    • Journal of Chest Surgery
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    • 제23권5호
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    • pp.1035-1039
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    • 1990
  • All 10 cases of spontaneous rupture of esophagus had violent vomiting as precursor. 9 patients were male, 1 case was female. Chief complaints were chest pain and dyspnea. Chest P \ulcornerA and esophagogram were mainly used as confirm diagnostic tool. Perforation sites of all cases were at distal esophagus near the G-E junction. 6 cases were received primary repair within 24 hrs, other cases were managed with surgical drainage after exclusion and diversion of esophagus. Empyema was the most frequent complication. Other complications were sepsis, pneumonia, leaking etc. Overall mortality rate was about 70.0%.

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장간막을 이용한 Boerhaave 증후군의 치료 (Surgical Treatment of Boerhaave Syndrome Using Mesentery)

  • 김형준
    • Journal of Chest Surgery
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    • 제23권5호
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    • pp.1040-1046
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    • 1990
  • Despite the improved diagnostic and treatment modalities recently introduced for a variety of esophageal disorders, a perforation or leak from the esophagus remains a sources of morbidity and mortality regardless of the cause of leak. After the perforation of esophagus, the contamination of mediastinum and pleural cavity with food, bacteria and corrosive gastric juice leads to sepsis and cardiopulmonary dysfunction. The early diagnosis and early treatment are very important, and the delayed treatment leads to high risk of morbidity and mortality. We experienced one case of esophageal perforation, after forced vomiting in 48 years old male patient. We used omentum on the treatment of ruptured esophagus, and it was successfully managed.

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기관지 식도루를 동반한 내엽형 폐격리증 -1예 보고- (Intralobar pulmonary sequestration communicating with the esophagus -1 cases report-)

  • 공현우
    • Journal of Chest Surgery
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    • 제22권1호
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    • pp.151-154
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    • 1989
  • We have experienced a case of intralobar pulmonary sequestration communicating with the esophagus. A 24 year old female patient was admitted of chronic cough related to food, purrlent sputum and left lower chest pain. Esophagography and bronchography revealed bronchoesophageal fistula and bronchiectasis with cystic lesion of the left lower lobe. There was multiple anomalous feeding vessels arinig from the intercostal arteries and no draining systemic vein on aortography. division of the bronchoesophageal fistula and left lower lobectomy was performed. Communication with the esophagus in rarely associated with intralobar pulmonary sequestration and esophagogram is useful method of diagnosis for this communication.

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