• Journal of Chest Surgery
• /
• 제27권3호
• /
• pp.226-229
• /
• 1994

VATS is now used by many thoracic surgeons and in various anatomic locations such as lung parenchyme, pleura and mediastinum, etc. VATS of mediastinal masses has special characteristics compared to that of other diseases. Those are no positional changes of the mass during collapse of the lung and close proximity of the mass to major vascular structures, nerves and other vital organs. From 1992. July to 1993. August, 10 mediastinal masses were treated with video assisted thoracoscopy. There were five males and five females, ages ranged from 11 years to 65 years with average 37.7 17.7 years old. Of the 10 patients, 4 were bronchogenic cysts, 2 were teratoma, and the others were thymoma, neurilemmoma, pericardial cyst, and thymic cyst. Needle aspiration was done in large cysts and the working thoracotomy[or utility thoracotomy] was done in large solid masses for the purpose of easy dissection, easy handling and easy delivery of the mass. The average operation time were 155.6 6.8 minutes and the duration of air leakage were 1 2.2 days. The duration of the chest tube drainage were 3.3 2.6 days. The lengths of the postoperative hospitalization were 5.1 2.7 days which were shorter than those of 12 mediastinal masses treated with conventional thoracotomy during the same periods [p<0.05]. There was 1 patient converted to thoracotomy because of a bleeding at innominate vein. 3 postoperative complications were occured. Those were persistent air leakage for 7 days, diaphragmatic palsy and hoarseness which were recovered within 1 month. We conclude that mediastinal mass can be excised with video assisted thoracoscopy and the posthospitalization is reduced. But careful attention is required for avoiding injury to major vascular structures, nerves, and other vital organs.

• Tuberculosis and Respiratory Diseases
• /
• 제44권5호
• /
• pp.1184-1193
• /
• 1997

저자들은 결절성 경화증과 동반된 폐의 임파관평활근종증 1예를 경험하였기에 증례와 함께 결절성 경화증과 폐의 임파관평활근종증과의 관계를 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
• /
• 제27권11호
• /
• pp.930-937
• /
• 1994

Pulmonary sequestration, congenital cystic adenomatoid malformation[CCAM], infantile lobar emphysema[ILE], and bronchogenic cysts are four congenital lesions that show abnormal cystic areas within the lung field in early life. They share similar embryologic and clinical characteristics, Therefore they are sometimes difficult to make differential diagnosis each other, and all require surgical treatment. From 1984 to 1993, 20 patients underwent surgical corrections under these diagnostic categories[10 bronchogenic cyst, 4 pulmonary sequestration, 4 CCAM, and 2 ILE] in the department of thoracic & cardiovascular surgery, Inje University, Pusan Paik Hospital. There were 9 females and 11 males, Ages ranged from 26 days after birth to 69 years. Among them 5 cases of bronchogenic cyst were found out incidentally, but remained all 15 cases were noted as symptomatic cases. Recurrent pulmonary infections, respiratory distress and cough with cystic lesions in chest film were the main characteristics of them. Computed tomography and aortography were available for diagnostic conformation. For all the cases surgical resection were performed: 1 pneumonectomy, 2 bilobectomy, 9 lobectomy, 7 cyst resection and 1 mass[extralobar pulmonary sequestration] resection. All surgical treatments were well tolerated with no physical limitation. There was no operative mortality, and only one postoperative complication[empyema thoracis]. All patients were followed up ranging from 4 months to 9 years. A clinical awareness of these related lesions is important for prompt diagnosis and effective surgical treatment.

• Journal of Chest Surgery
• /
• 제28권8호
• /
• pp.797-800
• /
• 1995

Pulmonary sequestration is an uncommon congenital pulmonary malformation characterized by presence of nonfunctioning lung tissue which receives its blood supply mostly from the anomalous systemic arteries - descending thoracic aorta or abdominal aorta, subclavian artery, innominated artery and internal mammary artery, etc. In our country, 39 cases were reported previously. The patient was a 40 years old woman and admitted due to productive cough for 1 year. The chest X-ray and chest C-T showed a dense mass containing a large cavity with air-fluid level and multiple radiolucent cysts in the right lower lung field. On the operative field, we could identify an aberrant large artery [ $\phi$7mm which arose directly from the descending thoracic aorta at eighth thoracic spinal level and fed the sequestrated portion of the right lower lobe. The aberrant artery was double ligation after division. Only sequestrated lobe on the superolateral lesion of the right lower lobe was resected because of nonseparated lobes in all the right lobes. An abnormal vein and bronchiole were ligated with black silk. The patient`s postoperative course was unevenful.

• Tuberculosis and Respiratory Diseases
• /
• 제40권1호
• /
• pp.79-83
• /
• 1993

A 38-year-old female was admitted due to progressive exertional dyspnea and intermittent blood tinged sputum. Chest PA showed diffuse reticular infiltration accompanied by hyperinflation. $PaO_2$ was normal in resting state but profoundly decreased during exercise. Spirometry showed severe obstructive pattern but DLCO was markedly decreased. Lung volumes measured by helium equilibrium method was increased. On HRCT, numerous and relatively uniform sized cysts were evenly distributed throughout the bilateral lung fields. Open lung biopsy was performed and pulmonary lymphangioleiomyomatosis(LAM) was diagnosed based on the findings of abnormal proliferation of smooth muscle cells in the walls of lymphatic vessels, bronchioles, and small pulmonary veins. Immunohistochemical staining was negative for estrogen receptor but positive for progesterone receptor. Medroxyprogesterone therapy was initiated.

• Journal of Chest Surgery
• /
• 제38권12호
• /
• pp.870-872
• /
• 2005

기관지성 낭종은 전장에서 기인한 기형 낭종의 일종으로 폐나 종격동에 존재한다. 일반적으로 식도 근육층에 존재하는 낭성 병변은 전장의 장성 기형이다. 저자들은 연하곤란과 속쓰림으로 내원한 젊은 남자에서 식도 점막하 종양을 절제하였다. 종양은 식도 근육 안에 함몰되어 있었으며 점막 손상 없이 제거하였다. 조직학적 검사상 이 병변은 기관지성 낭종으로 밝혀졌다.

• Tuberculosis and Respiratory Diseases
• /
• 제62권1호
• /
• pp.71-73
• /
• 2007

기관지기원낭은 대체로 방사선학적으로 종격동이나 폐실질내에 얇고 균일한 벽을 지닌 경계가 분명한 타원형의 종괴나 낭포로 발견되며 증상 유무에 관계없이 완전 절제를 하는 것이 추천된다. 본 증례는 젊은 성인에서 객혈을 동반한 폐실질내 기관지기원낭으로 수술하였던 예로 비전형적으로 다발성 낭종의 형태로 발견되었기에 문헌 고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
• /
• 제29권5호
• /
• pp.577-580
• /
• 1996

외상성 폐낭종은 비관통성 흉부외상후 발생되는드문공동성 폐 병변이다. 병 발생은공기와 액성 물 질을 함유하는 폐 실질의 좌상이다. 진단은 외상후 폐낭종이 발생될 수 있다는 인식에 기초를 두며, 다른 유사한 질환과 감별이 중요하다. 일단 외상성 폐장종이 진단되면, 치료는 입원후 필요시 호흡을 보조하 면서, 외과적 관찰을 하는 것이 원칙이다. 그러나 감염이 합병되고, 보존적 요법과 적합한 항생제 치료 에도 불구하고 낭종의 크기가 줄지 않는 경우, 수술적 치료를 요하다. 저자들은 최근 19세 남자 환자에서 외상성 폐낭종을 치험하였기에, 관련 문헌의 고찰과 함께 보고하 고자 한다.

• Tuberculosis and Respiratory Diseases
• /
• 제63권3호
• /
• pp.289-293
• /
• 2007

저자들은 결절경화증과 동반하여 폐종괴로 나타난 폐의 림프관평활근종증 1예를 경험하였고 국내에서 이에 대한 보고는 없었기에 이를 문헌고찰과 함께 보고하는 바이다.

• Parasites, Hosts and Diseases
• /
• 제53권6호
• /
• pp.785-788
• /
• 2015

Cystic echinococcosis (CE) caused by Echinococcus granulosus is a major public health problem worldwide, including Turkey. The aim of the current study was to identify the strains and to estimate the potential risk factors of E. granulosus in operated pediatric cases in eastern Turkey. Ten pediatric patients (7 boys and 3 girls) living in rural areas, with ages ranging from 3 to 15 years old and various clinical histories, were included in this study. Eight patients had only liver hydatid cyst, while 1 patient had liver and lung hydatid cyst and the other liver, lung, and spleen, together. There were 2 ruptured liver cysts. After surgery, during follow-up, no increase was observed in hemagglutination levels, there were no mortalities, and there was no evidence of recurrence at 2 years post operation in all patients. Molecular analysis was performed on hydatid cyst samples obtained from the 10 pediatric cases. According to mt-12S rRNA PCR results, all cases were found to be G1/G3 cluster of E. granulosus sensu stricto.