1.An Esophageal Leiomyoma Mistaken as an Esophageal Duplication Cyst
Won Yong SEO ; Gwang Ha KIM ; Hoseok I
The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2021;21(2):152-155
Esophageal leiomyoma is a benign tumor that accounts for two-thirds of esophageal benign tumors. In general, patients with esophageal leiomyoma are asymptomatic; however, as the tumor grows in size, symptoms such as dysphagia, chest discomfort, obstruction, or bleeding can appear. A 65-year-old man visited our clinic to receive treatment for a subepithelial tumor in the lower esophagus, which was incidentally found during endoscopy for work-up of chest discomfort and indigestion. On endoscopic ultrasonography (EUS), the tumor was 2.6×1.9 cm in size, with a cystic lesion located in the submucosal and proper muscle layers and thick cystic wall. Therefore, it was highly likely to be a duplication cyst. As the patient had symptoms such as chest discomfort, surgical resection was performed. The tumor was finally diagnosed as a leiomyoma with cystic degeneration. Leiomyoma with cystic change that has similar EUS features to duplication cyst is rare. Thus, we report the case with a literature review.
2.An Esophageal Leiomyoma Mistaken as an Esophageal Duplication Cyst
Won Yong SEO ; Gwang Ha KIM ; Hoseok I
The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2021;21(2):152-155
Esophageal leiomyoma is a benign tumor that accounts for two-thirds of esophageal benign tumors. In general, patients with esophageal leiomyoma are asymptomatic; however, as the tumor grows in size, symptoms such as dysphagia, chest discomfort, obstruction, or bleeding can appear. A 65-year-old man visited our clinic to receive treatment for a subepithelial tumor in the lower esophagus, which was incidentally found during endoscopy for work-up of chest discomfort and indigestion. On endoscopic ultrasonography (EUS), the tumor was 2.6×1.9 cm in size, with a cystic lesion located in the submucosal and proper muscle layers and thick cystic wall. Therefore, it was highly likely to be a duplication cyst. As the patient had symptoms such as chest discomfort, surgical resection was performed. The tumor was finally diagnosed as a leiomyoma with cystic degeneration. Leiomyoma with cystic change that has similar EUS features to duplication cyst is rare. Thus, we report the case with a literature review.
3.A Case of Hemorrhage of an Esophageal Duplication Cyst Improved by Endoscopic Drainage.
In Sub HAN ; Gwang Ha KIM ; Seong Jun LEE ; Bong Eun LEE ; Hoseok I ; Yeong Dae KIM
The Korean Journal of Gastroenterology 2017;69(6):363-367
Esophageal duplication cyst is a rare congenital gastrointestinal malformation. It is the second most common duplication cyst following small bowel duplication cyst in the gastrointestinal tract. Patients with an esophageal duplication cyst are generally asymptomatic; however, some patients may present the following symptoms: dysphagia, chest pain, stridor, unproductive cough, and epigastric discomfort by compression of the surrounding structures. Surgical removal is the treatment of choice in symptomatic cases and can be considered in asymptomatic cases if they are at risk for developing complications, such as ulceration or perforation. Herein, we report a case of hemorrhage of an esophageal duplication cyst, which was improved by endoscopic drainage.
Chest Pain
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Cough
;
Deglutition Disorders
;
Drainage*
;
Endosonography
;
Esophagus
;
Gastrointestinal Tract
;
Hemorrhage*
;
Humans
;
Respiratory Sounds
;
Ulcer
4.A Method of Preventing Perigraft Leak from a Polytetrafluoroethylene Blalock-Taussig Shunt.
Ji Hyuk YANG ; Hoseok I ; Tae Gook JUN ; Pyo Won PARK ; Kiick SUNG ; June HUH ; I Seok KANG ; Heung Jae LEE
Journal of the Korean Pediatric Cardiology Society 2005;9(2):317-325
PURPOSE: Perigraft seroma and excessive fluid leaks are well known complications after the use of expanded polytetrafluoroethylene(ePTFE, Gore-Tex(R)) graft. The purpose of this study is to evaluate the effectiveness of precoating the grafts with fibrin glue in the patients underwent a modified Blalock-Taussig shunt. METHODS: Among 51 consecutive infants underwent modified Blalock-Taussig shunt between June 2000 and August 2003, 49 patients underwent 53 shunt procedures through thoracotomy were included for analysis. Their median age was 0.9 months(2 days-5.9 months), median body weight was 3.5(2.2-7.9) kg. The ePTFE grafts precoated with fibrin glue were used in 20 procedures. Perioperative variables of the precoated group were compared with those of a control group(n=33) using t-test and Fisher's exact test. RESULTS: There was no operative mortality in the both groups. No significant difference between the groups could be found in the preoperative variables, postoperative morbidity, and the incidence of perigraft seroma, which developed only in 1 case in the control group. The size of the grafts was significantly smaller in the precoated group(P<0.01). The total amount of pleural drainage per body weight of the precoated group was significantly less than that of the control group(19.7+/-25.2 versus 5.5+/-4.9 mL/kg; P<0.01). CONCLUSION: Precoating an ePTFE graft with fibrin glue may reduce perigraft leak after a modified Blalock-Taussig shunt, although the impact of the size of the graft used and the native pulmonary artery requires further investigation.
Blalock-Taussig Procedure
;
Blood Vessel Prosthesis
;
Body Weight
;
Drainage
;
Endoleak*
;
Fibrin Tissue Adhesive
;
Humans
;
Incidence
;
Infant
;
Mortality
;
Polytetrafluoroethylene*
;
Postoperative Complications
;
Pulmonary Artery
;
Seroma
;
Thoracotomy
;
Tissue Adhesives
;
Transplants
5.Single-Incision Video-Assisted Thoracoscopic Surgery for Benign Mediastinal Diseases: Experiences in Single Institution.
Hyo Yeong AHN ; Jeong Su CHO ; Yeong Dae KIM ; Hoseok I ; Jonggeun LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2013;46(5):388-390
With advancement of the technique of video-assisted thoracic surgery (VATS), some surgeons have made great efforts to reduce the number of incisions in the conventional three- or four-port approach. Several studies on cases treated by single-incision VATS and their short-term outcomes were reported. Here, we present our experience with single-incision VATS for the treatment of benign mediastinal diseases.
Mediastinal Diseases
;
Surgical Procedures, Minimally Invasive
;
Thoracic Surgery, Video-Assisted
6.Location of Ruptured Bullae in Secondary Spontaneous Pneumothorax.
Jinseok CHOI ; Hyo Yeong AHN ; Yeong Dae KIM ; Hoseok I ; Jeong Su CHO ; Jonggeun LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2017;50(6):424-429
BACKGROUND: The surgical treatment of secondary spontaneous pneumothorax (SSP) can be complicated by fragile lung parenchyma. The preoperative prediction of air leakage could help prevent intraoperative lung injury during manipulation of the lung. Common sites of bulla development and ruptured bullae were investigated based on computed tomography (CT) and intraoperative findings. METHODS: The study enrolled 208 patients with SSP who underwent air leak control through video-assisted thoracoscopic surgery (VATS). We retrospectively reviewed the sites of bulla development on preoperative CT and the rupture sites during VATS. RESULTS: Of the 135 cases of right-sided SSP, the most common rupture site was the apical segment (31.9%), followed by the azygoesophageal recess (27.4%). Of the 75 cases on the left side, the most common rupture site was the apical segment (24.0%), followed by the anterior basal segment (17.3%). CONCLUSION: The azygoesophageal recess and parenchyma along the cardiac border were common sites of bulla development and rupture. Studies of respiratory lung motion to measure the pleural pressure at the lung surface could help to determine the relationship between cardiogenic and diaphragmatic movement and bulla formation or rupture.
Humans
;
Lung
;
Lung Injury
;
Pneumothorax*
;
Retrospective Studies
;
Rupture
;
Thoracic Surgery, Video-Assisted
7.Reconstruction of Mainstem Bronchus Obstructed by Endobronchial Tuberculosis.
Su Wan KIM ; Jhingook KIM ; Young Mog SHIM ; Kwhanmien KIM ; Yong Soo CHOI ; Hoseok I ; Hojoong KIM ; Jee Won CHANG
The Korean Journal of Thoracic and Cardiovascular Surgery 2005;38(9):622-626
BACKGROUND: Non-invasive interventional therapy has been performed for main bronchial obstruction by endobronchial tuberculosis because of the risk of main bronchial reconstruction regardless of the pulmonary function. But, effects of the interventional therapy are attacked by arguments. This study was aimed at interpreting the risk and effectiveness of bronchoplasty for benign bronchial stenosis over the last ten years in our hospital by reviewing the results based on clinical progression. MATERIAL AND METHOD: We retrospectively reviewed the clinical records and out-patient medical records including 21 consecutive patients who underwent main bronchial reconstruction for obstruction by endobronchial tuberculosis. All of them had past medical history of anti-tuberculosis medication. They were preoperatively evaluated by bronchoscopy and chest computed tomography. RESULT: There were no incidences of postoperative mortality and significant morbidity. There were 2 cases of retained secretions but these problems were resolved by therapeutic bronchoscopy or intubation. All of the patients are still alive without obstructive airway problem. CONCLUSION: Bronchoplasty should be considered as one of the primary treatment modalities, if it is anatomically feasible.
Bronchi*
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Bronchial Diseases
;
Bronchoscopy
;
Constriction, Pathologic
;
Humans
;
Incidence
;
Intubation
;
Medical Records
;
Mortality
;
Outpatients
;
Retrospective Studies
;
Thorax
;
Tuberculosis*
8.Surgical Resection of Recurrent Lung Cancer in Patients Following Curative Resection.
Hyoung Soo KIM ; Hoseok I ; Yong Soo CHOI ; Kwhanmien KIM ; Young Mog SHIM ; Jhingook KIM
Journal of Korean Medical Science 2006;21(2):224-228
We reviewed our experience with resection of recurrent lung cancer to evaluate the benefit and risk of the procedure. From December 1994 to December 2003, 29 consecutive patients underwent pulmonary resections for recurrent lung cancer. The mean duration from the first resection to second surgery was 25.4+/-15.1 months for the definite 2nd primary lung cancer (n=20) and 8.9+/-5.7 months for metastatic lung cancer (n=9). The procedures at the second operations were completion-pneumonectomy in 11 patients, lobectomy in 5 patients, wedge resection in 12 patients and resection and anastomosis of trachea in 1 patient. Morbidity was observed in 6 (21%) of the patients and the in-hospital mortality was two patients (7%) after the repeated lung resection. Tumor recurrence after reoperation was observed in 14 patients (48%). The actuarial 5-yr survival rate was 69% and the 5-yr disease free rate following reoperation was 44%. No significant difference was found in overall survival and disease free survival between the 2nd primary lung cancer group and the metastatic lung cancer group. The recurrence rate following reoperation was significantly different between the wedge resection group and lobectomy/completion pneumonectomy group (p=0.008), but the survival rate was not significantly different (p=0.41). Surgical intervention for recurrent lung cancers can be performed with acceptable mortality and morbidity. If tolerable, completion pneumonectomy or lobectomy is recommended for resection of recurrent lung cancer.
Time Factors
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Survival Rate
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Retrospective Studies
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Prognosis
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Neoplasm Recurrence, Local/mortality/*surgery
;
Middle Aged
;
Male
;
Lung Neoplasms/mortality/*surgery
;
Korea/epidemiology
;
Humans
;
Female
;
Disease-Free Survival
;
Aged
9.One-stage Laparoscopic Repair of Morgagni and Inguinal Hernias in a Two-month Old Male.
Mi Ju BAE ; Hoseok I ; Dae Hwan KIM ; Yeon Joo JEONG ; Yeong Dae KIM ; Jeong Su CHO
The Korean Journal of Thoracic and Cardiovascular Surgery 2012;45(6):415-417
The development of Morgagni hernias is related to malformations of the embryologic septum transversum after failure of the sternal and costal fibrotendinous elements of the diaphragm to fuse. The overall incidence of Morgagni hernias among all congenital diaphragmatic defects is 3% to 4%. Inguinal hernias are the most common hernias in males and females (25% and 2%, respectively). An inguinal hernia is defined as a protrusion of the abdominal cavity contents through the inguinal canal. The combination of Morgagni and inguinal hernias is rare, and treatment using laparoscopic surgery has not been previously reported. This case presents a one-stage laparoscopic repair of Morgagni and inguinal hernias in a 2-month-old male.
Abdominal Cavity
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Diaphragm
;
Female
;
Hernia
;
Hernia, Inguinal
;
Humans
;
Incidence
;
Infant
;
Inguinal Canal
;
Laparoscopy
;
Male
10.The Effect of Thoracoscopic Pleurodesis in Primary Spontaneous Pneumothorax: Apical Parietal Pleurectomy versus Pleural Abrasion.
Up HUH ; Yeong Dae KIM ; Jeong Su CHO ; Hoseok I ; Jon Geun LEE ; Jun Ho LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2012;45(5):316-319
BACKGROUND: The standard operative treatment of primary spontaneous pneumothorax (PSP) is thoracoscopic wedge resection, but necessity of pleurodesis still remains controversial. Nevertheless, pleural procedure after wedge resection such as pleurodesis has been performed in some patients who need an extremely low recurrence rate. MATERIALS AND METHODS: From January 2000 to July 2010, 207 patients who had undergone thoracoscopic wedge resection and pleurodesis were enrolled in this study. All patients were divided into two groups according to the methods of pleurodesis; apical parietal pleurectomy (group A) and pleural abrasion (group B). The recurrence after surgery had been checked by reviewing medical record through follow-up in ambulatory care clinic or calling to the patients, directly until January 2011. RESULTS: Of the 207 patients, the recurrence rate of group A and B was 9.1% and 12.8%, respectively and there was a significant difference (p=0.01, Cox's proportional hazard model). There was no significant difference in age, gender, smoking status, and body mass index between two groups. CONCLUSION: This study suggests that the risk of recurrence after surgery in PSP is significantly low in patients who underwent thoracoscopic wedge resection with parietal pleurectomy than pleural abrasion.
Ambulatory Care
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Body Mass Index
;
Follow-Up Studies
;
Humans
;
Medical Records
;
Pleurodesis
;
Pneumothorax
;
Recurrence
;
Smoke
;
Smoking
;
Thoracoscopy