1.A Clinical Study of the Modified Posterior Lumbar Interbody Fusion Using Cancellous Chip Graft.
In Jung CHAE ; Seung Woo SUH ; Jae Hyo JUNG
Journal of Korean Society of Spine Surgery 1998;5(1):86-93
STUDY DESIGN: The indications of the lumbosacral spinal fusion has been very controversial. The posterior lumbar interbody fusion has the popularity of the spinal fusion: coaption of large surface areas of cancellous bone without shear forces, anatomic restoration and maintenance of more normal dimensions of the joint space, total discectomy as preparation for the fusion, and the accomplishment of better neural decompression without creating instability of the spine. OBJECTIVES: To evaluate the long-term results of the surgical management of degenerative lumbar disease by the modified transdiscal posterior lumbar interbody fusion technique using cancellous chip graft were analyzed. SUMMARY OF LITERATURE REVIEW: The disadvantages of classical posterior lumbar interbody fusion has a injury of nerve root by extensive retraction with the insertion of peg grafts into the disc space, compression of root by graft retropulsion, inadeguate removal of annulus fibrosus and end plates from excessive bleeding from venous plexus of spinal canal and from vertebral cancellous bone. MATERIALS & METHOD: Author's 43 cases who had transpedicular instrumentation and modified transdiscal PLIF using cancellous chip graft since 1989 in the Department of Orthopedic Surgery, Korea University Hospital were analyzed, retrospectively. After preparation of the interspace has been complete by total discectomy, removal of the cartilaginous end plates and perforation of the cortical plates using the ring curette, cancellous chip grafts are inserted into the interspace with the Funnel technique. The structural success of each fusion was documented by sequencial radiographs. The criteria for fusion included: homogenous amalgamation of the fusion mass and vertebral bodies, trabeculation, mass configuration, and no motion demonstrable by hyperflexion studies. The results obtained were as follows: 1. Stable fusion was obtained in 39 patients(91%) at post-operative 6 months. 2. Clinically no patient developed neurologic deficit after fusion and 41 patients (95.3%) had good results by Gill's criteria. 3. No significant complications influencing operative result were observed except minor complications such as paralytic ileus, transient dysuria and superficial infection. 4. In conclusion, modified transdiscal PLIF procedure using cancellous chip graft showed excellent clinical and radiological results to achieve spinal fusion and the procedure is technically feasible and should be considered more widely employed.
Decompression
;
Diskectomy
;
Dysuria
;
Hemorrhage
;
Humans
;
Intestinal Pseudo-Obstruction
;
Joints
;
Korea
;
Neurologic Manifestations
;
Orthopedics
;
Retrospective Studies
;
Spinal Canal
;
Spinal Fusion
;
Spine
;
Transplants*
2.A study on the medical care expenditure of the uterine cervix carcinoma by clinical stage and treatment modality.
Hyo Ki MIN ; Doo Chae JUNG ; Soo Yong CHOI ; Je Ho LEE ; Jae Kyu LIM
Korean Journal of Epidemiology 1992;14(2):160-174
No abstract available.
Cervix Uteri*
;
Female
;
Health Expenditures*
3.Thoracoscopic Splanchnicectomy for the Relief of Intractable Upper Abdominal Cancer Pain.
Yoon Seok CHAE ; Woo Jung LEE ; Hyo Chae PAIK ; Jong Hoon LEE ; Kyung Sik KIM ; Byong Ro KIM
Journal of the Korean Surgical Society 2001;60(1):73-77
PURPOSE: Pain is the most distressing feature of cancer patients. Thoracoscopic splanchnicectomy, first performed in 1993, has caused a resurgence of interest in surgical treatment of such excruciating pain. We wish to introduce a method of splanchnicectomy. METHODS: Five patients underwent a splanchnicectomy for intractable cancer pain, over a period of 11 months. We evaluated the type of splanchnicectomy performed and the results. The procedure was done using a double lumen catheter to deflate the lung at the operation side under general anesthesia with the patient in the lateral decubitus position. A small opening was made with scissors in the pleura of the 5th intercostal space to expose the terminal branch of the greater splanchnic nerve. Six-Seven branches of splanchnic nerve were cut downward until the splanchnic nerve trunk and then cut. A left thoracoscopic splanchnicectomy was done in one case, and a bilateral thoracoscopic splanchnicectomy in four cases. RESULTS: The splanchicectomy appears to result in significant reduction of abdominal pain in all cases. There were no postoperative complications. CONCLUSION: As a conclusion, thoracoscopic splanchnicectomy is the treatment of choice for intractable intraabdominal cancer pain, affording drug cessation and recovery of daily activity in most patients.
Abdominal Pain
;
Anesthesia, General
;
Catheters
;
Humans
;
Lung
;
Pleura
;
Postoperative Complications
;
Splanchnic Nerves
;
Thoracoscopy
4.A Novel Method for Overtube Placement in Endoscopic Variceal Ligation.
Yong Bum YOON ; In Sung SONG ; Chung Yong KIM ; Hyun Chae JUNG ; Hyo Suk LEE ; Kyu Wan CHOI ; Chul Ju HAN
Korean Journal of Gastrointestinal Endoscopy 1995;15(4):659-663
Endoscopic variceal ligation (EVL) is effective for the management of bleeding esophageal varices, and its use is widespread now. EVL necessitates the use of overtubes. Two primary techniques have been used for overtube placement; one is with endoscope, and the other is with bougie dilator. Overtube placement with endoseope is not without risk. There are reportd of esophageal or pharyngeal laceration or perforation. Overtube placement with bougie dilator circumvents this risk, but it is rather cumbersome to use. The authors devised a safe and easy method for overtube placement, and applied it to a number of patients to test its safety and convenience. First, overtube-dilator assembly was prepared as follows. A Rigiflex achalasia dilator (balloon 30mm OD, 10cm length; Microvasive Co) was lubricated and inserted into the overtube. A tenth of the balloon tip was protruded out of the overtube, then the balloon was insufflated with air at 10-15 psi. Second, standard endoscopy was performed, followed by placement of guide wire in the stomach. Overtube-dilator assembly was lubricated and introduced over the wire as a rail. Once the overtube was properly positioned, the balloon was deflated, and the balloon and wire were removed as a whole, which completed overtube placement. For 65 patients with esophageal variceal bleeding, 82 procedures of EVL were performed using the new technique. Overtube-dilator assembly was easy to prepare and handle. This technique added little time to the procedure and minimizes patients discomfort. No patient suffered major complications such as bleeding, laceration or perforation. This novel method for overtube placement was safe and convenient for use in EVL. It can also be applied to other procedures using overtube such as endoscopic foreign body removal.
Endoscopes
;
Endoscopy
;
Esophageal Achalasia
;
Esophageal and Gastric Varices
;
Foreign Bodies
;
Hemorrhage
;
Humans
;
Lacerations
;
Ligation*
;
Stomach
5.A Case of Multiple Early Gastric Cancer.
Han Kyu MOON ; Chae Kyu KIM ; Seung Gon LEE ; Hyo Jun KIM ; Seong Woo PARK ; Jong Og SEO ; Ki Jung JO ; Woo Ik JANG ; Tae Jung JANG
Korean Journal of Gastrointestinal Endoscopy 1996;16(6):977-981
Early gastric cancer(EGC) is defined as carcinoma limited to the mucosa or submucosa, regardless of whether metastasis to lymph nodes have occurred, and the frequency of lymph node metastasis varies from 7 to 18%. The incidence of early gastric cancer has been increasing recently, probably with advance in the diagnostic procedure. Multiple gastric cancer, now cosidered to be a sort of multiple primary cancer by Moertels classification, is a special type of cancer in which two or more tumor lesions arise independently from the stomach. Multiple carcinoma was found in about 8.3% of 500 early gastric cancer cases at the National Cancer Center Hospital in Japan. In 77% of these, two lesions roexisted in the stomach. Coexistence of three lesions were found in 20% and more than four lesions in 3%. We report a case of multiple early gastric cancer of different histologic types in which two adenoma coexisted in the stomach.
Adenoma
;
Classification
;
Incidence
;
Japan
;
Lymph Nodes
;
Mucous Membrane
;
Neoplasm Metastasis
;
Stomach
;
Stomach Neoplasms*
6.A Case of Multiple Early Gastric Cancer.
Han Kyu MOON ; Chae Kyu KIM ; Seung Gon LEE ; Hyo Jun KIM ; Seong Woo PARK ; Jong Og SEO ; Ki Jung JO ; Woo Ik JANG ; Tae Jung JANG
Korean Journal of Gastrointestinal Endoscopy 1996;16(6):977-981
Early gastric cancer(EGC) is defined as carcinoma limited to the mucosa or submucosa, regardless of whether metastasis to lymph nodes have occurred, and the frequency of lymph node metastasis varies from 7 to 18%. The incidence of early gastric cancer has been increasing recently, probably with advance in the diagnostic procedure. Multiple gastric cancer, now cosidered to be a sort of multiple primary cancer by Moertels classification, is a special type of cancer in which two or more tumor lesions arise independently from the stomach. Multiple carcinoma was found in about 8.3% of 500 early gastric cancer cases at the National Cancer Center Hospital in Japan. In 77% of these, two lesions roexisted in the stomach. Coexistence of three lesions were found in 20% and more than four lesions in 3%. We report a case of multiple early gastric cancer of different histologic types in which two adenoma coexisted in the stomach.
Adenoma
;
Classification
;
Incidence
;
Japan
;
Lymph Nodes
;
Mucous Membrane
;
Neoplasm Metastasis
;
Stomach
;
Stomach Neoplasms*
7.Fibrovascular polyp of the esophagus in infant.
Hyo Chae PAIK ; Jae Wook HAN ; Eun Kyu JUNG ; Ki Man BAE ; Young Hyuk LEE
Yonsei Medical Journal 2001;42(2):264-266
A five month female was referred complaining of intermittent vomiting with protrusion of a sausage-like mass through the oral cavity. Esophageal endoscopy and esophagogram revealed a mass in the upper esophagus, which was diagnosed as a fibrovascular polyp. Under general anesthesia, the mass was grasped through the oral cavity with a forcep and ligated and excised at the base, where a stump arose from the posterior wall of the cervical esophagus. The pathology was confirmed as a fibrovascular polyp, which is a rare benign esophageal lesion occurring mostly in adult males, and has not been reported in infancy.
Blood Vessels/pathology
;
Case Report
;
Esophageal Neoplasms/surgery
;
Esophageal Neoplasms/pathology*
;
Esophageal Neoplasms/blood supply
;
Esophagoscopy
;
Female
;
Fibrosis
;
Human
;
Infant
;
Polyps/surgery
;
Polyps/pathology*
;
Polyps/blood supply
8.Two Cases of Carcinoid Tumors: Rectum and Stomach Origin.
Joong Won PARK ; Hyun Chae JUNG ; Hyo Suk LEE ; Yong Bum YOON ; In Sung SONG ; Kyoo Wan CHOI ; Chung Yong KIM ; Yong Il KIM
Korean Journal of Gastrointestinal Endoscopy 1988;8(2):183-186
Carcinoid tumors of the intestinal tract are uncommon neoplasms thought to arise from argentaffin cells in the base of the intestinal crypts. Carcinoid tumors of other sites have since been reported with increasing frequency. We experienced one case of rectal carcinoid tumor and the other case of stomach carcinoid turnor. A 52-year-old male patient was admitted to the hospital because of right upper abdominal discomfort. On the CT scan, multiple low density masses were noticed. Sigmoidoscopy revealed the whitish yellow ulcerofungating mass which had vague margin. And a 31-year-old male patient was admitted to the haspital because of hematemesis. On the gastrofiberscopic examination, an ovoid shallow ulcer crater which had elevated margin, smooth tapered fold and vissible vessel was noticed on the anterior wall side of the high body. The biopsy specimen in both these cases showed carcinoid cells. 24h urine 5-HIAA of these cases was negative. Awareness of carcinoid tumor in differential diagnosis of hepatic metastasis and of gastric ulcer is necessary.
Adult
;
Biopsy
;
Carcinoid Tumor*
;
Diagnosis, Differential
;
Enterochromaffin Cells
;
Hematemesis
;
Humans
;
Hydroxyindoleacetic Acid
;
Male
;
Middle Aged
;
Neoplasm Metastasis
;
Rectum*
;
Sigmoidoscopy
;
Stomach Ulcer
;
Stomach*
;
Tomography, X-Ray Computed
;
Ulcer
9.Predicting Delayed Ventilator Weaning after Lung Transplantation: The Role of Body Mass Index.
Sarah SOH ; Jin Ha PARK ; Jeong Min KIM ; Min Jung LEE ; Shin Ok KOH ; Hyo Chae PAIK ; Moo Suk PARK ; Sungwon NA
Korean Journal of Critical Care Medicine 2014;29(4):273-280
BACKGROUND: Weaning from mechanical ventilation is difficult in the intensive care unit (ICU). Many controversial questions remain unanswered concerning the predictors of weaning failure. This study investigates patient characteristics and delayed weaning after lung transplantation. METHODS: This study retrospectively reviewed the medical records of 17 lung transplantation patients from October 2012 to December 2013. Patients able to be weaned from mechanical ventilation within 8 days after surgery were assigned to an early group (n = 9), and the rest of the patients were assigned to the delayed group (n=8). Patients' intraoperative and postoperative characteristics were collected and analyzed, and conventional weaning predictors, including rapid shallow breathing index (RSBI), were also assessed. RESULTS: The results of the early group showed a significantly shorter ICU stay in addition to a shorter hospitalization overall. Notably, the early group had a higher body mass index (BMI) than the delayed group (20.7 vs. 16.9, p = 0.004). In addition, reopening occurred more frequently in the delayed group (1/9 vs. 5/8, p = 0.05). During spontaneous breathing trials, tidal volume (TV) and arterial oxygen tension were significantly higher in the early group compared to the delayed weaning group, but differences in RSBI and respiratory rate (RR) between groups were not statistically significant. CONCLUSIONS: Low BMI might be associated with delayed ventilator weaning in lung transplantation patients. In addition, instead of the traditional weaning predictors of RSBI and RR, TV might be a better predictor for ventilator weaning after lung transplantation.
Body Mass Index*
;
Hospitalization
;
Humans
;
Intensive Care Units
;
Lung Transplantation*
;
Medical Records
;
Oxygen
;
Respiration
;
Respiration, Artificial
;
Respiratory Rate
;
Retrospective Studies
;
Tidal Volume
;
Ventilator Weaning*
;
Weaning
10.The Surgical Outcome of Thoracic Outlet Syndrome.
Jung Joo HWANG ; Eun Kyu JOUNG ; Hyo Chae PAIK ; Doo Yun LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2005;38(12):844-848
BACKGROUND: Thoracic outlet syndrome(TOS) is caused by the compression of neurovascular structures that supply to the upper extremities. Only a few reports have been published in Korea, and this study attempts to investigate the clinical aspects and results of the patients who underwent surgical treatment. MATERIAL AND METHOD: This study consist of 16 patients who underwent operations for thoracic outlet syndrome from May, 2002 to October, 2004. The surgical indications were confined to patients with: 1) symptoms too severe to perform ordinary daily life because of pain, paresthesia, edema of upper extremities, 2) no improvement after proper physical therapy, 3) definite findings of compression confined by radiologic examinations (MRI, angiography, etc), and 4) no other diseases such as cervical intervertebral herniation, myositis, neurologic diseases below the brachial plexus. The surgical approaches were by transaxillary approaches in 12 cases, supraclavicular approaches in 2 cases, and infraclavicular approaches in 2 cases. RESULT: There were 15 males and one female with an average age of 23.9 years (range: 19~39). Rib anomalies were observed in four cases (25.0%), but the others had no abnormal ribs. Right lesions were found in eight cases (50.0%), left lesions in five cases (31.3%), and bilateral lesions in three cases (18.7%). The follow-up period was 9~26 months and recurrence rate was 12.5% (2/16). Complications were one case of ulnar nerve palsy, one case of persistent pain despite radiologic improvement and three cases of wound dehiscence due to fat necrosis and hematoma. CONCLUSION: Although the choice of treatment in patients with TOS has been disputed, patients who have no response with proper physical therapies can benefit from the surgical treatment which may help patients to return to normal daily activity in shorter period of time.
Angiography
;
Brachial Plexus
;
Edema
;
Fat Necrosis
;
Female
;
Follow-Up Studies
;
Hematoma
;
Humans
;
Korea
;
Male
;
Myositis
;
Paresthesia
;
Recurrence
;
Ribs
;
Thoracic Outlet Syndrome*
;
Ulnar Neuropathies
;
Upper Extremity
;
Wounds and Injuries