1.Clinical and Histo-Pathological Analysis for Recurrence after Curative Surgery of Esophageal Cancer.
Jae Kil PARK ; Jae Kwang LEE ; Moon Sub KWACK
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(7):570-575
BACKGROUND: Surgical resection remains the mainstay of treatment for esophageal cancer. Despite recent advances in surgical therapy, i.e. en bloc resection and extended lymphadenectomy, the overall long-term prognosis of patients with esophageal carcinoma has not, however, improved during the last decades. One of the major reasons in its relatively high recurrence rate. MATERIAL AND METHOD: A retrospective review of recurrent patterns of cancer in 42 patients who underwent curative surgery for primary esophageal cancer was performed clinically and histo-phthologically. RESULT: Nineteen patients had developed recurrece during the 18 to 52 months(mean 34.2 nonths), 8 had local recurrences, 1 had both, and 11 had systemic recurrences. Twelve patients(63%) had developed recurrence within 1 year, 5 patients(26%) between 1 year to 2 patients(11%) after 2 years. The recurrence rate according to growth pattern of tumor or presence of microinvasive findings was not statistically significant, but it increased significantly in clinical tumor stage III than stage IIA, B and in patients with the number of metastatic lymph node over ten. CONCLUSION: Post-operative recurrences of esophageal cancer appear as a high rate even though curative wide resection was done. Several clinical and histo-pathological factors correlate with the recurrence.
Esophageal Neoplasms*
;
Humans
;
Lymph Node Excision
;
Lymph Nodes
;
Prognosis
;
Recurrence*
;
Retrospective Studies
2.Surgical resection of tracheal leiomyoma: A case Report.
Jae Chun SHIM ; Suk Joo RHA ; Keon Hyun JO ; Moon Sub KWACK ; Se Hwa KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(12):965-968
No abstract available.
Leiomyoma*
3.Congenital Cystic Adenomatoid Malformation Associated with Extralobar Pulmonary Sequestration: A case report.
Jae Kwang LEE ; Jong Bum KWEON ; Kuhn PARK ; Moon Sub KWACK ; Sung Bo SIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(7):594-596
Congenital cystic adenomatoid malformation and Extralobar Pulmonary sequestration are very rare congenital anomalies. We experienced a 4 year-old female patient who had Congenital cystic adenomatoid malformation in her lower lobe of left lung. We accidently found extralobar pulmonary sequestration associated with Congenital cystic adenomatoid malformation at operation field. The resection of the left lower lobe and the extralobar pulmonary sequestration were performed. The arterial supply of the extralobar pulmonary sequestration was one anomalous artery arised from the thoracic aorta. The Venous drainage of expralobar pulmonary sequestration was intercostal vein into the azygous vein. The patient was discharged without any problem.
Aorta, Thoracic
;
Arteries
;
Bronchopulmonary Sequestration*
;
Child, Preschool
;
Cystic Adenomatoid Malformation of Lung, Congenital*
;
Drainage
;
Female
;
Humans
;
Lung
;
Veins
4.Tracheoesophageal diversion for chronic aspiration pneumonia.
Sung Bo SIM ; Jae Kil PARK ; Chi Kyung KIM ; Moon Sub KWACK ; Se Wha KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(4):329-332
No abstract available.
Pneumonia, Aspiration*
5.Left pulmonary artery agenesis: one case report.
Yong Hwan KIM ; Keon Hyon JO ; Moon Sub KWACK ; Se Wha KIM ; Hong Kyun LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(1):83-87
No abstract available.
Pulmonary Artery*
6.Surgical treatment of bronchial adenoma: reports of 17 cases.
Seok Whan MOON ; Jeong Seob YOON ; Jae Kil PARK ; Moon Sub KWACK ; Se Wha KIM ; Hong Kyun LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(3):247-257
No abstract available.
Adenoma*
7.Chondrosarcoma of the sternum: one case report.
Jin Yong JEONG ; Hae Young LEE ; Chi Kyung KIM ; Moon Sub KWACK ; Se Wha KIM ; Hong Kyun LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(8):802-806
No abstract available.
Chondrosarcoma*
;
Sternum*
8.Experimental study of retorgrade cerebral perfusion during hypothermic circulatory arrest.
Chi Kyoung KIM ; Jse Chun SHIN ; Young Hwan KIM ; Moon Sub KWACK ; Se Wha KIM ; Hong Kyun LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(7):513-520
No abstract available.
Perfusion*
9.Surgical Treatment of T4 Lung Cancer with the Use of Extracorporeal Circulation: A case report of long-term survival.
Kyu Do CHO ; Min Seop JO ; Jeong Sub YOON ; Chi Kyung KIM ; Moon Sub KWACK
The Korean Journal of Thoracic and Cardiovascular Surgery 2004;37(2):180-183
We report a case of a patient with lung cancer, which invaded the left atrium and pericardium. Right middle and lower lobectomy was performed with the use of the extracorporeal circulation. Postoperative pathologic examination revealed the stage of IIIB (T4N1M0). Although the postoperative clinical course was complicated by acute localized right sided pulmonary edema and the bronchopleural fistula, the patient recovered smoothly after the procedure of omentopexy with pedicled graft of greater omentum in closing the BPF. As of August 2003, he has been followed up for 6 years and he is healthy without any evidence of recurrence. We could not find any report concerning lung cancer resection using cardiopulmonary bypass in Korean literature and believe this is the first report, especially with long-term survival.
Cardiopulmonary Bypass
;
Extracorporeal Circulation*
;
Fistula
;
Heart Atria
;
Humans
;
Lung Neoplasms*
;
Lung*
;
Neoplasm Invasiveness
;
Neoplasm Staging
;
Omentum
;
Pericardium
;
Pulmonary Edema
;
Recurrence
;
Transplants
10.A case Report of Tracheal Lipoma.
Seok Whan MOON ; Min Seop JO ; Kuen Hyon JO ; Young Pil WANG ; Moon Sub KWACK ; Se Wha KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1997;30(4):441-444
Pure lipoma, originating from the trachea is a very rara disease entity A-37-ycar-old-male patient had suf'leered from intermittent episodes of dyspnea and has been treated under the diagnosis of bronchial asthma for 6 months. On chest CT scan and bronchofiberscopic examination, a round mass with the pedunculated neck was found in the mid-portion of the membranous portion of the intrathoracic trachea. Under the guide of fiberoptic bronchoscope, the mass was extirpated using polypectomy w re loop and eletrocauterization. He was discharged without any events on third postoperative day of operation and has been well without recurrence for 6 months.
Asthma
;
Bronchoscopes
;
Diagnosis
;
Dyspnea
;
Humans
;
Lipoma*
;
Neck
;
Recurrence
;
Tomography, X-Ray Computed
;
Trachea