No abstract available.
Chungcheongnam-do* ; Gallstones*

We performed ERCP manometry of Sphincter of Oddi(SO) before and after endoscopic sphincterotomy(EST) for evaluation of the effect af EST on the SO. The subjects were postcholecystectomized common bile duct stone patients(n=l2) and EST was performed by major incision. The pressure gradient between common bile duct and duodenum before EST (8.6 + 3.9 mmHg) decreased significantly after EST(2.4 +1.7 mmHg). The length of SO before EST(8.8 + 0.8mmHg) decreased significantly after EST(2.5 + 0.8mm). But in each patient, the pressure gradient between common bile duct and duodenum remained in spite of the major incision. In conclusion, EST alters the function of the sphincter of the Oddi, but does not destroy its all protective function. The positive pressure in the bile duct is preserved in contrast to the absolute loss of pressure following surgical transduodenal sphincteroplasty.
Bile Ducts ; Cholangiopancreatography, Endoscopic Retrograde ; Common Bile Duct ; Duodenum ; Humans ; Manometry* ; Sphincter of Oddi* ; Sphincterotomy, Endoscopic* ; Sphincterotomy, Transhepatic

From July 1989 to August 1991, we performed 146 cases of endoscopic sphincterotomy(EST). In our series, 9 early complications occurred in 146 cases(morbidity rate: 6.2%), and no fatalities were recognized(mortality rate:0). Four cases with late complications consisted of 2 cases of acute cholecystitis, one case of chalaagitis and restenosis. There were 36 with the gallbladder with stone(11 cases) or without stone(25 cases). Two cases with chalecystitis after EST occurred in the patients with gallbladder stones. EST gives the sufficient result in diagnosis and treatment for various disease of biliary tract. Furthermore, EST was found to be a safe procedure from low rates of complications and fatalities.
Biliary Tract ; Cholecystitis, Acute ; Diagnosis ; Gallbladder ; Humans ; Sphincterotomy, Endoscopic*

Seven cases of retroperitoneal laparoscopic lumbar sympathectomy were successfully performed in 10 patients with ischemic lesions of lower limbs or ischemic rest pain between June, 1996 and October, 1996. All patients had nonreconstructable distal vessels on femoral angiogram. Our techniques of retroperitoneal laparoscopic lumbar sympathectomy is described in detail. Procedure offers the advantage of minimally invasive surgery and can be performed more efficiently as the experience of the surgeon accumulates.
Humans ; Lower Extremity ; Surgical Procedures, Minimally Invasive ; Sympathectomy*

No abstract available.
Vascular Access Devices*

No abstract available.
Cholecystectomy*

Endoscopic retrograde cholangiopancreatography(ERCP) and its therapeutic developments have become popular in the managemtnt of patients with biliary and pancreatic disease. But certain to anatomical arrangements such as Billroth II partial gastrectomy may cause technical difficulty In the patients with a previous Billroth-II resection, it may be difficult to enter the afferent loop Selectively; and to reach and identify the papilla. Cannulation and sphincterotomy are more difficult because of the direction of approach. Endoscopic retrograde cholangiopancreatography(ERCP) and/or endoscopic sphineterotomy (EST) was perfomed on 12 patients, who had received Billroth II gastrectomy. We could achieve successful cholangiogram in 9 patients(75%) out of 12 patients, And EST was done successfully in 5 patients(83%) out of 6 patients.
Catheterization ; Cholangiopancreatography, Endoscopic Retrograde* ; Gastrectomy ; Gastroenterostomy ; Humans ; Pancreatic Diseases ; Sphincterotomy, Endoscopic*

No abstract available.
Child* ; Humans

Resection of hepatic tumors located near the confluence of hepatic vein or invading retrohepatic vena cava has become technically feasible and relatively safe with the introduction of veno-venous bypass. Hepatic vascular exclusion(HVE) with the aid of veno-venous bypass using centrifugal pump enables safe resection and reconstruction of vena cava without hemodynamic instability, compared to conventional HVE. The authors report a case of a successful en bloc resection of right lobe and caudate process of liver, right adrenal, right kidney, and retrohepatic vena cava, in order to extirpate huge retroperitoneal tumor, with the aid of veno-venous bypass using centrifugal pump. Pathologic diagnosis revealed B cell type non Hodgkin's lymphoma arising from adrenal gland. After resection, caval defect was reconstructed with Dacron graft. Patency of reconstructed cava could be observed at five months postoperatively.
Adrenal Glands ; Diagnosis ; Hemodynamics ; Hepatic Veins ; Kidney* ; Liver* ; Lymphoma, Non-Hodgkin ; Polyethylene Terephthalates ; Transplants

No abstract available.
Acidosis, Renal Tubular*