1.Accidental complete transection of bile duct at cholecystectomy.
Journal of the Korean Surgical Society 1992;43(4):612-619
No abstract available.
Bile Ducts*
;
Bile*
;
Cholecystectomy*
2.Successful separation of thoraco-omphalopagus conjoined twins, preoperative evaluation and surgical management.
Journal of the Korean Surgical Society 1992;43(2):273-287
No abstract available.
Twins, Conjoined*
3.Phase II Study of Concurrent Chemotherapy with Etoposide and Cisplatin (EP) and Radiation Therapy for Unresectable Stage III Non-small Cell Lung Cancer.
Nam Hyun HUR ; Choon Taek LEE ; Jae Hag KIM ; Seung Mo NAM ; Yeon Hee PARK ; Baek Yeol RYOO ; Tae You KIM ; Young Hyuck IM ; Yoon Koo KANG ; Mi Sook KIM ; Seong Yul YOO ; Jhin Oh LEE ; Tae Woong KANG
Tuberculosis and Respiratory Diseases 1997;44(4):776-784
BACKGROUND: Various combinations of treatment modalities have been reported in stage III non-small cell lung cancer (NSCLC), however, the standard treatment modality has not established yet. Recently, the efficacy of concurrent chemotherapy and radiation therapy has been reported in locally advanced lung cancer. We evaluate the response rate, toxicity, arid survival of concurrent chemotherapy with etoposide and cisplatin(EP) arid radiation therapy for unresectable stage III NSCLC. METHODS: Between October 1995 and December 1996, 32 patients with histologically proven unresectable stage III NSCLC without, malignant pleural effusion were entered into this study. Twenty-nine patients were eligible for the response, survival, and toxicity analysis. Induction was two cycles of chemotherapy with etoposide arid cisplatin plus concurrent chest RT to 4500cGy. Resection was attempted if the clinical response offered surgical resectability. Boost radiation therapy upto 5940cGy and one cycle of EP were performed if the disease were stable or responsive but still unresectable. RESULTS: Of 29 eligible patients, 22(75.9%) showed partial response(PR). The progression free interval was 6.3months(range 1.1 to 19.5months). Surgical resection was performed in one patient The median survival was l2.1months and one-year survival rate was 50.6%. The major toxicity was leukopenia(> or = grade 3,46%) Thrombocytopenia over grade 3 was found in 1%. Radiation pneumonitis occurred in 13 patients(46%). CONCLUSION: Concurrent chemotherapy(EP) pins radiotherapy was effective and tolerable in the treatment of unresectable stage III NSCLC.
Carcinoma, Non-Small-Cell Lung*
;
Cisplatin*
;
Drug Therapy*
;
Etoposide*
;
Humans
;
Lung Neoplasms
;
Pleural Effusion, Malignant
;
Radiation Pneumonitis
;
Radiotherapy
;
Survival Rate
;
Thorax
;
Thrombocytopenia
4.A case of non small cell lung cancer presenting with systemic lupus erythematosus(SLE).
Seung Seog KI ; Nam Don KIM ; Hyeong Jun KIM ; Young Jin PARK ; Yeon Hee PARK ; Baek Yeol RYOO ; Heung Tae KIM ; Sun Hoo PARK
Korean Journal of Medicine 2002;63(5):600-601
No abstract available.
Small Cell Lung Carcinoma*
5.The Surgical Outcomes of Clavicle Lateral End Fractures Fixed with the Oblique T Locking Compession Plate.
Seung Oh NAM ; Young Soo BYUN ; Dong Ju SHIN ; Jung Hoon SHIN ; Chung Yeol LEE ; Tae Gyun KIM
Journal of the Korean Fracture Society 2011;24(1):41-47
PURPOSE: The purpose of this study is to evaluate the surgical outcomes of the clavicle lateral end fracture fixed with an oblique T locking compression plate (LCP). MATERIALS AND METHODS: Fourteen clavicle lateral end fractures were fixed with the oblique T-LCP and followed up for at least 1 year after the surgery. Thirteen cases were unstable Neer type II fractures and one case was nonunion of the Neer type I fracture. The mean age was 46 years of age (range, 26~70). In ten cases, augmenting sutures with the absorbable suture material were placed in the coraco-clavicular ligament and around the plate and the clavicle to improve the stability of fracture fixation. Autogenous iliac bone graft was done in four cases. The clinical outcomes were evaluated by using UCLA scoring system and KSS (Korean Shoulder Score). RESULTS: The mean UCLA score was 33.5 and the mean KSS was 94.9. Average time of bone union was 11.9 weeks (range, 6~28), including 1 case with a delayed union. There was no complication such as loss of fixation or nonunion. CONCLUSION: Fixation with the oblique T-LCP is a good option providing reliable functional results in clavicle lateral end fractures.
Clavicle
;
Fracture Fixation
;
Ligaments
;
Shoulder
;
Sutures
;
Transplants
6.Clinical outcomes of vitrified-thawed embryo transfer using a pull and cut straw method.
Joon Gyo LIM ; Young Tae HEO ; Seung Gi MIN ; Byeong Yeol MIN ; Sang Jun UHM ; Nam Hyung KIM
Obstetrics & Gynecology Science 2013;56(3):182-189
OBJECTIVE: To compare the clinical outcomes of patients with vitrified-thawed embryos transferred using either the 0.25 mL straw method and the pull and cut straw (PNC) method. To evaluate the clinical outcomes of patients with transferred embryos that underwent assisted hatching at the cleaved embryo (day 3) or the blastocyst (day 5) stage. METHODS: The study population consisted of women who underwent vitrified-warmed embryo transfer between May 2000 and December 2011 and assisted hatching was performed after warming of embryos. Cycles of thawing between assisted hatching treated and non treated groups were compared for survival and pregnancy rates. RESULTS: The PNC vitrification method improved survival and pregnancy rates in partial lysed embryos. While assisted hatching did not affect the developmental and clinical pregnancy rates of the vitrified-warmed blastocyst group, it did increase the pregnancy rate of poor quality vitrified-warmed cleaved embryos. CONCLUSION: These results suggest that PNC may increase the number of clinical pregnancies via the vitrification of both cleaved embryos and blastocysts. In addition, selective assisted hatching treatment of embryos that show a poor prognosis after warming may increase the rate of clinical pregnancy.
Blastocyst
;
Embryo Transfer
;
Embryonic Structures
;
Female
;
Humans
;
Pregnancy
;
Pregnancy Rate
;
Prognosis
;
Vitrification
7.A Case of Pyloric Obstruction Caused by Self-expandable Metallic Stent for Palliation of Malignant Dysphagia.
Yeon Hee PARK ; Young Soo DO ; Yoon Koo KANG ; Nam Hyun HUR ; Baek Yeol RYOO ; Tae You KIM ; Young Hyuck IM ; Jhin Oh LEE ; Tae Woong KANG
Journal of the Korean Cancer Association 1997;29(3):534-539
Placement of the self-expandable metallic stents for palliative treatment of malignant esophagogastric strictures has been thought to be easy, fast and effective method than conventional methods (bypass procedures, radiation therapy, laser treatment, esophageal intubation, etc.). The expandable metallic stent tubes were found to overcome some of the limitations of nonexpandable conventional tubes. Their implantation is better tolerated and safer than that of nonexpandable tubes, because the risks of migration and perforation are lower.On our knowledge, there has been no report of pyloric obstruction after this metallic stent insertion.We hereby report a case of pyloric obstruction caused by a migrated self-expandable metallic stent for palliative treatment of malignant esophageal stricture.
Constriction, Pathologic
;
Deglutition Disorders*
;
Esophageal Neoplasms
;
Esophageal Stenosis
;
Intubation
;
Laser Therapy
;
Palliative Care
;
Stents*
8.Surgical Management of Critical Pulmonary Stenosis: A case report.
Tae Yeol JUNG ; Dong Gyu BAN ; Hyuck KIM ; Young Hak KIM ; Won Sang CHUNG ; Jeong Ho KANG ; Heng Ok JEE ; Chul Bum LEE ; Nam Su KIM ; Jung Kuk SEOH
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(12):963-967
Although pulmonary valvular stenosis with intact ventricular septum is a common congenital abnormality, critical pulmonary stenosis of its severe form in the neonate is rare and highly fatal. With the development of percutaneous balloon valvuloplasty, surgical treatment is even more rare. This report is on a 2 day old male neonate with a critical pulmonary stenosis with intact ventricular septum who suffered from severe cyanosis and hypoxemia. Oxygen was inhalated and Prostaglandin E1 was infused initially and then arterial PO2 was increased from 19 mmHg to 54 mmHg. Percutaneous balloon valvuloplasty was attemped; however, the guidewire could not pass through the stenotic pulmonary valve, and during the procedure right ventricular perforation was suspected due to the presence of dye in the pericardial space. Emergency transarterial pulmonary valvotomy was performed using normothermic cardiopulmonary bypass. Postoperatively, the patient was in fair condition in the ICU and presently is in good condition at 6 months postoperative follow up.
Alprostadil
;
Anoxia
;
Balloon Valvuloplasty
;
Cardiopulmonary Bypass
;
Congenital Abnormalities
;
Constriction, Pathologic
;
Cyanosis
;
Emergencies
;
Follow-Up Studies
;
Humans
;
Infant, Newborn
;
Male
;
Oxygen
;
Pulmonary Valve
;
Pulmonary Valve Stenosis*
;
Ventricular Septum
9.A Clinical Review of Geriatric Patients with Pelvic Bone Fractures.
Dong Won KIM ; Jeong Yeol SEO ; Moo Eob AHN ; Jae Sung LEE ; Tae Hun LEE ; Nam Ho KIM ; Jun Hwi CHO ; Joong Bum MOON ; Chan Woo PARK
Journal of the Korean Geriatrics Society 2010;14(4):221-226
BACKGROUND: The purpose of this study was to compare clinical aspects of pelvic fractures in an aged group with a non-aged group and to delineate its characteristics to improve prevention and treatment. METHODS: Medical records and radiological examinations of 100 cases were reviewed. Two groups were created, older than 65 years and younger than 65 years. In addition, the following were carefully examined and recorded-gender distribution, cause and types of fractures, associated injuries, Injury Severity Score (ISS), Glasgow Coma Scale, need for intensive care unit admission, duration of hospitalization, and mortality rate. RESULTS: A difference in gender distribution was seen with 12 males and 26 females in the aged group and 35 males and 27 females in the non-aged group (p<0.05). The mechanism of injury for the aged group in decreasing order was pedstrian accidents, falls, and passenger accidents while it was passenger accidents, pedestrian accidents, and falls for the non-aged group (p<0.05). Level of severity was higher in the non-aged group for fracture type, ISS, Glasgow Coma Scale, intensive care unit admission, and hospitalization duration. However, when ISS was greater than 15, this was seen in the aged group with also a higher mortality rate in the same group. CONCLUSION: Education and prevention, particularly about gender distribution and mechanism of injury, of pelvic fractures in the aged population are needed, and because of the potential seriousness of fractures in the elderly, active assessment and treatment are also necessary.
Aged
;
Female
;
Glasgow Coma Scale
;
Hospitalization
;
Humans
;
Injury Severity Score
;
Intensive Care Units
;
Male
;
Medical Records
;
Pelvic Bones
10.2006 KOSAR Recommendations for Investigation, Treatment and Monitoring of LOH in Males.
Moon Jong KIM ; Yumie RHEE ; Ju Tae SEO ; Dae Yeol YANG ; Du Geon MOON ; Nam Cheol PARK ; Je Jong KIM
Korean Journal of Andrology 2008;26(1):8-10
Androgen deficiency in the aging male has become a topic of increasing interest and debate throughout the world. The evidence from results showing that testosterone decrease progressively with age and that a significant percentage of men over the age 60 years have serum testosterone levels that are below the lower limits of young adults(age 20~30) men suggest that older hypogonadal men will benefit from testosterone replacement therapy. Long term data on the effects of testosterone replacement therapy in the older population, however, are limited and specific risk data on the prostate and cardiovascular systems are needed. Key questions of functional benefits that may retard frailty of the elderly are not yet available. The recommendations described below were based on document suggested by the International Society of Andrology(ISA), the International Society for the Study of the Aging Male(ISSAM) and the European Association of Urology(EAU) in 2005. The academic committee of the Korean Society for the Aging Male Research(KOSAR) suggested these recommendations to provide the appropriate information about investigation, treatment and monitoring for late-onset hypogonadism in aging Korean men following an annual meeting in October 2006.
Aged
;
Aging
;
Cardiovascular System
;
Humans
;
Hypogonadism
;
Male
;
Prostate
;
Testosterone