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Journal of the Korean Surgical Society

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https://www.readbyqxmd.com/read/24368991/a-peterson-s-hernia-and-subsequent-small-bowel-volvulus-surgical-reconstruction-utilizing-transverse-colon-as-a-new-roux-en-y-limb-1-case
#1
Jae Seong Jang, Dong Gue Shin
Peterson's hernia is an internal hernia that can occur after Roux-en-Y anastomosis. It often accompanies small bowel volvulus and is prone to strangulation. Reconstruction of intestinal continuity after massive small bowel resection in a patient who undergoes near total gastrectomy and Roux-en-Y anastomosis can be difficult. A 74-year-old man who had undergone a near total gastrectomy and Roux-en-Y gastrojejunostomy for stomach cancer presented with abdominal pain. The preoperative computed tomography showed strangulated small bowel volvulus...
December 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24368990/perineal-accessory-scrotum-with-a-lipomatous-hamartoma-in-an-adult-male
#2
Jong Im Lee, Ho Geun Jung
Accessory scrotum is a rare congenital anomaly that is often associated with perineal tumor or other developmental abnormalities. Because most cases are diagnosed and treated in early childhood, little is known about the natural biologic course of this entity and associated lesions through time. We present a case of accessory scrotum associated with lipomatous hamartoma in a 46-year-old man who was born with a perineal mass. We evaluate the clinicopathologic features and discuss the pathogenesis with a review of the literature...
December 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24368989/torsion-of-the-gallbladder-in-pregnancy
#3
Seung Eun Lee, Yoo Shin Choi, Beom Jin Kim
Torsion of the gallbladder is a rare condition that is difficult to diagnose preoperatively, but prompt surgical intervention is necessary to avoid possible sepsis and death. A 36-year-old pregnant woman presented to Emergency Department with a constant epigastric pain at 17 weeks of gestation. Abdominal ultrasonography and magnetic resonance imaging demonstrated a distended gallbladder that contained no stones but had mild wall thickening. Laparoscopic cholecystectomy using three ports was performed under the impression of an acalculous cholecystitis...
December 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24368988/inhibition-of-intimal-hyperplasia-by-local-perivascular-application-of-rapamycin-and-imatinib-mesilate-after-carotid-balloon-injury
#4
Daedo Park, Suh Min Kim, Sang-Il Min, Jongwon Ha, In-Gyu Kim, Seung-Kee Min
PURPOSE: Inhibition of the intimal hyperplasia after vascular surgery is an important issue. The purpose of this study is to define whether perivascular application of rapamycin, imatinib mesylate or cysteamine can reduce intimal hyperplasia in a carotid balloon injury model. METHODS: Each drug was mixed with 40% pluronic gel solution and was topically applied over the injured carotid artery evenly. Two or four weeks after injury, the arteries were harvested and morphometric analysis was done...
December 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24368987/feasibility-and-safety-of-laparoscopic-resection-following-stent-insertion-for-obstructing-left-sided-colon-cancer
#5
Seoung Yoon Rho, Sung Uk Bae, Se Jin Baek, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
PURPOSE: The aim of this study was to assess the feasibility and safety of laparoscopic resection following the insertion of self-expanding metallic stents (SEMS) for the treatment of obstructing left-sided colon cancer. METHODS: Between October 2006 and December 2012, laparoscopic resection following SEMS insertion was performed in 54 patients with obstructing left-sided colon cancer. RESULTS: All 54 procedures were technically successful without the need for conversion to open surgery...
December 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24368986/clinical-utility-of-tumor-marker-cutoff-ratio-and-a-combination-scoring-system-of-preoperative-carcinoembryonic-antigen-carbohydrate-antigen-19-9-carbohydrate-antigen-72-4-levels-in-gastric-cancer
#6
Jong-Chan Lee, Se Youl Lee, Chan Young Kim, Doo Hyun Yang
PURPOSE: The present study is to investigate the clinical utility of tumor marker cutoff ratio (TMR) and develop a TMR combination scoring system based on preoperative tumor marker (TM) levels to prognosis prediction in gastric cancer. METHODS: We include 1,142 patients for whom two or more TMs were measured and who underwent radical gastrectomy between 1990 and 2003. RESULTS: Five-year risk of recurrence (5 YRR) for carcinoembryonic antigen (CEA) TMRs were 18...
December 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24368985/the-comparison-of-single-incision-laparoscopic-cholecystectomy-and-three-port-laparoscopic-cholecystectomy-prospective-randomized-study
#7
Ugur Deveci, Umut Barbaros, Mahmut Sertan Kapakli, Manuk Norayk Manukyan, Selçuk Simşek, Abut Kebudi, Selçuk Mercan
PURPOSE: Laparoscopic techniques have allowed surgeons to perform complicated intra-abdominal surgery with minimal trauma. Single incision laparoscopic surgery (SILS) was developed with the aim of reducing the invasiveness of conventional laparoscopy. In this study we aimed to compare results of SILS cholecystectomy and three port conventional laparoscopic (TPCL) cholecystectomy prospectively. METHODS: In this prospective study, 100 patients who underwent laparoscopic cholecystectomy for gallbladder disease were randomly allocated to SILS cholecystectomy (group 1) or TPCL cholecystectomy (group 2)...
December 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24368984/the-optimal-follow-up-period-in-patients-with-above-5-year-disease-free-survival-after-curative-liver-resection-for-hepatocellular-carcinoma
#8
Sang Hyun Ahn, Sung Hoon Kim, Gi Hong Choi, Jin Sub Choi, Kyung Sik Kim
PURPOSE: Although many patients with hepatocellular carcinoma experience recurrence within 2 years after hepatectomy, some patients with T1 and T2 hepatocellular carcinoma show recurrence-free survival for more than 5 years after surgery. This study was designed to analyze the optimal follow-up period on patients with T1 and T2 hepatocellular carcinoma (HCC) showing recurrence-free survival 5 years after surgery. METHODS: One hundred seventy patients underwent hepatectomy from January 1995 to December 1999...
December 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24368983/variation-or-newly-identified-glissonian-pedicles-between-the-lateral-and-medial-sections-of-the-liver-using-cadaver-dissection
#9
In-Gyu Kim, Weiguang Xu, Hee-Jung Wang, Yong-Keun Park, Bong-Wan Kim
PURPOSE: Studies of liver anatomy have developed alongside clinical achievements, as these types of research complement each other. The aim of this study is to determine whether or not the portal vein branches (P4d) in 'Nagino's trisectionectomy' exist, and to examine their characteristics using cadaver dissection. METHODS: From April 2012 to July 2012, 31 adult cadavers were delicately dissected. We defined a 'NewGP' as an extra glissonian pedicle (GP) other than the traditional GPs that supply segments II, III, IVa, and IVb in the ordinary direction, and anatomically located superior to the umbilical fissure (UF)...
December 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24368982/effect-of-quercetin-on-apoptosis-of-panc-1-cells
#10
Joo Hyun Lee, Han-Beom Lee, Gum O Jung, Jung Taek Oh, Dong Eun Park, Kwon Mook Chae
PURPOSE: To investigate the chemotherapeutic effect of quercetin against cancer cells, signaling pathway of apoptosis was explored in human pancreatic cells. METHODS: Various anticancer drugs including adriamycin, cisplatin, 5-fluorouracil (5-FU) and gemcitabine were used. Cell viability was measured by 3-[4,5-dimethylthiazol-2-yl]-2,5-diphe-nyltetra zolium bromide assay. Apoptosis was determined by 4'-6-diamidino-2-phenylindole nuclei staining and flow cytometry in PANC-1 cells treated with 50 µg/mL quercetin for 24 hours...
December 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24266017/use-of-video-assisted-thoracoscopic-surgery-to-retrieve-a-broken-guidewire
#11
Jin-Beom Cho, Il-Young Park, Ki-Young Sung, Jong-Min Baek, Jun-Hyun Lee, Do-Sang Lee
Subclavian venous catheterization was once widely used for volume resuscitation, emergency venous access, chemotherapy, parenteral nutrition, and hemodialysis. However, its use has drastically reduced recently because of life-threatening complications such as hemothorax, pneumothorax. In this case, a patient admitted for a scheduled operation underwent right subclavian venous catheterization for preoperative, intraoperative, and postoperative volume resuscitation and parenteral nutrition. The procedure was performed by an experienced senior resident...
November 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24266016/abdominal-wall-defect-with-large-duodenal-disruption-treated-by-a-free-tissue-flap-with-a-help-of-temporary-expandable-metallic-stent
#12
Jung-Hoon Park, Suk-Kyung Hong, Ho-Young Song, Eun Key Kim, Sung Koo Lee, Yooun Joong Jung
Abdominal wall defect with large duodenal disruption after penetrating abdominal injury is a rare emergency situation that can result in life-threatening complications. We report on a 64-year-old man who had abdominal wall defect with large duodenal disruption after penetrating abdominal injury. The patient presented with intra-abdominal exsanguinating bleeding, duodenal disruption, and multiple small bowel perforation. The rarity of this complex injury and its initial presentation as a posttraumatic large duodenal disruption with abdominal wall defect warrant its description...
November 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24266015/comparison-of-limberg-flap-and-excision-and-primary-closure-of-pilonidal-sinus-disease-in-terms-of-quality-of-life-and-complications
#13
Ahmet Serdar Karaca, Rıdvan Ali, Muzaffer Capar, Sezar Karaca
PURPOSE: The aim of this study was to compare two different treatment methods for pilonidal sinus with respect to complications, recurrence, and patient quality of life. METHODS: Five hundred forty-nine patients who underwent surgery for pilonidal sinus between January 2007 and August 2012 were included in this study. The patients were classified into group I (excision and primary closure) and group II (Limberg flap). RESULTS: There was no significant difference in the mean age and gender of the patients between groups I and II (P = 0...
November 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24266014/evaluation-of-cytolytic-activity-and-phenotypic-changes-of-circulating-blood-immune-cells-in-patients-with-colorectal-cancer-by-a-simple-preparation-of-peripheral-blood-mononuclear-cells
#14
Jae Cheol Kim, Joungbum Choi, Su Jin Lee, Yun A Lee, Young Min Jeon, Yong Won Kang, Jong Kyun Lee
PURPOSE: This study aimed to assess the cytolytic activity and the phenotype of circulating blood immune cells in cancer patients by using a simple preparation of peripheral blood mononuclear cells (PBMCs). METHODS: Peripheral blood was obtained from 94 diagnosed colorectal cancer (CRC) patients and 112 healthy donors. PBMCs were cocultured with K562 cells for 2 hours and lactate dehydrogenase released from the dead K562 cells was measured by using a spectrophotometer...
November 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24266013/early-experience-of-laparoscopic-choledochal-cyst-excision-in-children
#15
Joon-Hyop Lee, Soo-Hong Kim, Hyun-Young Kim, Young Hoon Choi, Sung-Eun Jung, Kwi-Won Park
PURPOSE: Laparoscopic choledochal cyst excision with Roux-en-Y hepaticojejunostomy (LCE) in children is being attempted more frequently around the world, and although it has been performed in Korea, no publication has been published on it. However, cholangitis and/or pancreatitis are limitations that make open conversion more likely. The aims of this study, through a retrospective clinical analysis, were to prove the efficacy of LCE in children and to validate that preoperative management expands its indications...
November 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24266012/the-effects-of-flavanoid-on-the-treatment-of-hepatopulmonary-syndrome
#16
Talha Atalay, Murat Cakir, Ahmet Tekin, Tevfik Kucukkartallar, Suleyman Kargin, Adil Kartal, Adnan Kaynak
PURPOSE: Hepatopulmonary syndrome is an arterial oxygenation disorder brought about by advanced liver failure and pulmonary vascular dilatations. The reason why hypoxia develops in hepatopulmonary syndrome depends on the broadening of perialveolar capillary veins. Our study aims to investigate the effects of Flavanoid on hepatopulmonary syndrome through its inhibition of nitric oxide. METHODS: Three groups, each having 8 rats, were formed within the scope of our study...
November 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24266011/prognostic-factors-following-surgical-resection-of-distal-bile-duct-cancer
#17
Young Jae Chung, Dong Wook Choi, Seong Ho Choi, Jin Seok Heo, Dong Hun Kim
PURPOSE: Prognostic factors for distal bile duct cancer are contentious. This study was conducted to analyze the prognostic factors of distal bile duct cancer after surgery with the aim of identifying those associated with diminished survival. METHODS: Two hundred forty-one patients who underwent pylorus-preserving pancreaticoduodenectomy (PPPD) or Whipple procedure in our tertiary hospital from February 1995 to June 2011 were retrospectively analyzed. All patients were pathologically proven to have distal bile duct adenocarcinoma...
November 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24266010/aromatase-inhibitor-associated-musculoskeletal-symptoms-incidence-and-associated-factors
#18
Jin Young Park, Se Kyung Lee, Soo Youn Bae, Jiyoung Kim, Min Kuk Kim, Won Ho Kil, Jeong Eon Lee, Seok Jin Nam
PURPOSE: Arthralgia is the most common side effect in breast cancer patients receiving aromatase inhibitor (AI) therapy. Few studies have evaluated the risk factors, onset, and incidence of musculoskeletal pain in these patients. This study identifies the risk factors of AI-related severe arthralgia and their prevalence. METHODS: All the clinical and pathological records of postmenopausal patients diagnosed with invasive breast cancer using AI at Samsung Medical Center from January 2005 to November 2007 were reviewed...
November 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24266009/antiadhesive-effect-and-safety-of-sodium-hyaluronate-carboxymethyl-cellulose-membrane-in-thyroid-surgery
#19
Dong Sik Bae, Jung-Woo Woo, Se Hyun Paek, Hyungju Kwon, Young Jun Chai, Su-Jin Kim, June Young Choi, Kyu Eun Lee, Yeo-Kyu Youn
PURPOSE: A number of researchers have suggested the use of sodium hyaluronate carboxymethyl cellulose (HA-CMC) membrane for preventing postoperative adhesion. This study evaluated the antiadhesive effect and safety of HA-CMC membrane in thyroidectomy for papillary thyroid cancer. METHODS: One hundred sixty-two patients who underwent thyroidectomy were prospectively randomized. In the study group of 80 patients, the 7.5 cm × 13 cm HA-CMC membrane was applied to the operative field after thyroidectomy...
November 2013: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/24106688/preduodenal-portal-vein-a-3-case-series-demonstrating-varied-presentations-in-infants
#20
Soo-Hong Kim, Yong-Hoon Cho, Hae-Young Kim
Preduodenal portal vein, a rare anomaly, could be found in any age groups. In pediatrics it may present with a duodenal obstruction by itself or other coexisting anomalies; however it usually present with an asymptomatic or incidental findings during other surgery in adults. This anomaly has a clinical importance due to the possibility of accidental damage to portal vein. In addition to describing a series of 3 cases with different manifestation in infants, discuss about this anomaly with a review of relevant literature...
October 2013: Journal of the Korean Surgical Society
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