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World Journal of Hepatology 2011年第9期3卷 256-261页

作者： Hee Sang Hwang Nam Du Ha Yoong ki Jeong Jae Hee Suh Hye Jeong choi Young Min kim Hee Jeong Cha Department of Pathology University of Ulsan College of Medicine Asan Medical Center Department of Radiology University of Ulsan College of Medicine Ulsan University Hospital Department of Pathology University of Ulsan College of Medicine

Primary hepatic malignant fibrous histiocytoma (MFH) is rarely encountered. There have been no reports to date of hepatic MFH associated with liver cirrhosis. The presence of liver cirrhosis is considered an adjunctive feature favoring sarcomatoid hepatocellular carcinoma (HCC) in the diagnosis of spindle cell tumors in liver. We describe here a 59-year-old man with liver cirrhosis due to hepatitis B virus infection 20 years ago. On abdominal computed tomography scanning, two distinct hepatic masses were identified in the background of cirrhosis, which had different radiological features from conventional HCC. He underwent segmentectomy for removal of the tumors. The pathological examination of surgically resected specimen revealed the large malignant spindle cell tumor and small conventional HCC. Additional tissue sampling and immunohistochemical stainings demonstrated that the spindle cell tumor was consistent with MFH. On the post-operative follow-up for 21 mo, a round mass showing similar radiological findings for the previous MFH was appeared on the surface of resection margin, suggesting the recurrence. Despite its rarity, hepatic MFH should be considered during differential diagnosis, even in cirrhotic patients, and extensive tissue sampling and immunohistochemical analyses are necessary in the diagnosis of hepatic spindle cell tumors.

关键词： Liver neoplasm Malignant fibrous histiocytoma Hepatocellular carcinoma Liver cirrhosis

Characteristics of nonvariceal upper gastrointestinal hemorrhage in patients with chronic kidney disease

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World Journal of Gastroenterology 2013年第43期19卷 7719-7725页

作者： Chang Seok Bang Yong Seop Lee Yun Hyeong Lee Hotaik Sung Hong Jun Park Hyun Soo kim Jin Bong kim Gwang Ho Baik Yeon Soo kim Jai hoon Yoon Dong Joon kim ki Tae Suk Department of Internal Medicine Hallym University College of MedicineChuncheon 200-704South Korea Department of Biology Stanford UniversityStanfordCA 94305United States Department of Internal Medicine Yonsei University Wonju College of MedicineWonju 220-786South Korea

AIM:To evaluate the clinical characteristics of nonvariceal upper gastrointestinal hemorrhage(NGIH)in patients with chronic kidney disease(CKD).METHODS:From 2003 to 2010,a total of 72 CKD patients(male n=52,72.2%;female n=20,27.8%)who had undergone endoscopic treatments for NGIH were retrospectively *** findings,endoscopic features,prognosis,rebleeding risk factors,and mortality-related factors were *** characteristics of the patients and rebleeding-related data were recorded for the following variables:gender,age,alcohol use and smoking history,past hemorrhage history,endoscopic findings(the cause,location,and size of the hemorrhage and the hemorrhagic state),therapeutic options for endoscopy,endoscopist experience,clinical outcomes,and ***:The average size of the hemorrhagic site was 13.7±10.2 mm,and the most common hemorrhagic site in the stomach was the antrum(n=21,43.8%).The most frequent method of hemostasis was combination therapy(n=32,44.4%).The incidence of rebleeding was 37.5%(n=27),and 16.7%(n=12)of patients expired due to *** a multivariate analysis of the risk factors for rebleeding,alcoholism(OR=11.19,P=0.02),the experience of endoscopists(OR=0.56,P=0.03),and combination endoscopic therapy(OR=0.06,P=0.01)compared with monotherapy were significantly related to rebleeding after endoscopic *** a risk analysis of mortality after endoscopic therapy,only rebleeding was related to mortality(OR=7.1,P=0.02).CONCLUSION:Intensive combined endoscopic treatments by experienced endoscopists are necessary for the treatment of NGIH in patients with CKD,especially when a patient is an alcoholic.

关键词： Chronic kidney diseases Gastrointestinal hemorrhage Endoscopy Peptic ulcer Alcoholics

Prognostic value of inflammation-based markers in patients with pancreatic cancer administered gemcitabine and erlotinib

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World Journal of Gastrointestinal Oncology 2016年第7期8卷 555-562页

作者： Jae Min Lee Hong Sik Lee Jong Jin Hyun Hyuk Soon choi Eun Sun kim Bora Keum Yeon Seok Seo Yoon Tae Jeen hoon Jai Chun Soon Ho Um Chang Duck kim Division of Gastroenterology and Hepatology Department of Internal Medicine Korea University College of Medicine

AIM: To evaluate the value of systemic inflammationbased markers as prognostic factors for advanced pancreatic cancer(PC). METHODS: Data from 82 patients who underwent combination chemotherapy with gemcitabine and erlotinib for PC from 2011 to 2014 were collected retrospectively. Data that included the neutrophil-to-lymphocyte ratio(NLR), the platelet-to-lymphocyte ratio, and the C-reactive protein(CRP)-to-albumin(CRP/Alb) ratio were analyzed. Kaplan-Meier curves, and univariate and multivariate Cox proportional hazards regression analyses were used to identify the prognostic factors associated with progression-free survival(PFS) and overall survival(OS). RESULTS: The univariate analysis demonstrated the prognostic value of the NLR(P = 0.049) and the CRP/Alb ratio(P = 0.047) in relation to PFS, and a positiverelationship between an increase in inflammation-based markers and a poor prognosis in relation to OS. The multivariate analysis determined that an increased NLR(hazard ratio = 2.76, 95%CI: 1.33-5.75, P = 0.007) is an independent prognostic factor for poor OS. There was no association between the PLR and the patients' prognoses in those who had received chemotherapy that comprised gemcitabine and erlotinib in combination. The Kaplan-Meier method and the log-rank test determined significantly worse outcomes in relation to PFS and OS in patients with an NLR > 5 or a CRP/Alb ratio > ***: Systemic inflammation-based markers, including increases in the NLR and the CRP/Alb ratio, may be useful for predicting PC prognoses.

关键词： Pancreatic cancer Neutrophil-to-lymphocyte ratio C-reactive protein Albumin Prognostic factor

Diversity of bacterial and fungal strains isolated from coastal sand-dunes in Korea

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Diversity of bacterial and fungal strains isolated from coas...

Rare case of pancreatic cancer with leptomeningeal carcinomatosis

中国菌物学会2016年学术年会

作者： Minji Jeong ki-Eun Lee Min-Kyeong kim Kyoung-Mi kim Hyun kim Yoon-Jong Nam Yoosun Oh Hyerim choi Nan-Yeong Lee Jong-Guk kim Myung-Suk Kang Department of Life Sciences and Biotechnology Institute for MicroorganismsKyungpook National University

＜正＞Microbial cultures were collected from roots of plants（11 species）in three coastal sand-dunes（Sinduri,Goraebul,Sowhang）in *** amplification of the 16S r RNA genes were conducted using the forward primer 27F and the reverse primer1492R and sequencing of the genes was performed by using Big Dye Terminator cycle Sequencing Ready Reaction kit.160 isolates were identified:Sinduri coastal

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World Journal of Gastroenterology 2015年第3期21卷 1020-1023页

作者： In Kyung Yoo Hong Sik Lee Chang Duk kim hoon Jai Chun Yoon Tae Jeen Bora Keum Eun Sun kim Hyuk Soon choi Jae Min Lee Seung Han kim Seung Joo Nam Jong Jin Hyun Division of Gastroenterology and Hepatology Department of Internal MedicineInstitute of Digestive Disease and NutritionKorea University College of MedicineSeoul 136-705South Korea Division of Gastroenterology and Hepatology Department of Internal MedicineKorea University Ansan Hospital 123Gyeonggi-do 425-707South Korea

Leptomeningeal carcinomatosis occurs very rarely in patients with pancreatic *** is characterized by multifocal seeding of the leptomeninges by malignant cells that originate from a solid *** the best of our knowledge,brain metastasis from pancreatic cancer is extremely *** carcinomatosis is estimated to occur in 3% to 8% of cases of solid *** clinical manifestation usually involves neurological symptoms,including dizziness,headache,vomiting,nausea,and hemiparesis,symptoms similar to those of meningitis or brain *** methods for leptomeningeal carcinomatosis include brain magnetic resonance imaging and cerebrospinal fluid ***,we describe a case of leptomeningeal carcinomatosis in which the primary tumor was later determined to be pancreatic *** magnetic resonance imaging findings showed mild enhancement of the leptomeninges,and cerebrospinal fluid cytology was negative at ***,after repeated spinal taps,atypical cells were observed on cerebrospinal fluid analysis and levels of tumor markers such as carbohydrate antigen 19-9 in cerebrospinal fluid were *** computed tomography,performed to determine the presence of extracerebral tumors,revealed pancreatic *** cancer was confirmed histopathologically on examination of an endoscopic ultrasound-guided fine needle aspiration specimen.

关键词： Pancreatic cancer Radiation therapy Tumor marker L

Robotic versus laparoscopic liver resection for huge (≥10 cm) liver tumors: an international multicenter propensity-score matched cohort study of 799 cases

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Hepatobiliary Surgery and Nutrition 2023年第2期12卷 205-215,I0005页

作者： Tan-To Cheung Rong Liu Federica Cipriani Xiaoying Wang Mikhail Efanov David Fuks Gi-Hong choi Nicholas L.Syn Charing C.N.Chong Fabrizio Di Benedetto Ricardo Robles-Campos Vincenzo Mazzaferro Fernando Rotellar Santiago Lopez-Ben James O.Park Alejandro Mejia Iswanto Sucandy Adrian K.H.Chiow Marco V.Marino Mikel Gastaca Jae hoon Lee TPeter kingham Mathieu D’Hondt Sung hoon choi Robert P.Sutcliffe Ho-Seong Han Chung-Ngai Tang Johann Pratschke Roberto I.Troisi Go Wakabayashi Daniel Cherqui Felice Giuliante Davit L.Aghayan Bjorn Edwin Olivier Scatton Atsushi Sugioka Tran Cong Duy Long Constantino Fondevila Mohammad Abu Hilal Andrea Ruzzenente Alessandro Ferrero Paulo Herman Kuo-Hsin Chen Luca Aldrighetti Brian K.P.Goh International robotic and laparoscopic liver resection study group investigators Department of Surgery Queen Mary HospitalThe University of Hong KongHong Kong SARChina Faculty of Hepatopancreatobiliary Surgery The First Medical Center of Chinese People’s Liberation Army(PLA)General HospitalBeijingChina Hepatobiliary Surgery Division IRCCS San Raffaele HospitalMilanItaly Department of Liver Surgery and Transplantation Liver Cancer InstituteZhongshan HospitalFudan UniversityShanghaiChina Department of Hepato-Pancreato-Biliary Surgery Moscow Clinical Scientific CenterMoscowRussia Department of Digestive Oncologic and Metabolic SurgeryInstitute Mutualiste MontsourisUniversite Paris DescartesParisFrance Division of Hepatopancreatobiliary Surgery Department of SurgerySeverance HospitalYonsei University College of MedicineSeoulKorea Department of Hepatopancreatobiliary and Transplant Surgery Singapore General Hospital and Yong Loo Lin School of MedicineNational University of SingaporeSingaporeSingapore Division of Hepatobiliary and Pancreatic Surgery Department of SurgeryPrince of Wales HospitalThe Chinese University of Hong KongHong Kong SARChina HPB Surgery and Liver Transplant Unit University of Modena and Reggio EmiliaModenaItaly Department of General Visceral and Transplantation SurgeryClinic and University Hospital Virgen de la ArrixacaIMIB-ARRIXACAMurciaSpain HPB Surgery Hepatology and Liver TransplantationFondazione IRCCS Istituto Nazionale Tumori di MilanoMilanItaly HPB and Liver Transplant Unit Department of General SurgeryClinica Universidad de NavarraUniversidad de NavarraPamplonaSpain Institute of Health Research of Navarra(IdisNA) PamplonaSpain Hepatobiliary and Pancreatic Surgery Unit Department of SurgeryDr.Josep Trueta HospitalIdIBGiGironaSpain Hepatobiliary Surgical Oncology Department of SurgeryUniversity of Washington Medical CenterSeattleWAUSA The Liver Institute Methodist Dallas Medical CenterDallasTXUSA AdventHealth Tampa Digestive Health InstituteTampaFLUSA Hepatopancreatobiliary Unit Department of SurgeryChangi General

Background:The use of laparoscopic(LLR)and robotic liver resections(RLR)has been safely performed in many institutions for liver tumours.A large scale international multicenter study would provide stronger evidence and insight into application of these techniques for huge liver tumours≥10 ***:This was a retrospective review of 971 patients who underwent LLR and RLR for huge(≥10 cm)tumors at 42 international centers between ***:One hundred RLR and 699 LLR which met study criteria were *** comparison between the 2 approaches for patients with huge tumors were performed using 1:3 propensity-score matching(PSM)(73 vs.219).Before PSM,LLR was associated with significantly increased frequency of previous abdominal surgery,malignant pathology,liver cirrhosis and increased median *** PSM,RLR and LLR was associated with no significant difference in key perioperative outcomes including media operation time(242 vs.290 min,P=0.286),transfusion rate rate(19.2%vs.16.9%,P=0.652),median blood loss(200 vs.300 mL,P=0.694),open conversion rate(8.2%vs.11.0%,P=0.519),morbidity(28.8%vs.21.9%,P=0.221),major morbidity(4.1%vs.9.6%,P=0.152),mortality and postoperative length of stay(6 vs.6 days,P=0.435).Conclusions:RLR and LLR can be performed safely for selected patients with huge liver tumours with excellent *** was no significant difference in perioperative outcomes after RLR or LLR.

关键词： Laparoscopic liver resection(LLR) robotic liver resection(RLR) hepatocellular carcinoma colorectal liver metastases huge

Expression and the Functional Roles of Sox9 in Human Epidermal Keratinocytes

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Expression and the Functional Roles of Sox9 in Human Epiderm...

机器人甲状腺切除术在韩国将成为一种新的规范术式？

中华医学会第十八次全国皮肤性病学术年会

作者： Kyung-Cheol Sohn Dae-Kyoung choi Young Min Park Jin-Hwa kim Kyung-Chae Kye Sooyeon kim Myung Im Young Lee Young-Joon Seo Seo Chang Deok kim Jeung-hoon Lee Department of Dermatology and Research Institute for Medical Sciences School of MedicineChungnam National University

Although Sox9 is an important regulator in maintenance of stemness for hair cells,its role in normal human epidermal keratinocytes(NHKCs)has not yet been well *** staining showed that Sox9 is predominantly expressed in the basal layer of normal human skin epidermis and is highly expressed in some cutaneous tumors and *** mRNA and protein levels for Sox9 can also be

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中国微创外科杂志 2012年第7期12卷 590-593页

作者： M.Rahman Selamat June Young choi Do hoon Koo Kyu Eun Lee Yeo-Kyu Youn 潘笑露嵇武 Department of Surgery Seoul National University College of Medicine Cancer Research Institute Seoul National University College of Medicine Department of Surgery Seoul National University Boramae Medical Center 南京军区南京总医院解放军普通外科研究所南京210002

近年来,日新月异的医学技术新发明为外科技术带来了巨大发展。当今,甲状腺手术技术的趋势在韩国也正逐渐发生着改变。因为机器人手术较腔镜手术具有更好的术后美容效果及在人体工程学上的巨大优势,机器人在甲状腺手术中的应用日益增加... 详细信息

近年来,日新月异的医学技术新发明为外科技术带来了巨大发展。当今,甲状腺手术技术的趋势在韩国也正逐渐发生着改变。因为机器人手术较腔镜手术具有更好的术后美容效果及在人体工程学上的巨大优势,机器人在甲状腺手术中的应用日益增加。此外,机器人甲状腺手术可能成为治疗甲状腺疾病的新规范术式,尤其是在青少年患者的甲状腺恶性肿瘤中。常规机器人及机器人辅助甲状腺手术有多种方法。本文对经双侧腋窝和乳晕入路法(bilateral axillo-breast approach,BABA)在首尔国立大学医学院的运用进行介绍,并讨论其优势。

关键词：机器人甲状腺切除术 BABA法机器人甲状腺手术肿瘤整形甲状腺术甲状腺微创手术韩国

International expert consensus on laparoscopic pancreaticoduodenectomy

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Hepatobiliary Surgery and Nutrition 2020年第4期9卷 464-483页

作者： Renyi Qin Michael L.Kendrick Christopher L.Wolfgang Barish H.Edil Chinnusamy Palanivelu Rowan WParks Yinmo Yang Jin He Taiping Zhang Yiping Mou Xianjun Yu Bing Peng Palanisamy Senthilnathan Ho-Seong Han Jae hoon Lee Michiaki Unno Steven WMOlde Damink Virinder Kumar Bansal Pierce Chow Tan To Cheung Nim choi Yu-Wen Tien Chengfeng Wang Manson Fok Xiujun Cai Shengquan Zou Shuyou Peng Yupei Zhao Department of Biliary-Pancreatic Surgery Affiliated Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina Mayo Clinic RochesterMNUSA Division of Surgical Oncology Department of SurgeryThe John Hopkins University School of MedicineBaltimoreMDUSA Department of Surgery University of OklahomaOklahoma CityOKUSA Department of Surgical Gastroenterology and Hepatopancreatobiliary Surgery GEM Hospital and Research CentreCoimbatoreTamil NaduIndia Clinical Surgery Royal Infirmary of Edinburgh and University of EdinburghEdinburghUK Department of General Surgery Peking University First HospitalBeijingChina Department of Surgery Johns Hopkins Medical InstitutionsBaltimoreMDUSA Department of General Surgery Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina Department of Gastroenterology and Pancreatic Surgery Zhejiang Provincial People’s HospitalHangzhou Medical CollegeHangzhouChina Department of Pancreatic Surgery Fudan University Shanghai Cancer CenterFudan UniversityShanghaiChina Department of Pancreatic Surgery West China HospitalSichuan UniversityChengduChina Department of Surgery Seoul National University College of MedicineSeoul National University Bundang HospitalSeoulKorea Division of Hepatopancreatobiliary Surgery Department of SurgeryAsan Medical CenterSeoulKorea Department of Surgery Tohoku University Graduate School of MedicineSendaiJapan Department of Surgery NUTRIM School of Nutrition and Translational Research in MetabolismMaastricht University Medical CentreMaastrichtThe Netherlands Department of Surgical Disciplines All India Institute of Medical SciencesNew DelhiIndia Department of Hepatopancreatobiliary and Transplant Surgery Singapore General HospitalSingaporeSingapore Department of Surgery The University of Hong KongQueen Mary HospitalHong KongChina Department of General Surgery Hospital Conde S.JanuárioMacaoChina Department of Surgery National Ta

Importance:While laparoscopic pancreaticoduodenectomy(LPD)is being adopted with increasing enthusiasm worldwide,it is still challenging for both technical and anatomical ***,there is no consensus on the technical standards for ***:The aim of this consensus statement is to guide the continued safe progression and adoption of *** Review:An international panel of experts was selected based on their clinical and scientific expertise in laparoscopic and open *** were produced upon reviewing the literature and assessed by the members of the expert *** literature search and its critical appraisal were limited to articles published in English during the period from 1994 to *** Web of Science,Medline,and Cochrane Library and Clinical Trials databases were searched,The search strategy included,but was not limited to,the terms'laparoscopic','pancreaticoduodenectomy,'pancreatoduodenectomy','Whipple's operation',and'minimally invasive surgery'.Reference lists from the included articles were manually checked for any additional studies,which were included when *** method was used to establish expert consensus and the AGREE II-GRS Instrument was applied to assess the methodological quality and externally validate the final *** statements were further discussed during a one-day face-to-face meeting at the 1st Summit on Minimally Invasive Pancreatico-Biliary Surgery in Wuhan,***:Twenty-eight international experts from 8 countries constructed the expert *** statements were produced by the members of the expert *** least 80%of responders agreed with the majority(80%)of *** than three randomized controlled trials published to date,most evidences were based on level 3 or 4 studies according to the AGREE II-GRS *** and Relevance:The Wuhan international expert consensus meeting on LPD has produced a set of clinical practice statement

关键词： Consensus pancreaticoduodenectomy laparoscopy Delphi technique

Wireless Nurse Call System

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通讯和计算机（中英文版） 2010年第5期7卷 36-40页

作者： ki Hwan Eom Jung Yeon choi Min Sup Park Department of Electronic Engineering Dongguk University Seoul 100-715 Korea Young Woo System Seoul 100-715 Korea