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Anatomical resection of hepatocellular carcinoma: A critical review of the procedure and its benefits on survival

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World Journal of Gastroenterology 2017年第7期23卷 1139-1146页

作者： koo jeong Kang Keun Soo Ahn Division of Hepatobiliary and Pancreatic Surgery Department of SurgerySchool of MedicineKeimyung University Dong-san Medical CenterDaegu 41931South Korea

Hepatocellular carcinoma(HCC) is the sixth most common type of cancer and the third most frequent cause of cancer-related death. Advances in preoperative assessment of HCC(e.g., imaging studies and liver function tests), surgical techniques, and postoperative care have improved the surgical outcomes and survival of patients who undergo hepatic resection for HCC. However, in the last 20 years, the long-term survival after hepatectomy has remained unsatisfactory owing to the high rates of local recurrence and multicentric occurrence. Anatomical liver resection(AR) was introduced in the 1980 s. Although several studies have revealed tangible benefits of AR for HCC, these benefits are still debated. Because most HCCs occur in patients with liver cirrhosis and poor hepatic function, there are many factors that affect survival, including the surgical method. Nevertheless, many studies have documented the perioperative and long-term benefits of AR in various conditions. In this article, we review the results of several recently published, well-designed comparative studies of AR, to investigate whether AR provides real benefits on survival outcomes. We also discuss the potential pitfalls associated with this approach.

关键词： Hepatocellular carcinoma Cirrhosis Curative Anatomical resection Prognosis

Development of Preliminary Design Program for Combustor of Regenerative Cooled Liquid Rocket Engine

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Journal of Thermal Science 2011年第5期20卷 467-473页

作者： Won kook Cho Woo seok seol Min Son Min Kyo seo Jaye koo Korea Aerospace Research Institute DaejoenRepublic of Korea Graduate Student Korea Aerospace UniversityGoyangRepublic of Korea School of Aerospace and Mechanical Engineering Korea Aerospace UniversityGoyangRepublic of Korea

An integrated program was established to design a combustor for a liquid rocket engine and to analyze regenerative cooling results on a preliminary design *** of burnt gas from a kerosene-LOx mixture in the combustor and rocket performance were calculated from CEA which is the code for the calculation of chemical *** heat transfer of regenerative cooling was analyzed by using SUPERTRAPP code for coolant properties and by one-dimensional correlations of the heat transfer coefficient from the combustor liner to the *** of the combustors of F-1 and RS-27A engines were designed from similar input data and the present results were compared to actual data for ***,the combustors of 30 tonf class,75 tonf class and 150 tonf class were designed from the required thrust,combustion chamber,exit pressure and mixture ratio of *** wall temperature,heat flux and pressure drop were calculated for heat transfer analysis of regenerative cooling using the profiles.

关键词： Liquid rocket engine Preliminary design of Combustor Regenerative cooling

Effects of Momentum Ratio and Weber Number on Spray Half Angles of Liquid Controlled Pintle Injector

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Journal of Thermal Science 2015年第1期24卷 37-43页

作者： Min Son Kijeong Yu Jaye koo Oh Chae Kwon jeong Soo Kim Korea Aerospace University School of Aerospace and Mechanical Engineering Korea Aerospace University School of Mechanical Engineering Sungkyunkwan University Department of Mechanical Engineering Pukyong National University

A pintle injector is advantageous for throttling a liquid rocket engine and reducing engine weight. This study ex- plores the effects of momentum ratio and Weber number at various injection conditions on spray characteristics of the pintle injector for liquid-gas propellants. A liquid sheet is injected from a center pintle nozzle and it is broken by a gas jet from an annular gap. The pressure drops of propellants, and the pintle opening distance were consi- dered as control variables; using 0.1 -1.0 as a bar for the pressure drop of the liquid injection, a 0.01-4）.2 bar for the pressure drop of gas jet and a 0.2 - 1.0 mm for the pintle opening distance. The discharge coefficient was de- creased linearly before the pintle opening distance of 0.75 mm and then, the coefficient was slightly increased. Spray images were captured by a CMOS camera with high resolution. Then, the shadow and reflected images were analyzed. Spray distributions were measured by a pattemator with an axial distance of 50 mm from a pintle tip. Finally, the spray half angles had an exponentially decreasing correlation as a momentum ratio divided by the Weber number. Also, the spray half angles from the spray distribution were underestimated compared to those measured from the captured images.

关键词： Pintle Injector Spray Half Angle Spray Distribution Visualization

Colonic mucosa-associated lymphoid tissue lymphoma identified by chromoendoscopy

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World Journal of Gastroenterology 2014年第48期20卷 18487-18494页

作者： Sang-Wook seo Seung-Hwa Lee Duck-Joo Lee Kwang-Min Kim Joon-koo Kang Do-Wan Kim jeong-Hun Lee Center for Health Promotion Department of Family Practice and Community Health Ajou University School of Medicine Suwon 443-380 South Korea Department of Gastroenterology Ajou University School of Medicine Suwon 443-380 South Korea Department of Anesthesiology Ajou University School of Medicine Suwon 443-380 South Korea Department of Surgery Ajou University School of Medicine Suwon 443-380 South Korea

Colonic mucosa-associated lymphoid tissue (MALT) lymphomas are a rare occurrence and the definitive treatment has not been established. Solitary or multiple, elevated or polypoid lesions are the usual appearances of MALT lymphoma in the large intestine and sometimes the surface may reveal abnormal vascularity. Herein, we report a case of MALT lymphoma and review the relevant literature. Upon colonoscopy, a suspected pathologic lesion was observed in the proximal transverse colon. The lesion could be distinguished more prominently after using narrow-band imaging mode and indigo carmine-dye spraying chromoendoscopy. Histopathologic examination of this biopsy specimen revealed lymphoepithelial lesions with diffuse proliferation of atypical lymphoid cells effacing the glandular architecture and centrocyte-like cells infiltrating the lamina propria. Immunohistochemical analyses showed that tumor cells were positive for CD20 and Bcl-2e, and negative for CD10, CD23, and Bcl-6. According to Ann-Arbor staging system, the patient had stage IIE. A partial colectomy with dissection of the paracolic lymph nodes was performed. Until now, there is no recurrence of lymphoma at follow-up.

关键词： Chromoendoscopy Lymphoma Mucosa-associated lymphoid tissue Narrow-band imaging mode

Invasive and non-invasive diagnosis of cirrhosis and portal hypertension

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World Journal of Gastroenterology 2014年第15期20卷 4300-4315页

作者： Moon Young Kim Woo Kyoung jeong Soon koo Baik Department of Internal Medicine Yonsei University Wonju College of MedcineWonju Severance Christan HospitalWonju 220-701South Korea Department of Radiology and Center for Imaging Science Samsung Medical CenterSungkyunkwan University School of MedicineSeoul 440-746South Korea

With advances in the management and treatment of advanced liver disease,including the use of antiviral therapy,a simple,one stage description for advanced fibrotic liver disease has become *** refining the diagnosis of cirrhosis to reflect disease heterogeneity is essential,current diagnostic tests have not kept pace with the progression of this new *** biopsy and hepatic venous pressure gradient measurement are the gold standards for the estimation of hepatic fibrosis and portal hypertension(PHT),respectively,and they have diagnostic and prognostic ***,they are invasive and,as such,cannot be used repeatedly in clinical *** ideal noninvasive test should be safe,easy to perform,inexpensive,reproducible as well as to give numerical and accurate results in real *** should be predictive of long term outcomes related with fibrosis and PHT to allow prognostic ***,many types of noninvasive alternative tests have been developed and are under *** particular,imaging and ultrasound based tests,such as transient elastography,have shown promising *** most of these noninvasive tests effectively identify severe fibrosis and PHT,the methods available for diagnosing moderate disease status are still insufficient,and further investigation is essential to predict outcomes and individualize therapy in this field.

关键词： Hepatic fibrosis Portal hypertension Liver biopsy Hepatic venous pressure gradient Non-invasive test Transient elastography

Callus proliferation-induced hypoxic microenvironment decreases shoot regeneration competence in Arabidopsis

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Molecular Plant 2024年第3期17卷 395-408页

作者： Dohee koo Hong Gil Lee Soon Hyung Bae Kyounghee Lee Pil Joon seo Department of Chemistry Seoul National UniversitySeoul 08826Korea Plant Genomics and Breeding Institute Seoul National UniversitySeoul 08826Korea Research Institute of Basic Sciences Seoul National UniversitySeoul 08826Korea

Plants are aerobic organisms that rely on molecular oxygen for respiratory energy *** conditions,with oxygen levels ranging between 1%and 5%,usually limit aerobic respiration and affect plant growth and ***,we demonstrate that the hypoxic microenvironment induced by active cell proliferation during the two-step plant regeneration process intrinsically represses the regener-ation competence of the callus in Arabidopsis *** showed that hypoxia-repressed plant regener-ation is mediated by the RELATED TO APETALA2.12(RAP2.12)protein,a memberof the Ethylene Response Factor VIl(ERF-Vll)*** found that the hypoxia-activated RAP2.12 protein promotes salicylic acid(SA)biosynthesis and defense responses,thereby inhibiting pluripotency acquisition and de novo shoot regeneration in *** and genetic analyses revealed that RAP2.12 could bind directly to the SALICYLIC ACID INDUCTION DEFICIENT 2(SID2)gene promoter and activate SA biosynthesis,repressing plant regeneration possibly via a PLETHORA(PLT)-dependent ***,the rap2.12 mutant calli exhibits enhanced shoot regeneration,which is impaired by SA *** together,these find-ings uncover that the cell proliferation-dependent hypoxic microenvironment reduces cellular pluripotency and plant regeneration through the RAP2.12-SID2 module.

关键词： callus cell proliferation-induced hypoxia SID2 plant regeneration salicylic acid RAP2.12

Molecular heterogeneity in intrahepatic cholangiocarcinoma

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World Journal of Hepatology 2020年第12期12卷 1148-1157页

作者： Keun Soo Ahn koo jeong Kang Department of Surgery Keimyung University Dongsan HospitalKeimyung University School of MedicineDaegu 42601South Korea

Intrahepatic cholangiocarcinoma(iCCA)is a heterogeneous primary liver cancer,and currently there exist only a few options of targeted ***,iCCA is sub-classified according to morphology(mass forming type,periductal infiltrating type,and intraductal growing type)and histology(small duct type and large duct type).According to different histopathological types,clinical features such as risk factors and prognosis *** developments in genomic profiling have revealed several molecular markers for poor prognosis and activation of oncogenic *** of molecular characteristics of iCCA in each patient is a major challenge in a clinical setting,and there is no effective molecular-based targeted ***,several recent studies suggested molecular-based subtypes with corresponding clinical and pathological *** though the subtypes have not yet been validated,it is possible that molecular features can be predicted based on clinicopathological characteristics and that this could be used for a more rational approach to integrative clinical and molecular subclassification and targeted *** this review,we explored the genomic landscape of iCCA and attempted to find relevance between clinicopathologic and molecular features in molecular subtypes in several published *** results reveal future directions that may lead to a rational approach to the targeted therapy.

关键词： Cholangiocarcinoma Mutation Gene expression Pathway Target therapy Molecular

Forward-viewing endoscopic ultrasound-guided NOTES interventions: A study on peritoneoscopic potential

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World Journal of Gastroenterology 2013年第41期19卷 7160-7167页

作者： Seung Uk jeong Hassanuddin Aizan Tae Jun Song Dong Wan seo Su-Hui Kim Do Hyun Park Sang Soo Lee Sung koo Lee Myung-Hwan Kim Department of Gastroenterology Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 138-736South Korea Department of Internal Medicine Ilsan Paik HospitalInje UniversityKoyang 411-706South Korea Asan Institute for Life Sciences Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 138-736South Korea

AIM:To evaluate the feasibility of diagnostic and therapeutic transgastric(TG)peritoneoscopic interventions with a forward-viewing endoscopic ultrasound(FV-EUS).METHODS:This prospective endoscopic experimental study used an animal *** TG peritoneoscopic interventions and EUS examination of the intraabdominal organs were performed using an FV-EUS on 10 animal models(1 porcine and 9 canine).The procedures carried out include EUS evaluation and endoscopic biopsy of intraperitoneal organs,EUS-guided fine needle aspiration(EUS-FNA),EUS-guided radiofrequency ablation(EUS-RFA),and argon plasma coagulation(APC)for hemostatic *** animals were kept alive for 7 d,and then necropsy was performed to evaluate results and ***:In all 10 animals,TG peritoneoscopy,followed by endoscopic biopsy for the liver,spleen,abdominal wall,and omentum,was performed *** helped control minor *** of intra-abdominal solid organs with real-time EUS was accomplished with *** EUS-FNA was successfully performed on the liver,spleen,and ***,a successful outcome was achieved with EUSRFA of the hepatic *** adverse events were recorded during the ***:Peritoneoscopic natural orifice transluminal endoscopic surgery(NOTES)interventions through FV-EUS were feasible in providing evaluation and performing endoscopic *** promises potential as a platform for future EUS-based NOTES.

关键词： Forward-viewing endoscopic ultrasound Oblique-viewing endoscopic ultrasound Endoscopic ultrasound guided intervention Peritoneoscopy Natural orifice transluminal endoscopic surgery

Septic shock due to Granulicatella adiacens after endoscopic ultrasound-guided biopsy of a splenic mass:A case report

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World Journal of Gastroenterology 2021年第8期27卷 751-759页

作者： seo-Yeon Cho Eunae Cho Chang-Hwan Park Hee-Joon Kim Joo-Yeon koo Division of Gastroenterology Department of Internal MedicineChonnam National University HospitalGwangju 61469South Korea Department of Surgery Chonnam National University HospitalGwangju 61469South Korea Department of Pathology Chonnam National University HospitalGwangju 61469South Korea

BACKGROUND Endoscopic ultrasound-guided fine needle aspiration or biopsy(EUS-FNA or FNB)has become a popular method for diagnosing various lesions of the gastrointestinal tract and surrounding tissue due to the accuracy and *** the best of our knowledge,no case report of severe infection after EUS-FNB of a solid lesion in the spleen has been ***,we report a rare case of septic shock after EUS-FNB of a splenic *** SUMMARY A 45-year-old male patient presented to the outpatient clinic due to an incidentally detected splenic mass.A definitive diagnosis could not be established based on the abdominal magnetic resonance *** of the spleen showed a 6 cm-sized,relatively well-demarcated,heterogeneous mass,and EUS-FNB with a 22G needle was *** days after the procedure patient developed septic shock and a splenic abscess was *** culture revealed growth of Granulicatella *** the treatment with antibiotics the patient underwent surgical resection,and the pathological examination showed diffuse large B-cell *** patient received chemotherapy and he is in complete *** Infection of a splenic mass after EUS-FNB is a rare complication and prophylactic antibiotics might be considered.

关键词： Endoscopic ultrasound Endoscopic ultrasound-guided fine needle biopsy Splenic neoplasms Lymphoma Septic shock Case report