• 제목/요약/키워드: 간절제술

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부분 간절제술을 통한 개의 간세포암종 치료예 (Partial Hepatectomy in a Canine Hepatocellular Carcinoma)

  • 이충호;최재훈;정성목;김완희;김대용
    • 한국임상수의학회지
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    • 제18권2호
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    • pp.170-173
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    • 2001
  • Primary hepatocellular carcinomas are rare in dogs. A 12-year-old 5.4 kg female Poodle was referred to the Veterinary Medical Teaching Hospital with abdominal distension and mild anorexia. In this case, an extensive soft tissue mass was clearly palpable in the upper abdomen and radiography revealed a spherical mass of soft tissue density in the abdomen but its origin was not clear. In following an exploratory laparotomy, a partial hepatectomy was performed. Surgical complications were minimal. The survival time was seven months before dyspnea lead to a sudden and rapid decline.

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MMPI-2를 이용한 생체 간 공여자들의 심리적 특성에 대한 연구 (Psychological Characteristics of Living Liver Transplantation Donors using MMPI-2 Profiles)

  • 이진혁;최태영;윤서영
    • 정신신체의학
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    • 제27권1호
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    • pp.42-49
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    • 2019
  • 연구목적 생체 간이식은 간 질환으로 치료가 어려운 환자들에게 타인의 간을 제공하는 치료 방법 중 하나로, 수혜자에 비해 생체 간 공여자들의 특성에 대한 연구가 상대적으로 부족하다. 본 연구는 생체 간 공여 예정자들의 정서상태와 성격 특성을 평가하고, 공여 여부와 수혜자와의 관계 및 성별에 따른 차이점 유무를 확인하고자 하였다. 방 법 2012년 8월 1일부터 2018년 7월 31일까지 대구가톨릭대학교병원 정신건강의학과 외래에 방문한 생체 간 공여 예정자 218명(남자 126명, 여자 92명)의 의무 기록을 후향적으로 검토하여 사회인구학적 특성 및 정신건강의학과적 평가에 관한 정보를 수집하였다. 공여 예정자들의 수술 시행 여부, 공여자-기증자의 관계와 성별에 따라 군을 나눈 후 사회인구학적 특성과 다면적 인성검사 II (Minnesota Multiphasic Personality Inventory-2) 척도값을 비교하였다. 결 과 대상자들의 평균 연령은 $32.19{\pm}10.91$ 세였다. 본원에서 공여자 간절제술을 받은 자는 187명, 받지 않은 자는 31명이였다. 공여자-수혜자 관계에서 남편-아내는 40명, 부모-자식은 157명, 형제-자매는 12명, 기타 친족 및 지인은 9명이였다. 대상자들은 대조군과 비교했을 때 타당도 척도 L, F, K와 모든 임상 척도에서 유의미한 차이를 보였다. 공여자 간절제술을 받은 대상자들은 받지 않은 대상자들에 비해 타당도 척도 K와 S에서 유의미하게 높은 수치를, 타당도 척도 F(b)와 F(p) 및 임상 척도 Pa와 함께 성격병리 척도 AGGR, PSYC, DISC, NEGE에서 유의미하게 낮은 수치를 보였다. 공여자 간절제술 시행 여부의 예측 변인으로 타당도 척도 F, 임상 척도 D와 성격병리 척도 NEGE가 있었다. 공여자-수혜자 관계와 성별에 따른 차이점을 비교하였을 때, 일부 척도들에서 통계적으로 유의미한 차이를 보였다. 결 론 생체 간 공여자들의 평가에서 심리적 문제의 축소 보고 가능성을 유념해야 한다. 또한 공여자들을 평가할 때 정서 상태, 공여를 결정하기까지의 과정과 배경, 가족 구성원들과의 관계 또한 파악하는 것이 필요하겠다.

가미소요산 혈맥약침이 부분 간절제술을 시행한 Rat의 간기능 회복에 미치는 영향 (The Effect of Gamisoyo-san Intravenous Pharmacopuncture on Restoration of Liver Function after Partial Hepatectomy in SD Rat)

  • 이찬;윤정훈;임윤경
    • 대한한의학회지
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    • 제36권1호
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    • pp.22-32
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    • 2015
  • Objectives: This study researched the effect of Gamisoyo-san intravenous pharmacopuncture on restoration of liver function after partial hepatectomy in SD rat. Methods: Twelve rats were randomly divided into three groups: control group (n=4) underwent partial hepatectomy, saline group (n=4) was injected $1m{\ell}$ saline after partial hepatectomy, Gamisoyo-san group (n=4) was injected with 10mg/kg Gamisoyo-san after partial hepatectomy. Liver function and liver regeneration ratio were measured on the seventh day after partial hepatectomy. Results: The results show that the AST, AST and ALT level in Gamisoyo-san group was significantly lower than those of control group and saline group(P<0.05) Conclusion: In partial hepatectomy model, Gamisoyo-san intravenous pharmacopuncture seems to significantly promote the restoration of liver function.

발암원과 부분간절제술 처리에 의한 백서 간 조직중 질소이용계 및 이물질 대사계 효소의 변화 (Effects of Carcinogens and Partial Hepatectomy on the Nitrogen Utilizing and the Xenobiotic Metabolizing Enzymes in the Hepatic Tissues of Rats)

  • 박상철;김응국;곽상준;이건욱;김수태
    • 한국환경성돌연변이발암원학회지
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    • 제8권1호
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    • pp.22-34
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    • 1988
  • The biochemical changes of the hepatic tissues, induced by the carcinogen treatment such as diethylnitrosamine and acetamidofluorene in combination with the partial hepatectomy after Solt and Farber, were determined for the characterization of the induction of the proliferative capacity and the environmental adaptability of the carcinogenic tissues during the malignant transformation process. For the study of the proliferative capacity of the tissues, the activities of the enzymes, related with the nitrogen trapping mechanism, such as glutamine synthetase and gamma-glutamyltranspeptidase, were monitroed, while the cintents of cytochrome P450's and their isozymic patterns as well as the activities of the glutathione S-transferase were determined in the function of time after the hepatocarcinogenic stimuli.

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간세포암의 부분 간절제술 후 한방치료로 복수를 동반한 간경변 증상이 호전된 환자 증례보고 (Cirrhosis after Liver Lobectomy Managed with Traditional Korean Medical Treatment: A Case Report)

  • 김효린;정혜련;장철용;우찬;하예진;문구;백동기
    • 대한한방내과학회지
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    • 제36권3호
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    • pp.410-418
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    • 2015
  • Objectives The purpose of this study is to report the possibility of treatment of liver cirrhosis with traditional Korean medical treatment. Methods A 57-year-old man diagnosed with hepatocellular carcinoma and liver cirrhosis was admitted to Wonkwang University Oriental Medical Hospital in August 2014. He underwent liver lobectomy and later experienced abdominal pain, anorexia, and insomnia. To control cirrhotic ascites and prevent relapses, he opted to receive HangAmDan-B (HAD-B) and cultivated wild ginseng herbal acupuncture therapy. Results After treatment, the volume of ascites decreased and the patient&’s symptoms such as abdominal pain and anorexia improved. Conclusions This report suggests that HAD-B and cultivated wild ginseng herbal acupuncture therapy may play a therapeutic role in liver cirrhosis occurring after liver lobectomy.

간내 간충병에 대한 간절제술 1예 (A Human Case of Hepatic Resection for Liver Fascioliasis In Korea)

  • 김홍진;노성균;심민철;권굉보;이헌주;장재천;이태숙
    • Journal of Yeungnam Medical Science
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    • 제7권1호
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    • pp.165-171
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    • 1990
  • 영남대학교 의과대학 외과학교실에서는 1989년 11월에 한국에서 발병한 간흡충병의 여섯번째 증례로, 특히 간내 담관에 발생한 첫 증례를 우측 간엽 절제술 및 담낭 적출술로 좋은 결과를 얻었으며, 간내 담관에 발생한 경우에는 간암과의 구별이 요구되어야 한다는 점을 상기 시키면서 증례보고와 더불어 문헌적 고찰을 하였다.

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부분 간절제술을 시행한 랫드에서 간재생에 관한 이과두주 급성투여에 따른 영향 (Effects of acute LeeKwaDoo administration on liver regeneration induced by partial hepatectomy in rats)

  • 조진연;송지예;안재범;김현석;김민수;임현;임준성;신동석;김현철;정기수;신명균;이민재
    • 한국동물위생학회지
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    • 제29권1호
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    • pp.55-63
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    • 2006
  • Alcoholism and alcohol abuse are major public health concerns. This is linked to the injury of many organs, especially liver. Experiments were peformed to know the acute effects of LeeKwaDoo (LKD) induced by two-third partial hepatectomy (PH) in rats. In liver samples, regeneration parameters and histological assessment were performed. For the blood biochemical study, the blood were assayed with AST, ALT. The portal branch of liver lobes was ligated in the male Sprague-Dowley rats, two-thirds partial hepatectomies were also performed. It was estimated bodyweight and relative liver weight for the index of liver mass. For the marker of blood chemistry, we investigate the serum sample of rats and demonstrated the level of AST, ALT. Remaining tissues of liver developed as microscopic structures. Resection of the lobes in PH+LKD group resulted in a marked change of liver weight, blood chemistry and histological changes. The initiation of the proliferative response in PH group stimulated as well as reduction of the liver mass. On the other hands, the Initiation of the proliferative response in PH+LKD group delayed. Eventually, both PH group and PH+LKD group was restored relative liver weigh after 7 day. In conclusion, the acute adminstration of LKD seems to inhibit the initial response of liver regeneration through alcohol effects.

미주신경간절제술에 있어서 $^{99m}Tc-DISIDA$ 신티그램을 이용한 총수담관 및 Afferent loop의 평균지연시간 (The Mean Transit Time of the CBD and the Afferent Loop Using $^{99m}Tc-DISIDA$ Scintigram in Truncal Vagotomy)

  • 문태용;김동수
    • 대한핵의학회지
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    • 제22권2호
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    • pp.199-203
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    • 1988
  • The authors observed functional change of the CBD and the afferent loop with the transit time of $^{99m}Tc-DISIDA$ scintigram in patients treated by the surgical operation of gastric ulcers and cancer at Busan National University Hospital from June, 1987 to April, 1988. So authors estimated the time between the peak activity of the CBD and the afferent loop (TCA), the half transit time of the CBD activity (t 1/2 CBD) and the half transit time of the afferent loop activity (t 1/2 A-loop) in 9 patients undergone truncal vagotomy, who have no specific symptoms at 2 to 6 months after the operation, 5 patients undergone the operation without truncal vagotomy, and 7 persons as a control group. The results were as follows: I) In control group, the mean TCA, t 1/2 CBD and t 1/2 duodenum were $8.6{\pm}9.0$ min, $38.7{\pm}17.3$ min. and $28.6{\pm}10.9$ min, respectively. 2) In the operation group without truncal vagotomy, the mean TCA, t 1/2 CBD and t 1/2 A-loop were $10.0{\pm}7.1$ min. $48.2{\pm}22.3$ min. and $39.4{\pm}26.7$ min. respectively. 3) In the operation group with truncal vagotomy, the mean TCA, t 1/2 CBD and t 1/2 A-loop were $15.0{\pm}8.7$ min., $36.1{\pm}16.5$ min. and $42.6{\pm}24.4$ min, respectively. From the above results, we concluded that the transit time of the CBD and the afferent loop is not affected by truncal vagotomy.

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