• Advances in pediatric surgery
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• 제7권2호
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• pp.157-161
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• 2001

Meckel's diverticulum is one of the common causes of gastrointestinal bleeding in the pediatric patient requiring laparotomy. Two children with Meckel's diverticulum have been successfully treated by laparoscopic excision. Both patients recovered without incident and were discharged at 3 and 5 days after surgery. The authors believe that laparoscopic diverticulectomy is a safe, effective. and minimal invasive treatment of Meckel's diverticulum in children.

• 대한수의학회지
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• 제38권3호
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• pp.450-454
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• 1998

We have studied Meckel's diverticulum(MD) of the duck(Anas platyrhynchos platyrhyncos, Linne) by histological and immunohistochemical methods. Because MD were first observed in 2 weeks after hatching, tissues were taken from 2 weeks to 32 weeks after hatching groups. MD were observed as like any parts of intestinal tract that composed with simple columnar epithelium and numerous mucosal gland especially, cecum except that many lymphocytes were exist in this study. Also a number of bovine chromogranin(BCG)-, serotonin, and somatostatin(SOM)-immunoreactive cells were observed in epithelium and submucosal gland in this study, so it could be suggest that the MD of the duck serve as some digestive and lymphatic functions.

• Journal of Chest Surgery
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• 제22권1호
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• pp.141-145
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• 1989

This is a report of 12 cases of esophageal diverticulum treated surgically at the Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital during the 16 years. 10 patients were female and 2 were male and the age distribution was between 31 and 61 years. Various subjective symptoms were noticed preoperatively. Diagnosis was confirmed by esophagography. The type of esophageal diverticulum were pulsion type in 11 cases and traction type in one case, and they were all located on the mid-thoracic esophagus, but one case was associated with epiphrenic pulsion diverticulum After diverticulectomy with or without myotomy, subjective symptoms disappeared and there were no operative complications and mortality. Indication of myotomy evaluated with motilities status by fluoroscopic finding of X-ray barium study. Recurrence of symptoms was not noticed during follow-up.

• Journal of Trauma and Injury
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• 제22권2호
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• pp.264-268
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• 2009

The calyceal diverticulum is a cystic cavity lined by a transitional epithelium, is encased within the renal substance, and is situated peripheral to a minor calyx, to which it is connected by a narrow channel. Both congenital and acquired factors have been suggested to explain the formation of a calyceal diverticulum. We experienced a case of a huge calyceal diverticulum that was newly developed after a renal injury.

• Journal of Chest Surgery
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• 제22권2호
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• pp.265-271
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• 1989

Sixteen patients with esophageal diverticulum operated on between July 1979 and September 1988 at the Department of Thoracic Surgery of National University Hospital have been studied. There were 2 cases of the pharyngoesophageal diverticula, 12 cases of the midesophageal diverticula, and 2 cases of the epiphrenic diverticula. Twelve cases of midesophageal diverticula consisted of 9 cases of pulsion type and 3 cases of traction type. There were 13 women and three men, whose ages ranged from 25 to 65 years with an average age of 45.5 years. Diverticulectomy alone in three cases, diverticulopexy with myotomy in two cases, and diverticulectomy with myotomy in 11 cases were performed. There were no deaths or morbidity and all patients have achieved marked improvement of their symptoms except four patients who had a concomitant hypopharyngeal carcinoma, had a postoperative recurrence in epiphrenic diverticulum, and had two cases of postoperative transient regurgitation which subsided spontaneously one and one and half year later.

• Journal of Chest Surgery
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• 제25권12호
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• pp.1537-1541
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• 1992

Eleven patients with esophageal diverticulum were operated on between August 1982 and August 1992 at the Department of Thoracic and Cardiovascular Surgery of Chonnam National University Hospital have been studied. 9 patients were male and 2 were famale and the age distribution was between 20 and 55 years. Various subjective symptoms were noticed preoperatively. Diagnosis was confirmed by esophagography. The types of esophageal diverticulum were traction type in 6 cases and pulsion type in 5 cases. There were nine cases of midesophageal diverticula, 1 cases of upper-thoracic esophageal diverticulum and 1 cases of epiphrenic diverticulum. Diverticulectomy alone in 10 cases and diverticulopexy was performed in 1 case. Fistulectomy in 5 cases, lobectomy in 1 case, segmentectomy in 1 case, and Eloesser`s procedure in 1 case were performed with associated procedures. There were no death or morbidity and all patients have achieved marked improvement of symptoms except three patients who had a concomitant mucoepidermoid tumor, had a complicated postoperative pyothorax, and had a postoperative recurrence of midesophageal diverticulum. Recurrence of symptoms were not noticed during follow up except 1 recurrence of diverticulum confirmed by esophagogram.

• Journal of Trauma and Injury
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• 제26권2호
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• pp.53-57
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• 2013

A duodenal diverticulum is a frequent abnormality that is usually diagnosed incidentally. Clinical manifestations usually mimic those of highly-varied entities. Among the complications of a duodenal diverticulum, perforation is fairly rare; rupture due to blunt trauma is even rarer, and no cases have been reported in Korean literature. We report the case of a 61-year-old male patient who presented with a perforated duodenal diverticulum after a blunt trauma. We also review the existing literature.

• Journal of Chest Surgery
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• 제23권3호
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• pp.600-604
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• 1990

A fistulous communication between an esophageal traction diverticulum and the tracheobronchial tree appears to be of rare occurrence. This report reviews the feature of benign esophagobronchial fistula due to esophageal traction diverticulum. This 36-year-old female patient suffered from substernal pain, interscapular pain and severe paroxysmal coughing after ingestion of fluids. This patient was taken a diverticulectomy and partial resection of superior segment of right lower lobe. After the operation, there was no subjective symptoms, esophagobronchial fistula, leakage, stricture and diverticulum. The postoperative result was excellent.

• Journal of Chest Surgery
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• 제32권9호
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• pp.847-850
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• 1999

기관기관지비대증 또는 무니어-쿤 증후군은 기관과 양쪽 주기관지의 미만성 비대를 특징으로 하는 원인 불명의 매우 드믄 질환이다. 선천성으로 생각 되나 확실하지 않다. 만성 호흡기계 감염, 기관지 확장증등을 일으키는가 하면 평생 무증상으로 지내는 사람도 있는등 임상양상은 매우 다양하다. 저자들은 최근에 기관 게실이 있는 무니어-쿤 증후군 환자에서 폐암이 동반된 증례를 치험하였기에 문헌 고찰과 함께 보고 한다.

• Journal of Chest Surgery
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• 제29권10호
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• pp.1123-1128
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• 1996

고려대학교 흉부외과학 교실에서는 최근 5년간(1989년 1월∼1994년 7월) 외과적 치료를 시행했던 152례의 식도환자를 대상으로 악성 종양, 양성 종양, 운동성 장애 질환(식도 게실 및 무이완증), 협착, 천공 및 선천성 질환으로 분류 임상분석을 시도하였다. 가장 많았던 질환은 악성종양이며 총 73례로, 전체환자의 48%를 차지하였다. 이중 71%인 52례의 경우에서 식도의 절제 및 재건술을 시도하였고, 나머지 경우에 있어서 위루 성형술, 공장루 성형술 및 식 도관 삽입을 시행하였다. 남녀 비는 남:여 65.8이 었으며, 평균나이는 58.7세였다 이중 합병증으로 인한 병원내 사망례는 5례로 7.8%이며, 합병증으로는 문합부 누출이 가장 많았다. 양성종양은 모두 평활근종으로 6례 (3.9%)였으며, 이중 1례의 경우 흉강경을 이용한 적출술을 시행하였다. 운동성 질환중 식도무이완증(Achalasia)이로(4.6%), 변형된 Hello이 근절개술을 시행하였고, 3례는 Belsey Mark IV 수술을 동반하였다. 게실은 11례 (7.2%)였다 식도협착은 20례 (14.1%)로 대부분이 부식제 섭취에 의한 협착이었으며, 이중 17례에서 위나 대장을 이용한 재 건술을 시행하였다. 식도천공은 20례 (14.1%)였으며 이중 내시경등에 의한 외부손상례가 가장 많았고(15례), 수술방법으로는 천공부위의 일차봉합이 가장 많았고(8례), 6례의 경우 격리 우회술을 시행하였으며, 이중 사망례는 없었다 선천성질환이 6례 (3.9%)였고,나머지 기관-식도루등의 기타질환이 9례(5.9%)였다.