• 제목/요약/키워드: Abdominal Cavity

검색결과 294건 처리시간 0.03초

택칠에서 분리한 Corilagin이 Collagen 유발 관절염에 미치는 영향 (II);Corilagin을 투여한 류마티스 관절염 유발 생쥐의 사이토카인 분석 (Studies on the Effect of Corilagin Isolated from Euphorbia helioscopia on Collagen-Induced Arthritis (II);CytokinesAnalysis of Collagen II Induced Arthritis Mice Model)

  • 신삼기;장준복;도은수
    • 한국자원식물학회지
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    • 제21권4호
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    • pp.336-340
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    • 2008
  • 류마티스성 관절염의 동물 모델인 CIA(collagen induced arthritisd) 생쥐에 CRN을 복강 투여하여 CIA의 발병률 및 관절염지수 등에 대한 효과를 조사한 결과는 다음과 같다. RF(rhumatoid factor) 인자인 IgG와 IgM 생산량, 그리고 염증 사이토카인인 IL-6와 $TNF-{\alpha}$의 생산량이 감소하였다. 사이토카인 분석결과, 비장세포에서 Th1과 Th2 세포에서 분비되는 $IFN-{\gamma}$와 IL-4를 측정하여 CRN 투여로 Th1 세포에서 Th2 세포로 면역반응이 전환됨을 시사하는 것은 CRN의 치료효과로 사료된다. 혈청 중에서 RA 인자인 IgG와 IgM, 염증 사이토카인인 $TNF-{\alpha}$와 IL-6 및 type II bovine collagen antibody 생산량 이 대조군에 비하여 CRN 투여군이 감소하여 CRN이 관절염의염증 사이토카인을 억제하는 것으로 확인된다.

Decreased Diethylnitrosamine-induced Liver Preneoplastic Lesions by Estradiol-3-benzoate Treatment

  • Kang, Jin-Seok;Park, Ki-Dae;Ahn, Byeong-Woo;Han, Beom-Seok
    • Toxicological Research
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    • 제27권4호
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    • pp.247-251
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    • 2011
  • To clarify whether inhibitory effect of estrogen on liver tumor is associated with cell proliferation, we investigated its role in diethylnitrosamine (DEN)-induced rat preneoplastic lesions, with time sequenced manners. F344 male rats (n = 90) were divided into three groups at 5 weeks of age. The mini-osmotic pumps providing a continuous infusion of DEN was implanted into the abdominal cavity of each animal in group 1, 2 and 3 at 6 weeks of age. To see the effect of estrogen, pellet containing 1 or 10 ${\mu}g$ of estradiol-3-benzoate (EB) was implanted subcutaneously in the animals of groups 2 or 3, respectively, one week prior to DEN treatment. Ten animals of each group were euthanized at 10, 14 and 18 weeks after DEN treatment. Liver tissues at each time point were fixed in 10% phosphate-buffered formalin and were processed and embedded in paraffin and 5 ${\mu}g$ sections mounted on a silanized slide. Glutathione S-transferase placental form (GST-P) positive foci and 5-bromo-2-deoxyuridine (BrdU) labeling cells were detected at each time point. Area of GST-P positive foci in DEN+EB 1 or 10 ${\mu}g$ group was significantly decreased compared to DEN alone at 14 weeks (p < 0.01 or p < 0.05, respectively) an at 18 weeks (p < 0.05 or p < 0.01, respectively). BrdU index in DEN+EB 1 or 10 ${\mu}g$ groups was significantly decreased compared to DEN alone at 14 weeks and at 18 weeks (p < 0.01). Taken together, we conclude that EB treatment decrease the DEN-induced liver preneoplastic lesions and this may be associated with decrease of cellular proliferation.

흉부 종괴로 오인된 선천성 식도열공 탈장 1례 (A Case of Cogenital Esophageal Hiatal Hernia Simulating Chest Mass)

  • 노혜미;문은경;이동철;임혜경;유재홍;설지영;김종철
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제2권2호
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    • pp.211-216
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    • 1999
  • 식도열공 탈장은 그 형태에 따라 진단 및 치료가 지연될 경우 반복되는 구토, 빈혈, 영양실조, 출혈, 감돈, 위궤양, 급성 위팽만 등의 합병증이 발생하여 치명적일 수 있다. 저자들은 심한 탈수와 영양 실조를 주소로 내원한 10개월 남아에서 단순 흉부촬영에서 우측 흉부 종괴로 오인되었으나 선천성 식도열공 탈장과 위의 회전에 의해 상부 위장관 바륨조영술에서 우측 흉강내에 위가 위치한 것처럼 보였던 경우로 탈장 정복술과 위식도 역류방지술을 시행한 후 상기 증상이 호전된 제 3형의 선천성 식도열공 탈장 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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Robotic lower pelvic port placement for optimal upper paraaortic lymph node dissection

  • Paek, Jiheum;Kang, Elizabeth;Lim, Peter C.
    • Journal of Gynecologic Oncology
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    • 제29권6호
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    • pp.87.1-87.4
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    • 2018
  • Objective: Upper paraaortic lymph node dissection (UPALD) to the infrarenal level is one of the most challenging robotic procedures. Because robotic system has the limitation in robotic arm mobility. This surgical video introduces a novel robotic approach, lower pelvic port placement (LP3), to perform optimally and simultaneously both UPALD and pelvic procedures in gynecologic cancer patients using da Vinci Xi system. Methods: The patient presented with high-grade endometrial cancer. She underwent robotic surgical staging operation. For the setup of the LP3, a line was drown between both anterior superior iliac spines. At 3 cm below this line, another line was drown and four robotic ports were placed on this line. Results: After paraaortic lymph node dissection (PALD) was completed, the boom of robotic system was rotated $180^{\circ}$ to retarget for the pelvic lateral displacement. Robotic ports were placed and docked again. The operation was completed robotically without any complication. Conclusion: The LP3 was feasible for performing simultaneously optimal PALD as well as procedures in pelvic cavity in gynecologic cancer patients. The advantage of LP3 technique is the robotic port placement that affords for multi-quadrant surgery, abdominal and pelvic dissection. The LP3 is facilitated by utilizing advanced technology of Xi system, including the patient clearance function, the rotating boom, and 'port hopping' that allows using every ports for a camera. The LP3 will enable surgeons to extend the surgical indication of robotic surgical system in the gynecologic oncologic field.

Acute Diaphragmatic Injuries Associated with Traumatic Rib Fractures: Experiences of a Major Trauma Centre and the Importance of Intra-Pleural Assessment

  • Hussain, Azhar;Hunt, Ian
    • Journal of Chest Surgery
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    • 제54권1호
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    • pp.59-64
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    • 2021
  • Background: Diaphragmatic injuries following blunt or penetrating thoraco-abdominal trauma are rare, but can be life-threatening. Rib fractures are the most common associated injury in patients with a traumatic diaphragmatic injury (TDI). We hypothesized that the pattern of rib fracture injuries could dictate the likelihood of acute TDIs. Methods: A retrospective study was carried out between April 2014 and October 2018 to analyze patients with TDIs and rib fractures at a major trauma center in London, United Kingdom. Results: Over the study period, 1,560 patients had rib fractures, of whom 14 had associated diaphragmatic injuries. Left-sided diaphragmatic injuries were found in 8 patients (57%). A significant proportion of the rib fractures were located posterolaterally (44.9%). The highest frequency of fractures was found in ribs 5-10, which accounted for 74% of all the fractures. Ten patients underwent surgery, of whom 7 were diagnosed with a diaphragmatic injury intraoperatively after video-assisted thoracoscopic surgery assessment of the pleural cavity. Two patients died due to severe injuries of other organs and the remaining 2 patients were managed conservatively. Conclusion: Our series of patients demonstrates a relationship between significant rib fractures and diaphragmatic injuries in trauma patients, and the diagnostic difficulties in identifying the condition. We found that the location of the rib fractures and the pattern of injury in patients with TDIs were much lower and posterolateral in the chest wall without a preference for laterality. We suggest using a thoracoscope in patients undergoing chest wall surgery post-trauma to aid in diagnosing this condition.

한국 서해남부해역 칠산도에서 채집된 민어과(농어목, 어상강) 5종 자어의 형태기재 및 분자동정 (Morphological description and molecular identification of larvae for 5 species of the family Sciaenidae (Perciformes, Pisces) collected from Chilsan Island, southwestern sea of Korea)

  • 장서하;김진구
    • 수산해양기술연구
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    • 제57권2호
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    • pp.134-148
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    • 2021
  • During the ichthyoplankton survey around the Chilsan Island (previously known as the biggest spawning ground of the Sciaenidae) in the southwestern sea of Korea from April to June in 2019 using ring nets, we collected a total of 12 individuals belonging to the family Sciaenidae. Using molecular methods, we identified five sciaenid species (Collichthys lucidus, Collichthys niveatus, Johnius grypotus, Nibea albiflora, and Pennahia argentata), and described and compared them on the basis of the preflexion larval stage. C. lucidus was well distinguished by the presence of occipital crests at preflexion stage. Although there were no occipital crests, preflexion larva of C. niveatus was distinguished by the absence of melanophore except for the upper part of the abdominal cavity. J. grypotus and N. albiflora were very similar morphologically, but were distinguished by myomere height (15.22-15.53% in J. grypotus vs. 11.66-12.78% in N. albiflora) in the percentage of notochord length, and eye diameter (32.58-33.37% in J. grypotus vs. 40.32-42.53% in N. albiflora) in the percentage of head length between specimens of similar size (J. grypotus: 3.22-3.23 mm, N. albiflora: 3.04-3.13 mm). P. argentata were distinguished by distribution of ventral caudal melanophore (one row of small spot in P. argentata vs. irregular patches on the central part of caudal in J. grypotus and N. albiflora). Comparative morphological studies using more diverse species must be conducted for more comprehensive understanding of the morphogenesis of Sciaenidae.

Sutureless Laparoscopic Ovariectomy in Small Dogs Using Two 3-mm Portal Sites

  • Hyeon-Han Ku;Ho Hyun Kwak;Jun-Hyung Kim;Kyung-Mee Park;Heung Myong Woo
    • 한국임상수의학회지
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    • 제39권6호
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    • pp.319-325
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    • 2022
  • Two-port laparoscopic ovariectomy (Lap-OVE) has been performed in small dogs, using 3-mm and 5-mm portal sites, and is associated with reduced surgical stress and postoperative pain. However, extension of the incision is often needed to extract the ovaries. In this study, we aimed to minimize invasiveness by using smaller-sized cannulas as well as a novel technique for ovary extraction. Lap-OVE was performed on six, healthy female dogs (range, 3 to 7.2 kg) using two 3-mm midline portals. The middle finger of a size M nitrile glove was cut at its base and sterilized preoperatively. The ovary was suspended at the body wall using a 1-0 blue nylon needle, and the ovarian pedicle and ligaments were transected using a 3-mm bipolar forceps. To facilitate the glove passing through the 3.9-mm port, it was turned inside out to expose the smooth inner surface, before being inserted into the abdominal cavity with an applicator. Both ovaries were placed inside, and the mouth of the glove was exteriorized through the port with a laparoscopic grasping forceps. The ovaries were morcellated inside the glove, using Adison-Brown tissue forceps and iris scissors, which enabled safe extraction without incision enlargement. Median incision lengths were 4.3 mm (3.5-mm cranial cannula) and 4.8 mm (3.9-mm caudal cannula). An advantage of this procedure was that there was no need for skin sutures. In conclusion, using our novel technique, sutureless Lap-OVE was possible in small dogs using two 3-mm portal sites without additional incision.

Occupational Exposure during Intraperitoneal Pressurized Aerosol Chemotherapy Using Doxorubicin in a Pig Model

  • Wongeon Jung;Mijin Park;Soo Jin Park;Eun Ji Lee;Hee Seung Kim;Sun Ho Chung;Chungsik Yoon
    • Safety and Health at Work
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    • 제14권2호
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    • pp.237-242
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    • 2023
  • Background: This study evaluated occupational exposure levels of doxorubicin in healthcare workers performing rotational intraperitoneal pressurized aerosol chemotherapy (PIPAC) procedures. Methods: All samples were collected during PIPAC procedures applying doxorubicin to an experimental animal model (pigs). All procedures were applied to seven pigs, each for approximately 44 min. Surface samples (n = 51) were obtained from substances contaminating the PIPAC devices, surrounding objects, and protective equipment. Airborne samples were also collected around the operating table (n = 39). All samples were analyzed using ultra-high performance liquid chromatography-mass spectrometry. Results: Among the surface samples, doxorubicin was detected in only five samples (9.8%) that were directly exposed to antineoplastic drug aerosols in the abdominal cavity originating from PIPAC devices. The telescopes showed concentrations of 0.48-5.44 ng/cm2 and the trocar showed 0.98 ng/cm2 in the region where the spraying nozzles were inserted. The syringe line connector showed a maximum concentration of 181.07 ng/cm2, following a leakage. Contamination was not detected on the surgeons' gloves or shoes. Objects surrounding the operating table, including tables, operating lights, entrance doors, and trocar holders, were found to be uncontaminated. All air samples collected at locations where healthcare workers performed procedures were found to be uncontaminated. Conclusions: Most air and surface samples were uncontaminated or showed very low doxorubicin concentrations during PIPAC procedures. However, there remains a potential for leakage, in which case dermal exposure may occur. Safety protocols related to leakage accidents, selection of appropriate protective equipment, and the use of disposable devices are necessary to prevent occupational exposure.

수술과 항암치료 후 종양표지자 검사의 상승으로 복막 가성점액종의 재발을 확인한 1례 (A Case of Recurred Pseudomyxoma Peritonei Identified by Serially Elevated Serum CEA Levels after Cytoreductive Surgery and Intraperitoneal Chemotherapy)

  • 한인섭;송근암;김광하;이봉은;백동훈;이성준;이문원;한성용
    • Journal of Digestive Cancer Research
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    • 제4권1호
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    • pp.32-35
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    • 2016
  • 복막 가성점액종은 표준치료인 종양감축수술과 함께 복강 내 고온열 항암요법과의 병합치료로 생존율의 향상을 기대할 수 있다. 재발성 병변에 대해서는 추가적인 종양감축 수술이 권고되고 있지만, 치료시기에 따른 이환율과 사망률의 차이가 있어 조기발견이 중요하다. 수술 전 혈청 종양표지자 검사의 수치 이상 여부에 따른 재발과 생존율의 상관관계를 알아보고자 하는 연구들은 있지만, 추적관찰 중 수치 이상에 따른 재발여부에 관한 연구는 거의 없다. 저자들은 CSR과 HIPEC, 그리고 전신 항암화학요법을 시행받은 환자에서 CEA의 수치 상승이 질병의 재발과 상관관계가 있었음을 경험하였기에 보고하는 바이다.

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한국 제주도 남동부해역에서 첫 출현한 성대과(양볼락아목), Lepidotrigla longifaciata 자어의 분자동정 및 형태기재 (Molecular Identification and Morphological Description of Larva of the Previously Unrecorded Species Lepidotrigla longifaciata (Scopaenoidei: Triglidae) from the Southeastern Sea of Jeju Island of Korea)

  • 장재훈;지환성;유효재;김진구
    • 한국어류학회지
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    • 제36권1호
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    • pp.101-106
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    • 2024
  • 2020년 5월 제주도 남동부 해역에서 봉고네트로 성대과 자어 1개체(전장 5.14 mm)가 채집되었다. 본종은 mtDNA COI 염기서열 분석을 통해 우리나라에서 처음 보고되는 달재속 1 미기록종, Lepidotrigla longifaciata로 확인되었다. 본종의 전기자어의 형태적 특징은 긴 주둥이, 큰 입, 부채 모양의 큰 가슴지느러미를 가지며, 흑색소포는 복강과 목덜미에만 관찰되었다. 우리나라에서 처음 발견된 본종의 신국명으로 '긴머리 달재'를 제안한다.