• 제목/요약/키워드: Intrathoracic

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식도확장술 후 발생한 식도천공의 식도 열공을 통한 식도적출술 치험 1례 (Transhiatal Esophagectomy after Instrumental Esophageal Perforation)

  • 정일영
    • Journal of Chest Surgery
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    • 제27권8호
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    • pp.714-716
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    • 1994
  • Perforation of the esophagus, with any of its possible consequences, consetitutes an emergeny. We are reporting one case of transhiatal esophagectomy with esophagogastrostomy. The cause of esophageal perforation was baloon dilatation with underlying stricture. We recognized immediately intrathoracic perforation through routin check of Chest PA and confrormed dye leakage through esophagogram. She underwent emergency operation.

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Supradiaphragmatic Heterotopic Liver Presenting as a Pleural Mass: A Case Report

  • An, Jung-Suk;Han, Joung-Ho;Lee, Kyung-Soo;Choi, Yong-Soo
    • Tuberculosis and Respiratory Diseases
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    • 제69권3호
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    • pp.191-195
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    • 2010
  • Abnormally located liver tissue has been described in the vicinity of the liver proper, near anatomical structures such as the gallbladder, the umbilical fossa, the adrenal gland, the pancreas, and the spleen. Supradiaphragmatic ectopic liver is a rare finding, but has been reported to have been found in the intrathoracic cavity and in the pericardium. In the majority of supradiaphragmatic ectopic liver cases, there was an accompanying transdiaphragmatic pedicle of the main liver body into the abdominal cavity. In a minority of supradiaphramatic ectopic liver cases, the liver was completely separated from the abdominal cavity without a connection between the thorax and the abdomen, with accompanying diaphragmatic anomalies. We describe one case of intrathoracic ectopic liver in a patient with a previous history of lower chest wall trauma, and a brief review of the English-language medical literature on this topic.

Indolent Metastatic Squamous Cell Carcinoma of Unknown Primary in the Intrathoracic Lymph Node: A Case Report and Review of the Literatures

  • Kim, Min Jin;Lim, Sang Hyok;Han, Su Jung;Choi, Kang Hyug;Lee, Sun Hyo;Park, Min Woo;Kang, HyeRan;Na, Ju Ock
    • Tuberculosis and Respiratory Diseases
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    • 제78권1호
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    • pp.23-26
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    • 2015
  • Metastatic squamous cell carcinoma from a cancer of unknown primary (CUP) affecting the intrathoracic lymph node is very rare. We reported a case of metastatic squamous cell carcinoma in the hilar and interlobar lymph node from a patient with CUP and reviewed the associated literature. Abnormal mass in the right hilar area was incidentally detected. A chest computed tomography scan showed a 2.5-cm diameter mass in the right hilum that had changed little in size for 3 years. The patient underwent a right pneumonectomy and mediastinal lymph node dissection. A metastatic squamous cell carcinoma in the hilar and interlobar lymph nodes without a primary lung or other lesion was diagnosed. The patient received adjuvant chemotherapy for a diagnosis of T0N1M0 lung cancer.

식도암 수술후 흉곽내 위 천공 -치험 2례- (Perforation of Intrathoracic Stomach after Ivor Lewis Operation for Esophageal Cancer - 2 cases report -)

  • 이영;황의두;황경환;윤수영;나명훈;유재현;임승평
    • Journal of Chest Surgery
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    • 제31권9호
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    • pp.911-914
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    • 1998
  • 충남대학교 의과대학 흉부외과학 교실에서 흉부식도암 수술적 치료로 흉곽내 위문합 Ivor Lewis 수술후 흉곽내 위천공이 발생한 환자 2례를 치험하였다. 문합부는 문제가 없었으나 경구섭취 후 흉강을 통한 배액이 증가되었다. 위천공은 재수술을 위해 개흉술을 시행하여 확인 할 수 있었다. 위천공 부위는 재봉합 후 늑간근을 이용하여 보강하였다.

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Two Cases of Robot-Assisted Totally Minimally Invasive Esophagectomy with Colon Interposition for Gastroesophageal Junction Cancer: Surgical Considerations

  • Kinam Shin;In Ha Kim;Yun-Ho Jeon;Chung Sik Gong;Chan Wook Kim;Yong-Hee Kim
    • Journal of Chest Surgery
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    • 제57권3호
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    • pp.323-327
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    • 2024
  • This case report presents 2 patients with gastroesophageal junction cancer who both underwent totally minimally invasive esophagectomy with colon interposition. Patients 1 and 2, who were 43-year-old and 78-year-old men, respectively, had distinct clinical presentations and medical histories. Patient 1 underwent minimally invasive robotic esophagectomy with a laparoscopic total gastrectomy, colonic conduit preparation, and intrathoracic esophago-colono-jejunostomy. Patient 2 underwent completely robotic total gastrectomy, colon conduit preparation, and intrathoracic esophago-colono-jejunostomy. The primary challenge in colon interposition is assessing colon vascularity and ensuring an adequate conduit length, which is critical for successful anastomosis. In both cases, we used indocyanine green fluorescence angiography to evaluate vascularity. Determining the appropriate conduit is challenging; therefore, it is crucial to ensure a slightly longer conduit during reconstruction. Because totally minimally invasive colon interposition can reduce postoperative pain and enhance recovery, this surgical technique is feasible and beneficial.

식도 근육내 낭종 1례 (Intraluminal Esophageal Cyst)

  • 홍장수
    • Journal of Chest Surgery
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    • 제14권1호
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    • pp.95-97
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    • 1981
  • Cystic intrathoracic lesions of foregut origin are now well recognized and account for approximately 10% of lesions presenting as mediastinal tumors. The terminology used to describe mediastinal endodermal cysts has been confused and sometimes ambiguous. The embryological derivation of these lesions has been the cause of much speculation. It Is suggested that these lesions should be classified Into three main categories based on embryology bronchogenic cyst[resulting from a defect of lung budding], Intramural esophageal cyst[true duplication], and enteric cyst[resulting from the split notochord syndrome]. This communication describes a 26 year old man with intramural esophageal cyst who was diagnosed as posterior medlastlnai tumor preoperatively and cured with extirpation of the cyst.

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갑상선 결절에 대한 전산화단층촬영의 진단적 의의 (Diagnostic Significance of Computed Tomography in Thyroid Nodules)

  • 이승호;최종욱;이남준
    • 대한두경부종양학회지
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    • 제9권1호
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    • pp.10-15
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    • 1993
  • In this study. we studied the efficacy of CT scan in the diagnosis of the thyroid nodules. CT scan was useful in the identification of nodal metastasis. extracapsular spread and intrathoracic extension. and multiple cystic degeneration or calcification on CT scan suggested a high possibility of thyroid malignancy.

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신생아에서의 선천성 횡격막 내번증;치험 3례 (Congenital Diaphragmatic Eventration in Neonates -A Report of 3 cases-)

  • 최강주
    • Journal of Chest Surgery
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    • 제26권9호
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    • pp.730-734
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    • 1993
  • Three neonates with congenital diaphragmatic eventration underwent intrathoracic operation had marked improvements in symptoms postoperatively. Two were one day of ages, one was 1 month of age, and they were all female and had other congenital abnormalities of lung hypoplasia, cleft palate, nasal polyps and neonatal hepatitis. The right diaphragm was more affected than left as 2:1. The repair for diaphragmatic eventration was performed successfully by plication of remnant diaphragm, and there were no complications postoperatively.

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