363 565

Cited 0 times in

다발성간세포암에 대한 간절제와 술중 고주파열치료 병합요법

DC Field Value Language
dc.contributor.author김경식-
dc.contributor.author김병로-
dc.contributor.author이우정-
dc.contributor.author이재길-
dc.contributor.author최진섭-
dc.date.accessioned2017-10-26T06:53:59Z-
dc.date.available2017-10-26T06:53:59Z-
dc.date.issued2005-
dc.identifier.issn1738-6349-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151462-
dc.description.abstractPurpose: There have been many trials to find a cure for inoperable multiple hepatocellular carcinomas (HCC), but no effective therapy has been found. As the combined therapy of tumor reductive surgery and intraoperative radio-frequency ablation (RFA) is by far the best known effective treatment modality, the effect of a combined resection and intraoperative RFA for multiple HCC was evaluated. Methods: Between July 1999 and 2004, a retrograde study was conducted on 8 patients who had undergone combined therapy for HCC, with respect to the number of tumors, location, size, postoperative complications and recurrence. Results: The average age of the patients was 51. A Rt. hepatectomy, Lt. Lateral sectionectomy, bi-segmentectomy, segmentectomy and wedge resection were performed. The total number of tumors and resected tumors were 21 and 8, respectively; with an average size of 6.6 cm. Thirteen tumors, with average size of 2 cm, were treated with RFA. Seven postoperative complications were encountered in 2 patients, with 2 operation related complications biloma and ascites. One patient suffered from pleural effusion and a wound complication. One patient went through a RFA-related complication biliary-cutaneous fistula. Four patients suffered a recurrence one at the RFA site, and the rest at the remnant liver. The treatments used for the recurrences were TACE/ TACI, percutaneous Holmium injection and surgical resection. All patients survived, with an average survival and a median disease free survival time of 15 and 11 months, respectively. Conclusion: Until now, surgery has been the least favored choice for the treatment of multiple HCC. However, thinking our opinion, the combined therapy of hepatectomy with intraoperative RFA is beneficial. Our group of patients was small, with a short follow up period, without any definite indication; therefore, it will be necessary to conduct continuous follow up, with the collection of appropriate data.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean Journal of Hepato-Biliary-Pancreatic Surgery-
dc.publisherKorean Journal of Hepato-Biliary-Pancreatic Surgery-
dc.relation.isPartOfKorean Journal of Hepato-Biliary-Pancreatic Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHCarcinoma, Hepatocellular-
dc.subject.MESHHepatectomy-
dc.subject.MESHRadiofrequency Ablation-
dc.title다발성간세포암에 대한 간절제와 술중 고주파열치료 병합요법-
dc.title.alternativeCombined Hepatic Resection and Intraoperative Radio-frequency Ablation for Multiple Hepatocellular Carcinoma-
dc.typeArticle-
dc.publisher.locationKorea-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthor송재원-
dc.contributor.googleauthor이재길-
dc.contributor.googleauthor김경식-
dc.contributor.googleauthor최진섭-
dc.contributor.googleauthor이우정-
dc.contributor.googleauthor김병로-
dc.identifier.doiOAK-2005-05990-
dc.contributor.localIdA00299-
dc.contributor.localIdA00496-
dc.contributor.localIdA02993-
dc.contributor.localIdA03070-
dc.contributor.localIdA04199-
dc.relation.journalcodeJ02035-
dc.identifier.eissn2288-9213-
dc.subject.keywordCarcinoma, Hepatocellular-
dc.subject.keywordHepatectomy-
dc.subject.keywordRadiofrequency Ablation-
dc.contributor.alternativeNameKim, Kyung Sik-
dc.contributor.alternativeNameKim, Kyung Sik-
dc.contributor.alternativeNameKim, Byong Ro-
dc.contributor.alternativeNameLee, Woo Jung-
dc.contributor.alternativeNameLee, Jae Gil-
dc.contributor.alternativeNameChoi, Jin Sub-
dc.contributor.affiliatedAuthor김경식-
dc.citation.volume9-
dc.citation.number3-
dc.citation.startPage150-
dc.citation.endPage155-
dc.identifier.bibliographicCitationKorean Journal of Hepato-Biliary-Pancreatic Surgery, Vol.9(3) : 150-155, 2005-
dc.date.modified2017-05-04-
dc.identifier.rimsid44620-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.