untitled

Save this PDF as:
Size: px
Start display at page:

Download "untitled"

Transcription

1 제 4 차한국간담췌외과학회연수강좌 송태진 고려대학교의과대학외과학교실 서론 원발성간세포암 ( 간암 ) 은전세계적으로다섯번째로흔한암종이며, 구미보다특히아시아지역에서집중되고, 우리나라에서도세번째의높은발생빈도를유지하고있다 1-3. 간암이최근들어간염보균자등고위험군의경우지속적추적검사를통해조기발견이되기도하지만, 많은경우이미병기가어느정도진행되어발견이되므로이런경우발견후급속히사망에이르는일이아직도흔하다 4. 이렇게진단시진행이많이되어있거나기저에만성간염, 간경변등간질환을동반하는경우많아수술적치료의선택이제한적인경우가아직도많다 5,6. 따라서수술적난제를해결하기위한다양한신기술과치료기법이매년새로이대두되어쓰이고또효용에따라개선을거듭하거나다른새로운기술에밀려폐기되고있어, 외과적간암치료에있어간의절제나이식기교의개인차를최대한좁혀가야만할수밖에없는현대의외과의들은이러한기술들을모두수용하기에도벅찬형국에처하여있다. 하지만이들기법의빠른응용이타당한가등은실제기술발달의속도를개개인이모두따라가기힘든현실을감안하여개념파악정도로서이해를하여둘필요는있어보인다. 이러한간암치료의신기술을문헌과경험을통하여부분적으로나마나열하여정리하며논의하고자한다. 본론 우리나라에서간암은잘알려져있는바와같이간경변이동반된경우가많으며이런경우비록근치적절제가가능한경우에도출혈및수술후유병율증가로수술위험도는매우증가되기도한다. 간암에대한기존외과적치료의상황을한번살펴보면, 간기능에따라대형간암의경우에도절제가가능한경우가있으나, 불가능한경우가더많으며, 간기능이나쁜소형간암의경우각기관의수술정책과범주에따라간이식을고려하기도한다 실제간이식을선호하는그룹에서는생체부분간이식등을통한이식이좋은결과를보여이에힘을얻고있는반면, 다른그룹에서는부분간절제혹은국소치료가가능한경우먼저이런조작을하고재발등으로필요하다면추후기회를엿보는교량적방법을추구하기도한다 당연하지만간암에있어수술적치료의궁극적목적은수술후간기능을보존함으로서생존률을높이고삶의질을좋게하는데있다 14. 이렇듯처음부터절제가가능하여수술적치료가가능한경우에는이론의여지가별로없겠으나수술의범주를벗어나는경우는다른비수술적치료를할것인지아니면비수술적치료를병행할것인지적절한타협안을찾아야한다. 절제불가능한간암은대개진행정도가극심하거나전이가있어이식이나국소제거치료의적응또한되지않으며대개보존적완화치료의대상이되는데이런완화치료과정중절제가능케되는경우가어느 24

2 정도 (8-18%) 있으며, 이런경우구제수술의일환으로수술이진행된경우 % 의상당히좋은 5년생존결과도보고되고있으므로 9, 이러한방법으로서새로운기법들의도입이요구되고있기도하다. 1. 간암의최소침습수술지난 20여년간괄목할성장을한복강경수술은양성간담췌질환뿐아니라악성종양에도적용되는것이예외가아니다. 이중간암도예외가아니어서암의위치에따라다양한수술법이적용이되나, 종양학적안전성에따른세심한관리를요구하며이제한점역시경험의축적으로극복되고있는상황이다. 또한진단, 생검, 그리고암의병기결정, 치료적절제및제거혹은암의파괴, 암과연관된환자의불편혹은증상제거, 그리고치료불가능한경우의고식적증상경감수술 (palliative surgery) 에도적용이될수있다. 또한기존수술과마찬가지로다른치료기법과병행할수있으며이역시기존보다회복기간을줄여입원기간을줄이고일상으로복귀를빨리할수있음이간암에서도다른최소침습수술과마찬가지장점이다. 복강경기술이발달되며첨단복강경수술기구들의발달또한눈부신데디지털보정영상장비이후 HD 디지털장비가보편화되며고선명, 고화질수술을연출하고있으며, 정교한기록장비들이발달되고, 또최근, 절제및지혈에있어서도 harmonic scalpel, liga-sure 같은장비, 또개복수술에서도쓰이는수술중초음파진단영상장비, 초음파절제기 (CUSA ), 수류제트절제기 (water jet dissector), Tissue link, Argonplasma coagulator 및 cool tips 같은각종 RFA장비등이루헤아릴수없는많은수술기계들이매일등장과도태의부침을거듭하고있으며, 보완된보조수술기구들이하루가멀게개선되어사용이용이하면서최소침습의목적달성을쉽게할수있게하고있다. 또한단공수술 (one port surgery), NOTES (natural orifice transluminal endoscopic surgery) 등기법이간암수술에이미일부도입이되고머지않아보편적으로도입될태세로연구되고기구들이고안이되고있으며, 일일이나열하기힘들정도의장비들이수술실을첨단으로꾸며놓고있다. 이최소침습에쓰이는첨단장비중화두는역시로봇을또한꼽을수있겠으며로봇수술의도입은, 복강경수술이외과영역에이미보편화된시점에서업그레이드에대한신경을쓰지않던지난몇년을다시최첨단으로올려놓는역할을하게되고있다. 로봇이란이름이일반대중에게주는첨단적이미지로말미암아도입시환자의순응도를변화시키며, 복강경수술의한계극복을하는할수있게희망과또한여러의견에따른걱정또한외과의에게동시에가져다주고있는것도현실이다. 2. Operative Irreversible Electroporation for HCC Electroporation 은전기장으로세포막을와해시켜구멍을냄으로서세포내로정상적으로투입할수없는큰분자를넣거나하는분자생물학적기법인데, 이것을응용하여 irreversible electroporation 기구를만들어간암치료에응용하려는노력을하고있다. Irreversible electroporation 이라함은전기장을특수하게변형함으로서영구적세포막의변화를야기시키는방법으로, 절제불가능한간암의치료에있어서기존사용하던 RFA의알려진여러단점, 예를들어제한된크기, 혈관에가까운간암의경우냉각효과로인한효과의저하, 그리고가열된부위가 charcoal 화되어버리는현상으로말미암아영상의학적추적이불편하거나, 합병증을만들어효과를감쇄하는것을방지할수있는방법이연구되고있는데, 이는전신마취및근이완이절대적으로필요하므로, 중재방사선과영역보다는외과의영역에근접한치료방법으로서절제치료불가간암에새로운장비로활용이가능하다

3 제 4 차한국간담췌외과학회연수강좌 3. Intraoperative Fluorescent Dye Imaging for HCC Indocyannine green은간의잔류능을검사하는데흔히쓰이는약제이며, 810 nm의적외선을흡광하고자극을받아 830 nm의적외선을다시방사한다. 적외선필터를장착한특수한카메라로이이미지를보게되면 ICG가농축된부위를강하게볼수있다 22,23. 이를간동맥혹은문맥에투여항여영상을얻을수있어, 수술중가이드혹은내비게이션목적의일환으로응용하는연구가되고있다. 또한 fluorescein 도안과에서안저검사할때흔히쓰이는황색염료로, 475 nm의청색광에반응하여 480 nm의녹색광을보여주는염료이다. 간암수술에서수술변연의종양침범과형태를수술중보다명확이하는데도움을줄수있음이속속밝혀지고있어간암수술의편의성증대에응용하여도움을줄수있겠다 그외발달되는첨단간암수술장비들하루가다르게발달되는장비들의수는이루헤아릴수없다. 그만큼간담췌영역에서특히간경변을포함하는간암의수술은결코만만하지않고쉽지가않다는반증일수있으며, 수술의결과또한장비에만의존할수없는다른많은요인이내재된어려운일이다. 따라서이런장비들은외과의의보조적도구일뿐그장비를다루는외과의의지속적연구와끊임없는기량연마가무엇보다절실하다. 결론 간암을수술하는신기술은기저간질환과해부학적인기술제한점을극복하려는부단한노력과다양한장비의진보로점차그한계의영역이줄어들고있지만이러한새기술들이보편화되기위하여서는많은임상시험을통한안전성입증, 또치료적효용성이입증되어야한다. 이에따른기술에적합한환자를선택하고철저한수술전검토그리고세심한수술진행과각기구사용의숙련이대두되고, 시뮬레이션과실제사용에대한기법습득이필요하다. 따라서외과의간의서로의많은경험과장기적추적이진행되면서간암치료에대한신기술의안전성과유효성에대해서도신뢰성있는결과들을수술에적용할수있을것이라생각된다. 이렇듯간암에대한치료는신기술적용에있어외과의그리고관련임상의간협력을통하여환자의안전과장기생존에도움을줄수있는방향으로많은다양한의견교환과기술적탐구가지속적으로병행해나갈수있어야할것으로생각된다. 참고문헌 1. Song TJ, Ip EW, Fong Y. Hepatocellular carcinoma: current surgical management. Gastroenterology. Nov 2004;127(5 Suppl 1):S Little SA, Fong Y. Hepatocellular carcinoma: current surgical management. Semin.Oncol. 2001;28(5): American Cancer S. Cancer Facts and Figures ; 4. Song IH, Kim KS. Current status of liver diseases in Korea: hepatocellular carcinoma. Korean J Hepatol. Dec 2009;15 Suppl 6:S Wang HJ, Lee H. [Surgical treatment of hepatocellular carcinoma]. Korean J.Gastroenterol. 2005; 45(4): Cherqui D, Laurent A, Tayar C, et al. Laparoscopic liver resection for peripheral hepatocellular carcinoma in 26

4 patients with chronic liver disease: midterm results and perspectives. Ann.Surg. 2006;243(4): El Serag HB, Marrero JA, Rudolph L, Reddy KR. Diagnosis and treatment of hepatocellular carcinoma. Gastroenterology. 2008;134(6): Williams R, Rizzi P. Treating small hepatocellular carcinomas. N.Engl.J.Med. 1996;334(11): Lau WY, Lai EC. Salvage surgery following downstaging of unresectable hepatocellular carcinoma--a strategy to increase resectability. Ann.Surg.Oncol. 2007;14(12): Liu JH, Chen PW, Asch SM, Busuttil RW, Ko CY. Surgery for hepatocellular carcinoma: does it improve survival? Ann.Surg.Oncol. 2004;11(3): Bhattacharjya S, Bhattacharjya T, Quaglia A, et al. Liver transplantation in cirrhotic patients with small hepatocellular carcinoma: an analysis of pre-operative imaging, explant histology and prognostic histologic indicators. Dig.Surg. 2004;21(2): Pawlik TM, Esnaola NF, Vauthey JN. Surgical treatment of hepatocellular carcinoma: similar long-term results despite geographic variations. Liver Transpl. 2004;10(2 Suppl 1):S74-S Poon RT, Fan ST. Is primary resection and salvage transplantation for hepatocellular carcinoma a reasonable strategy? Ann.Surg. 2004;240(5): Song TJ, Adusumilli P, Fong Y. [Prognostic factors in the evaluation of colorectal liver metastases]. Chirurg. Jun 2005;76(6): , Narayanan G. Irreversible electroporation for treatment of liver cancer. Gastroenterol Hepatol (N Y). May 2011;7(5): Charpentier KP, Wolf F, Noble L, Winn B, Resnick M, Dupuy DE. Irreversible electroporation of the liver and liver hilum in swine. HPB (Oxford). Mar 2011;13(3): Golberg A, Laufer S, Rabinowitch HD, Rubinsky B. In vivo non-thermal irreversible electroporation impact on rat liver galvanic apparent internal resistance. Phys Med Biol. Feb ;56(4): Guo Y, Zhang Y, Nijm GM, et al. Irreversible electroporation in the liver: contrast-enhanced inversion-recovery MR imaging approaches to differentiate reversibly electroporated penumbra from irreversibly electroporated ablation zones. Radiology. Feb 2011;258(2): Zhang Y, Guo Y, Ragin AB, et al. MR imaging to assess immediate response to irreversible electroporation for targeted ablation of liver tissues: preclinical feasibility studies in a rodent model. Radiology. Aug 2010;256(2): Choi YS, Kim HB, Chung J, Kim HS, Yi JH, Park JK. Preclinical analysis of irreversible electroporation on rat liver tissues using a microfabricated electroporator. Tissue Eng Part C Methods. Dec 2010;16(6): Guo Y, Zhang Y, Klein R, et al. Irreversible electroporation therapy in the liver: longitudinal efficacy studies in a rat model of hepatocellular carcinoma. Cancer Res. Feb ;70(4): Ishizawa T, Fukushima N, Shibahara J, et al. Real-time identification of liver cancers by using indocyanine green fluorescent imaging. Cancer. Jun ;115(11): Kawaguchi Y, Ishizawa T, Masuda K, et al. Hepatobiliary surgery guided by a novel fluorescent imaging technique for visualizing hepatic arteries, bile ducts, and liver cancers on color images. J Am Coll Surg. Jun 2011;212(6):e Stiles BM, Adusumilli PS, Bhargava A, Fong Y. Fluorescent cholangiography in a mouse model: an innovative method for improved laparoscopic identification of the biliary anatomy. Surg Endosc. Aug 2006;20(8):

5

김범수

김범수 Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis

More information

120304강신용

120304강신용 Clinical Features and Prognostic Factors Influencing Long-term Survival in pt2 Gallbladder Carcinoma Patients Purpose: The prognosis of gallbladder carcinoma is unfavorable, and the depth of invasion,

More information

Kbcs002.hwp

Kbcs002.hwp Does Real-time Compound Imaging Improve Evaluation of reast Cancer Compared to Conventional Sonography? o Kyoung Seo, M.D., Yu Whan Oh, M.D., Kyu Ran Cho, M.D., Young Hen Lee, M.D., Hyung Joon Noh, M.D.,

More information

지원연구분야 ( 코드 ) LC0202 과제번호 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 연구과제명 과제책임자 세부과제 ( 영문 ) 구분 소속위암연구과직위책임연구원

지원연구분야 ( 코드 ) LC0202 과제번호 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 연구과제명 과제책임자 세부과제 ( 영문 ) 구분 소속위암연구과직위책임연구원 지원연구분야 ( 코드 ) LC0202 과제번호 1110550 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 연구과제명 과제책임자 세부과제 ( 영문 ) 구분 1 2 3 소속위암연구과직위책임연구원 성명류근원전공외과 세부과제명 세부과제책임자 성명 소속 ( 직위 ) 전공 총연구기간 2011

More information

Kjhps016( ).hwp

Kjhps016( ).hwp Surgical Extent and Types in Pancreatic Cancer Song Cheol Kim, M.D. Department of Surgery, Ulsan University College of Medicine & Asan Medical Center, Seoul, Korea Pancreatic cancer continues to pose a

More information

노영남

노영남 Purpose: Delayed massive hemorrhages from pseudoaneurysm rupture of the peripancreatic large arteries, after pancreaticoduodenectomy, are fatal. We reviewed the clinical course and outcome of bleeding

More information

황지웅

황지웅 Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic

More information

튦 NO. 2155 Since 1969 2016. 06. 15 www.catholicfound.org www.cmc.or.kr blog.naver.com/cmc_health twitter.com/cmcmedicalnews www.facebook.com/cmcmedicalnews 02 CATHOLIC MEDICAL TIMES Vol.2155 2016.06.15 03

More information

Jkbcs016(92-97).hwp

Jkbcs016(92-97).hwp Expression of bcl-2 and Apoptosis and Its Relationship to Clinicopathological Prognostic Factors in Breast Cancer - A Study with Long Term Follow-up correlated with the survival rate.(journal of Korean

More information

암센터뉴스레터1

암센터뉴스레터1 CANCER HOSPITAL News News Letter For Yonsei University Gangnam Severance Hospital http://gs.iseverance.com 2012.06.21 2012.08.16 2012.09.19 2012.10.04 2012.10.25 CONTENTS 2012.07.27 2012.10.06 2012.11.06

More information

untitled

untitled 2009 년도대한췌담도학회추계학술대회 Session III: Joint Symposium of Surgeon and Physician - Issues of Hilar Cholangiocarcinoma 간문부담관암의외과적치료성적 (Clinical Outcome of Surgical Treatment for Klatskin Tumor) 서울대학교의과대학외과학교실

More information

기관고유연구사업결과보고

기관고유연구사업결과보고 기관고유연구사업결과보고 작성요령 2001 ~ 2004 2005 ~ 2007 2008 ~ 2010 2001 ~ 2004 2005 ~ 2007 2008 ~ 2010 1 2/3 2 1 0 2 3 52 0 31 83 12 6 3 21 593 404 304 1,301 4 3 1 8 159 191 116 466 6 11 (`1: (1: 16 33 44 106

More information

<38BFF93238C0CF28B1DDBFE4C0CF2920BFB9BBF3B9E8B4E72E786C7378>

<38BFF93238C0CF28B1DDBFE4C0CF2920BFB9BBF3B9E8B4E72E786C7378> [부산 ] 2009년 08월 28일 ( 金 ) 1경주 국 5(마령)1000M 발주 13:00 종합 인기도 출전 착순 출주 10 11 5 검은요정 국5 한2 암 김재섭 영준 53 3착 선행 5 5 5 15 1 6 3 0.3 주 10 랜드레이디 국5 한2 암 강형곤 현명 53 3착 선행 10 5 6.3 10 10 4 8 4 2 4 주 11 일맥상통 국5 한3 암

More information

388 The Korean Journal of Hepatology : Vol. 6. No COMMENT 1. (dysplastic nodule) (adenomatous hyperplasia, AH), (macroregenerative nodule, MR

388 The Korean Journal of Hepatology : Vol. 6. No COMMENT 1. (dysplastic nodule) (adenomatous hyperplasia, AH), (macroregenerative nodule, MR 6 3 2000 ; 387-392 (3) Dysplastic Nodule Young Nyun Park, M.D., Chanil Park, M.D. Department of Pathology, Yonsei University College of Medicine BRIEF HISTORY 56. AST/ALT 72/73 IU/L, total bilirubin 0.7

More information

( )Jkstro011.hwp

( )Jkstro011.hwp 비인강암의방사선치료결과및생존율에관한예후인자분석 2005 2 1 2005 3 28. :, Tel: 053)250-7665, Fax: 053)250-7984 E-mail: jhkim@dsmc.or.kr 정영연외 2 인 : 비인강암의예후인자분석 정영연외 2 인 : 비인강암의예후인자분석 Carcinoma of the nasopharynx treated by radiotherapy

More information

레이아웃 1

레이아웃 1 대한위장관기질종양연구회 01 GIST 06 02 11 03 Imatinib 14 04 05 06 07 Sunitinib 32 40 44 48 GIST 6 01 7 GIST Guide book GIST 8 01 9 GIST Guide book GIST (CT) MRI FDG-PET 10 02 11 GIST Guide book 12 02 (Imatinib)

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 HCC Incidence in Korea :Up or Down, What Is Real? 임영석울산의대서울아산병원소화기내과, 간센터 Metrics of Disease Burden 발병률 / 유병률 (Incidence/Prevalence) 원인 - 특이적사망률 (Cause-Specific Mortality) Cause-specific mortality is one

More information

<31322EB9DABBF3C0E72E687770>

<31322EB9DABBF3C0E72E687770> 간세포암절제술의재평가 박상재 서론 간세포암에서간절제술은완치를목적으로시행되는최선의표준치료법으로인정되어왔으며최근들어수술위험률이크게낮아지고장기적인예후가향상되고있다. 그러나절제술에비해안전하고일부환자에서는절제술과비슷한장기결과를보이는경피적에탄올주입법, 고주파열치료등국소치료법의시행이확대되면서절제가능한간세포암종에서절제술은국소치료법과경쟁하는실정이다. 또한 90년도에들어간세포암에서간이식의시행이확대되면서간세포암치료법에큰변화가일어나고있다.

More information

Kaes025.hwp

Kaes025.hwp 고위험군유두상갑상선암환자에대한방사성옥소최대허용선량측정법및치료법의검증 Verification of Measurement Methods and Therapeutic Efficacy of Maximum Permissible Dose of I-131 in High Risk Patients with Differentiated Papillary Thyroid Cancer

More information

( )Kju269.hwp

( )Kju269.hwp 만성세균성전립선염모델흰쥐에서 의항염효과 Anti-inflammatory Effect of Lycopene on Chronic Bacterial Prostatitis Rat Model Cho Hwan Yang, Dong Wan Sohn, Yong-Hyun Cho From the Department of Urology, The Catholic University

More information

A 617

A 617 Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : wklee@catholic.ac.kr Abstract R

More information

Microsoft Word - 김보현.docx

Microsoft Word - 김보현.docx Decision Making of Treatment Modality of Hepatocellular Carcinoma: Consideration of KLCSG- NCC Korea Guideline Bo Hyun Kim Center for Liver Cancer, National Cancer Center, Goyang, Korea 서론 간세포암종 (hepatocellular

More information

Jkbcs032.hwp

Jkbcs032.hwp Clinical Correlation of HER-2/neu Overexpression in Patients with Breast Cancer Sung Yong Kim, Tae Yoon Kim, Jae Jun Kim, Chang Ho Kim, Ok Pyung Song, Min Hyuk Lee, Eui Han Kim 1, and Moo Sik Cho Departments

More information

untitled

untitled Gallbladder, Perihilar Bile Ducts & Distal Bile Duct 연세대학교의과대학세브란스병원외과학교실 김경식 서론암의병기결정은 1977년 1판 AJCC cancer staging 이나온이래 6 8년의주기로개정작업이시행되어왔다. 2002년개정된 6판은간문부암에대한병기가세분되어있지않았고담낭암및담도암에있어서림프절침범유무에만구분하였으나

More information

Microsoft PowerPoint - 김미영

Microsoft PowerPoint - 김미영 암세포의위험한여행 한국과학기술원 김미영 강의개요 전이란무엇인가? 전이는어떤과정을통해진행될까? 전이예측방법은어떤것들이있을까? Cancer ( 악성종양 ) US South Korea 질병사망률질병사망률 1. 심장병 26% 1. Cancer 26.7% 2. Cancer 23% 2. 뇌출혈 12.7% 3. 뇌출혈 5.6% 3. 심장병 7.9% >20,000 환자가악성종양에의해매일사망함

More information

untitled

untitled Korean Journal of HBP Surgery 원 저 Vol. 5, No., February ICGR5 가 % 이상인간세포암환자에서대량간절제술에따른술후간부전의예측인자 Major Hepatectomy in the HCC Patient with an Indocyanine Green Retention Rate at 5 Minutes of % or Higher:

More information

Sheu HM, et al., British J Dermatol 1997; 136: Kao JS, et al., J Invest Dermatol 2003; 120:

Sheu HM, et al., British J Dermatol 1997; 136: Kao JS, et al., J Invest Dermatol 2003; 120: Sheu HM, et al., British J Dermatol 1997; 136:884-890 Kao JS, et al., J Invest Dermatol 03; 1:446-464 1 10 0 3 Day Normal MLE Lotion Lotion MLE Cream Cream 80 7 70 6 3 Day Normal MLE Lotion Lotion MLE

More information

Minimally invasive parathyroidectomy

Minimally invasive parathyroidectomy 2013. 2. 2 대한간암연구학회 7차 심포지움 및 학술대회 Indication and Clinical Outcomes of Metachronous HCC Metastasectomy Shin Hwang Division of Liver Transplantation and Hepatobiliary Surgery, Department of Surgery, Asan

More information

(49-54)Kjhps004.hwp

(49-54)Kjhps004.hwp Biliary Cystadenoma and Cystadenocarcinoma of the Liver Jae Hoon Lee, M.D., Dong Ho Choi, M.D. 1, Kyeong Geun Lee, M.D., Hwon Kyum Park M.D. and Kwang Soo Lee, M.D. Department of Surgery, College of Medicine,

More information

연하곤란

연하곤란 2015.03.04 부울경소화기내시경지회 Intramucosal gastric cancer: The rate of lymph node metastasis in signet ring cell carcinoma was as low as that in welldifferentiated adenocarcinoma 인제대부산백병원 소화기내과 지삼룡 Signet ring

More information

Lumbar spine

Lumbar spine Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical

More information

White Matter Changes in Mesial Temporal Sclerosis: Correlation of MR Imaging with PET, Pathology and Clinical Features

White Matter Changes in Mesial Temporal Sclerosis: Correlation of MR Imaging with PET, Pathology and Clinical Features 간암연구회 June 28, 2008 Local Ablation for Small HCCs 성균관의대 삼성서울병원 소화기영상의학과 최동일 간세포암종 진료 가이드라인 대한간암연구회 일차 판단 이차 판단 이차 검사 삼차 판단 치료 방침 방침 ** 간세포암종 D1 간암 병기 Child-Pugh 등급 -수술가 능 D2 선택검사 ICG 검사 역동적 조영증강 MRI 뼈스캔

More information

untitled

untitled 대한방사선종양학회지 ;9():6 7 DOI:.857/jkstro..9..6 간세포암에 의한 뼈전이의 방사선치료: 고선량 방사선치료의 효과 성균관대학교 의과대학 삼성서울병원 방사선종양학교실*, 내과학교실 김태규*ㆍ박희철*ㆍ임도훈*ㆍ김철진*ㆍ이혜빈*ㆍ곽금연 최문석 ㆍ이준혁 ㆍ고광철 ㆍ백승운 ㆍ유병철 목 적: 간세포암에 의한 뼈전이 환자의 방사선 조사선량에 따른

More information

untitled

untitled 3. 농업환경연구과 과제구분 기본연구 수행시기 전반기 연구과제 및 세부과제 수행 기간 소 속 책임자 농가에 적합한 부식성곤충 대량 사육기술 개발 12~ 13 농업환경연구과 곤충팀 이영혜 1) 부식성 곤충 먹이 제조 기술 개발 12~ 13 농업환경연구과 곤충팀 이영혜 색인용어 부식성곤충, 장수풍뎅이, 계통, 먹이제조 ABSTRACT In first check,

More information

Table 1. Distribution by site and stage of laryngeal cancer Supraglottic Glottic Transglottic Total Stage Total 20

Table 1. Distribution by site and stage of laryngeal cancer Supraglottic Glottic Transglottic Total Stage Total 20 KISEP Head and Neck Korean J Otolaryngol 1999;42:1284-9 후두암수술환자에대한치료성적 송달원 김희준 정현수 김영한 안재현 이복수 박선호 Treatment Result in Laryngeal Cancer Patients Submitted to Surgical Treatment Dal Won Song, MD, Hee Jun

More information

<30382EC0C7C7D0B0ADC1C22E687770>

<30382EC0C7C7D0B0ADC1C22E687770> 대한내과학회지: 제 76 권 제 2 호 2009 의학강좌-개원의를 위한 모범처방(Current Clinical Practice) 간기능검사의 이해와 적용 인제대학교 의과대학 일산백병원 내과학교실 김 경 아 Understanding and application of liver function tests Kyung-Ah Kim, M.D. Department of

More information

목 차

목 차 목 차 1. 제품동향 Production < Demand and Supply of GI > Domestic Sales (Unit:10 3 ton) Inventory Import Export Apr 247.0 161.9 162.4 30.3 57.3 May 255.9 183.1 139.5 28.3 51.1 Jun 236.8 164.5 132.7 21.0 53.7

More information

Kaes010.hwp

Kaes010.hwp 갑상선자극호르몬이갑상선암세포의 VEGF, 신생혈관형성, 성장, 침윤및전이에미치는영향 Effects of TSH on the Production of VEGF, Angiogenesis, Growth, Invasion and Metastasis in Thyroid Cancer Cells Euy Young Soh, M.D., Hee Boong Park, M.D.,

More information

High Resolution Disparity Map Generation Using TOF Depth Camera In this paper, we propose a high-resolution disparity map generation method using a lo

High Resolution Disparity Map Generation Using TOF Depth Camera In this paper, we propose a high-resolution disparity map generation method using a lo High Resolution Disparity Map Generation Using TOF Depth Camera In this paper, we propose a high-resolution disparity map generation method using a low-resolution Time-Of- Flight (TOF) depth camera and

More information

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee University College of Medicine & Hospital E mail : ycell2@yahoo.co.kr Abstract

More information

임상강좌 _ 개원의를위한암진료지침 간세포암 고려대학교의과대학내과학교실 김지훈 서론일반적으로간암은간에서발생하는모든악성종양을총칭한다. 간암은크게전이성간암과간내에서발생하는일차성간암으로나뉜다. 전이성간암이가장많은부분을차지하나일차성간암중에서는간세포에서유래하는간세포암종이가장많으며

임상강좌 _ 개원의를위한암진료지침 간세포암 고려대학교의과대학내과학교실 김지훈 서론일반적으로간암은간에서발생하는모든악성종양을총칭한다. 간암은크게전이성간암과간내에서발생하는일차성간암으로나뉜다. 전이성간암이가장많은부분을차지하나일차성간암중에서는간세포에서유래하는간세포암종이가장많으며 임상강좌 _ 개원의를위한암진료지침 간세포암 고려대학교의과대학내과학교실 김지훈 서론일반적으로간암은간에서발생하는모든악성종양을총칭한다. 간암은크게전이성간암과간내에서발생하는일차성간암으로나뉜다. 전이성간암이가장많은부분을차지하나일차성간암중에서는간세포에서유래하는간세포암종이가장많으며이를주로간암이라고부른다. 본고에서는간세포암종에대해일차의료에서도움이될만한내용을중심으로간략히서술코자한다.

More information

April. 28, 216 Fixed Income Analyst 2 3 2. 1.5 (%) (%).1.5. (%) (%) 1. 1 y 2 y 3 y 4 y 5 y 7 y 1 1 1 2 -.5 2.5 2.2 (%) 1y 3y 5y 1y (%) 1.9 1.6 1.3 1. '15Y.8 '15Y.12 '16Y.4 (%) (%) () Apr. 28, 216

More information

<30332EBABBB9AE2E687770>

<30332EBABBB9AE2E687770> 대한간학회 간세포암종의새로운치료 : Local therapy HIFU (high intensity focused ultrasound): 간세포암의새로운치료 가톨릭대학교의과대학내과학교실 조세현 서 론 간세포암 (hepatocellular carcinoma, HCC) 은우리나라 40~50 대남자의중요한사망원인이며인구 10만명당남자는 32.5 명, 여자는 10.0

More information

Can032.hwp

Can032.hwp Chromosomal Alterations in Hepatocellular Carcinoma Cell Lines Detected by Comparative Genomic Hybridization Sang Jin Park 1, Mahn Joon Ha, Ph.D. 1, Hugh Chul Kim, M.D. 2 and Hyon Ju Kim, M.D. 1 1 Laboratory

More information

歯3일_.PDF

歯3일_.PDF uuhm Daewoo Daily * 0.0% 23.6% 38.2% 50.0% 61.8% 100.0% 980 970 960 950 940 930 920 910 900 890 880 870 860 850 840 830 820 810 800 790 780 770 760 750 740 730 720 710 700 690 680 670 660 650 640 630

More information

untitled

untitled 단일통로복강경간절제술 (Single-Port Laparoscopic Liver Resection) 단일통로복강경간절제술 (Single-Port Laparoscopic Liver Resection) 유영경 가톨릭대학교서울성모병원이식외과 서론 1990년대후반복강경수술로담낭절제술을성공한이후급속도로보급되기시작한복강경수술은점차개복수술을대체하는최소침습수술의대표적인방법으로현재널리시행되고있다.

More information

페링야간뇨소책자-내지-16

페링야간뇨소책자-내지-16 야간뇨의진단과치료 - 실제적접근 - Reference 1. Choo MS, Ku JH, Park CH et al. Prevalence of Nocturia in a Korean Population Aged 40 to 89 Years. Neurourol Urodyn 2008; 27:60-64. 2. Weiss JP. Prevalence

More information

Case Report The Korean Journal of Pancreas and Biliary Tract 2015;20: pissn eissn 2288-

Case Report The Korean Journal of Pancreas and Biliary Tract 2015;20: pissn eissn 2288- Case Report The Korean Journal of Pancreas and Biliary Tract 2015;20:140-145 http://dx.doi.org/10.15279/kpba.2015.20.3.140 pissn 1976-3573 eissn 2288-0941 총담관 - 십이지장문합부위를통한직접경구담관내시경하담관내고주파열치료를시행한악성담관폐쇄

More information

노인정신의학회보14-1호

노인정신의학회보14-1호 제14권 1호 통권 제23호 www.kagp.or.kr 발행인 : 정인과 / 편집인 : 이동우 / 발행처 : 정인과 (152-703) 서울특별시 구로구 구로동 80번지 고려대학교 구로병원 정신과 / TEL : 02-818-6608 / FAX : 02-852-1937 발행일 : 2008년 4월 30일 / 제 작 : (주)엠엘커뮤니케이션 140-846 서울특별시

More information

ePapyrus PDF Document

ePapyrus PDF Document Extending EXTENDING Role of ROLE Radiation OF RADIATION Therapy in THERAPY HCC Treatment IN HCC TREATMENT Indication of Radiation Therapy in Hepatocellular Carcinoma Treatment: Hepatologist s Perspectives

More information

386-390.hwp

386-390.hwp 386 HANYANG MEDICAL REVIEWS Vol. 29 No. 4, 2009 우리나라 미숙아의 통계와 의료비용 Statistics and Medical Cost of Preterm in Korea 윤혜선 을지대학교 노원을지병원 소아청소년과학교실 Hye Sun Yoon, M.D., Ph.D., Department of Pediatrics, Nowon

More information

May 10~ Hotel Inter-Burgo Exco, Daegu Plenary lectures From metabolic syndrome to diabetes Meta-inflammation responsible for the progression fr

May 10~ Hotel Inter-Burgo Exco, Daegu Plenary lectures From metabolic syndrome to diabetes Meta-inflammation responsible for the progression fr May 10~12 2012 Hotel Inter-Burgo Exco, Daegu Plenary lectures From metabolic syndrome to diabetes Meta-inflammation responsible for the progression from obesity to metabolic syndrome originates in the

More information

Á¤ÀçÁØ

Á¤ÀçÁØ 299 300 Table 1. Detection Accuracy in Liver Metastases and Hepatocellular Carcinomas Early (95% CI of Area) Delay (95% CI of Area) p value Reader 1 Mets (n=69) 0.917 (0.8600.973) 0.912 (0.8550.969) >

More information

내시경 conference

내시경 conference 부울경소화기내시경학회 6월집담회 고신대학교복음병원소화기내과전임의서광일 F/63 CASE C.C) epigastric pain for 2 wks P. I) 2014.04.16 EGD at LMC adm via OPD for further evaluation. P. Hx) CASE HTN/DM/Hepatitis/Tbc (+/+/-/-) S. Hx) N-S ROS)

More information

<30392EBCADB0E6BCAE2E687770>

<30392EBCADB0E6BCAE2E687770> 바이러스간질환의간이식전후관리 서경석 현재간이식은말기간질환환자의거의유일하고효과적치료법으로서인정받고있으며많은다양한질환들이간이식을통해치료되고있다. 바이러스간염은대표적인간이식적응증이며특히우리나라에서는 B형간염관련간질환이가장큰비중을차지하고있다. B 형간염 서울대학교병원의 1993 년부터 2005 년까지의간이식통계를보면 B형간염관련간질환이전체간이식예의 79% 를차지하였다.

More information

The role of iA CCRT in HCC

The role of iA CCRT in HCC Radiation oncologist s perspective: Providing survival benefit Ik Jae Lee Gangnam Severance Hospital Yonsei University College of Medicine, Department of Radiation Oncology 간세포암종가이드라인세계현황 Guideline 2001

More information

<30322DC6F7BDBAC5CDC3CAB7CF28B8F1C2F7295B315D2DC3D6C1BE2E687770>

<30322DC6F7BDBAC5CDC3CAB7CF28B8F1C2F7295B315D2DC3D6C1BE2E687770> 2012 년제 63 차대한내과학회추계학술대회 임상강좌 - 일차의료기관에서의암선별검사 간세포암 계명대학교의과대학내과학교실 황재석 서론간세포암 ( 이하간암, hepatocellular carcinoma, HCC) 은세계적으로 4번째로흔한암으로 [1] 우리나라 40-50대남자의중요한사망원인이며인구 10만명당남자는 32.5명, 여자는 10.0명이사망하는예후가매우나쁜질환이다

More information

Microsoft Word - retail_131122.doc

Microsoft Word - retail_131122.doc Analyst 유주연 (639-4584) juyeon.yu@meritz.co.kr RA 박지은 (639-451) jeeeun.park@meritz.co.kr 213.11.22 유통업 Overweight 1월 매출동향: 대형마트 -6.4%, 백화점 -2.2% Top Pick 하이마트 (7184) Buy, TP 15,원 현대홈쇼핑 (575) Buy, TP 21,원

More information

제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 Program 1 ANESTHESIA (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuou

제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 Program 1 ANESTHESIA (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuou 제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuous vs single injection, interscalene vs supraclavicular approach 의정부성모병원

More information

Hyo Sun Kim, et al. 증례 /100 mmhg, 82 /, 20 /, 36.0 C, (Murphy s sign). 4,890/mm 3, 12.8 g/dl, 378,000/mm 3, 7.08 mg/dl, 5.54 mg/dl, AST 5

Hyo Sun Kim, et al. 증례 /100 mmhg, 82 /, 20 /, 36.0 C, (Murphy s sign). 4,890/mm 3, 12.8 g/dl, 378,000/mm 3, 7.08 mg/dl, 5.54 mg/dl, AST 5 Case Report The Korean Journal of Pancreas and Biliary Tract 2016;21:96-100 http://dx.doi.org/10.15279/kpba.2016.21.2.96 pissn 1976-3573 eissn 2288-0941 중심부석회화를동반한간내담관암 1 예 1 한림대학교의과대학춘천성심병원내과, 2 울산대학교의과대학서울아산병원내과

More information

Microsoft Word - 20150811201049900_1

Microsoft Word - 20150811201049900_1 Company Report 215.8.12 CJ E&M (1396) 기대보다 좋았고 앞으로도 좋을 듯 미디어/엔터 What s new? Our view 투자의견: BUY (M) 목표주가: 12,원 (M) 주가 (8/11) 81,5원 자본금 시가총액 1,937억원 31,567억원 주당순자산 42,468원 부채비율 49.26% 총발행주식수 6일 평균 거래대금 38,732,89주

More information

( )Kjhps043.hwp

( )Kjhps043.hwp Difference of Fistula Maturation Degree and Physical Property by the Types of Tube Material: An Experimental Study Sang Koo Kang, M.D. 1, Hee Chul Yu, M.D. 1,4, Woo Sung Moon, M.D. 2,4, Ju Hyoung Lee,

More information

<30352EB0A3BAB4B8AE2E687770>

<30352EB0A3BAB4B8AE2E687770> The Korean Journal of Hepatology 2007 ; 13 : 571-575 DOI: 10.3350/kjhep.2007.13.4.571 이번 호의 간 병리(32) 혼합 간세포-담관세포암종 순천향대학교병원 병리과 진윤미 진소영 Combined Hepatocellular-cholangiocarcinoma Yoon-Mi Jeen, M.D. and

More information

Crt114( ).hwp

Crt114( ).hwp cdna Microarray Experiment: Design Issues in Early Stage and the Need of Normalization Byung Soo Kim, Ph.D. 1, Sunho Lee, Ph.D. 2, Sun Young Rha, M.D., Ph.D. 3,4 and Hyun Cheol Chung, M.D., Ph.D. 3,4 1

More information

untitled

untitled Liver Plasma Dietary Cholesterol synthesis Bile FC CE CE CE LDLr CE CM-R VLDL CE CM FC Small Intestine Reverse Cholesterol Transport CE HDL CETP LDL CETP IDL FC CE LDLr Peripheral Tissue Fecal Sterol (cholesterol

More information

Jkafm093.hwp

Jkafm093.hwp 가정의학회지 2004;25:721-739 비만은 심혈관 질환, 고혈압 및 당뇨병에 각각 위험요인이고 다양한 내과적, 심리적 장애와 연관이 있는 질병이다. 체중감소는 비만한 사람들에 있어 이런 위험을 감소시키고 이들 병발 질환을 호전시킨다고 알려져 있고 일반적으로 많은 사람들에게 건강을 호전시킬 것이라는 믿음이 있어 왔다. 그러나 이런 믿음을 지지하는 연구들은

More information

Korean Journal of HBP Surgery Vol. 11, No 3, September 원 저 복강경담낭절제술후발견된담낭암에대한고찰 Gallbladder Carcinomas found after a Laparoscopic Cholecystectomy Purp

Korean Journal of HBP Surgery Vol. 11, No 3, September 원 저 복강경담낭절제술후발견된담낭암에대한고찰 Gallbladder Carcinomas found after a Laparoscopic Cholecystectomy Purp Korean Journal of HBP Surgery Vol. 11, No 3, September 원 저 복강경담낭절제술후발견된담낭암에대한고찰 Gallbladder Carcinomas found after a Laparoscopic Cholecystectomy Purpose: An laparoscopic cholecystectomy (LC) is being

More information

( )Kjtcs hwp

( )Kjtcs hwp 대흉외지 2007;40:674-679 임상연구 전이성폐암에대한폐절제술의성적 이영옥 * ㆍ이응배 * ㆍ류경민 * Clinical Outcome of Pulmonary Metastasectomy in Patients with Pulmonary Metastasis Young-Ok Lee, M.D.*, Eung-Bae Lee, M.D.*, Kyoung-Min Ryu,

More information

<30322E535453BABBB9AE2DC6EDC1FD2E687770>

<30322E535453BABBB9AE2DC6EDC1FD2E687770> 간세포암종의다학제치료법 Multidisciplinary approach in HCC treatment 가톨릭대학교의과대학서울성모병원소화기내과 배시현 서 론 최근영상학적진단기법의발달과간세포암종발생위험군에대한조기발견노력의결과로소간세포암의조기진단율과간이식을비롯한다양한치료법들의개발로간세포암종의근치적치료율이크게향상되었다. 간세포암종환자의 5년생존율은, 1993년부터

More information

( )Ksels001.hwp

( )Ksels001.hwp 대한내시경복강경외과학회지 한상문 허훈 1 박해린 김원우, 1 Endoscopic Thyroid Surgery Using 2 mm Instruments: Supraclaviclar pproach Sang Moon Han, M.D., Hoon Hur, M.D. 1, Hai Lin Park, M.D., Won Woo Kim, M.D. Department

More information

395-402Ȳ¼º¼ö

395-402Ȳ¼º¼ö 395 Fig. 1. Flow diagram showing selection of options for adequate screen recording on the CamStudio 396 Fig. 2 Flow diagram showing the menu buttons on the CamStudio and the process of recording after

More information

Jan. 27, 216 Fixed Income Analyst 1,,,, BOK 216-2, : Pass-Through of Imported Input Prices to Deomestic Producer Prices: Evidence from Sector- Level Data 2 215-53, 2p, : Alexander Chudik and Janet

More information

<30322E535453BABBB9AE2DC6EDC1FD2E687770>

<30322E535453BABBB9AE2DC6EDC1FD2E687770> 간암의고주파열치료 Radiofrequency Ablation of Hepatocellular Carcinoma 경북대학교의과대학내과학교실 탁원영 Radiofrequency ablation (RFA) was introduced recently as a local regional treatment modality for hepatocellular carcinoma

More information

<30322EBABBB9AE28C6EDC1FD292E687770>

<30322EBABBB9AE28C6EDC1FD292E687770> 임상강좌 증례를이용한간세포암의진단과치료의실제 가톨릭대학교의과대학내과학교실 배시현 간세포암종의진단간세포암종과관련된종양표지자검사들중가장오래전부터널리사용되는것은혈청 AFP 측정이다. 그러나작은간세포암종중약 35% 에서 AFP 수치는정상이고, AFP 수치상승은간세포암종이외에간염의악화또는간세포의활발한재생시기등비특이적인경우에도나타나므로혈청 AFP 검사만으로간세포암종을진단하기는어렵다.

More information

001-학회지소개(영)

001-학회지소개(영) Review Article Randomization, What is the Proper Method? Jin Ho Hong, M.D., Jae Chul Yoo, M.D. Shoulder & Sports medicine, Department of Orthopedic Surgery, Samsung Medical Center Purpose: Among the numerous

More information

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Jul.; 27(7),

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Jul.; 27(7), THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 16 Jul.; 27(7), 64662. http://dx.doi.org/./kjkiees.16.27.7.646 ISSN 1226-3133 (Print)ISSN 2288-226 (Online) 2D Microwave Image

More information

untitled

untitled 이경근 한양대학교의과대학외과학교실 서론 복강경을이용한수술은복강경술기및기구의발달로인하여대부분의외과영역수술에서시행되고있으며일부수술에서는표준술기로인정되고있다. 1991년 Delaitre 등에의해최초로복강경비장절제술이소개된이후복강경비장절제술은개복술에비해덜침습적이고술후회복기간및합병증의발병등의측면에서개복술에비해유리한것으로알려져있다. M. Casaccia 등은 2006년세계최초이자가장큰규모의다기관연구인

More information

<C1A63230C2F720C3DFB0E8C7D0BCFAB4EBC8B820B9D720C1A4B1E2C3D1C8B828C6EDC1FD292E687770>

<C1A63230C2F720C3DFB0E8C7D0BCFAB4EBC8B820B9D720C1A4B1E2C3D1C8B828C6EDC1FD292E687770> Clinical Symposium 1. Update in liver imaging LI-RADS (Liver Imaging-Reporting and Data System) 최진영 연세대학교의과대학영상의학과 Abstract Contrast-enhanced CT and MRI are frequently used for the noninvasive diagnosis

More information

이형석외

이형석외 KISEP Head and Neck Korean J Otolaryngol 2004;47:1146-50 성문암종에서수직부분후두절제술 한양대학교의과대학이비인후과학교실 이형석 김기태 민현정 박철원 태경 Vertical Partial Laryngectomy in Glottic Cancer Hyung Seok Lee, MD, Ki Tae Kim, MD, Hyun Jung

More information

핵 1 학년 2 학년 3 학년합계 문학과예술 역사와철학 사회와이념 선택 학점계 학년 2 학년 3 학년합계비고 14 (15) 13 (14) 27 (29) 2

핵 1 학년 2 학년 3 학년합계 문학과예술 역사와철학 사회와이념 선택 학점계 학년 2 학년 3 학년합계비고 14 (15) 13 (14) 27 (29) 2 1 학년 2 학년 3 학년 합계 6 5 11 5 5 16 문학과예술 핵 역사와철학 사회와이념 선택 4 4 1 1 3 3 6 11 학점계 12 12 24 5 1 6 3 3 6 36 ㆍ제 2 외국어이수규정 이수규정 또는 영역에서 과목 학점 이수하고 수량적석과추론 과학적사고와실험 에서 과목 학점 이수해도됨 외국어및고전어 중급이상외국어및고전어과목명 핵 1 학년 2

More information

( )Jksc057.hwp

( )Jksc057.hwp 직장암환자의전직장간막절제술의 예측인자분석 : 불완전절제와절제시간에영향을미치는인자에관한연구 Analysis of Factors Affecting the Degree of Difficulty in Total Mesorectal Excision for Rectal Cancer: Investigation of the Factors Affecting Incomplete

More information

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770>

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770> 대한안과학회지 제 49 권 제 5 호 2008 J Korean Ophthalmol Soc 49(5):727-731, 2008 DOI : 10.3341/jkos.2008.49.5.727 다초점 소프트콘택트렌즈의 노안의 시력보정에 대한 유용성 평가 김현경 1 김효명 2 정성근 1 가톨릭대학교 의과대학 성모병원 안과학교실 1, 고려대학교 의과대학 안암병원 안과학교실

More information

t

t t t 4 Community Chest of Korea 5 6 Community Chest of Korea 7 Community Chest of Korea w w w. c h e s t. o r. k r 8 Community Chest of Korea * 9 * 1 0 Community Chest of Korea * 1 1 * 1 2 Community Chest

More information

untitled

untitled 제 15 차간담췌외과연수강좌 Diagnosis, Staging and Management of Intrahepatic Cholangiocarcinoma 경북대학교의학전문대학원외과학교실 김상걸 서 론 간내담관암은담관의 2 nd order 분지를포함하여그보다근위부간내담관에발생하는악성종양으로간내담도의상피세포와 peribiliary gland에서발생한다. 그이하부위의담도에발생하는악성종양을간외담도암이라하며간문부

More information

main.hwp

main.hwp 열화상 측정기를 이용한 안마의자의 인체 영향 평가 박세진, 구준모, 이현자 한국표준과학연구원 생활계측그룹 Evaluation of Massage Chair Effect on Human Body using Infrared Imaging/Radiometric Camera Se Jin Park, Jun Mo Koo, Hyun Ja Lee Human L ife Measurement

More information

PART 8 12 16 21 25 28

PART 8 12 16 21 25 28 PART 8 12 16 21 25 28 PART 34 38 43 46 51 55 60 64 PART 70 75 79 84 89 94 99 104 PART 110 115 120 124 129 134 139 144 PART 150 155 159 PART 8 1 9 10 11 12 2 13 14 15 16 3 17 18 19 20 21 4 22 23 24 25 5

More information

2011´ëÇпø2µµ 24p_0628

2011´ëÇпø2µµ 24p_0628 2011 Guide for U.S. Graduate School Admissions Table of Contents 02 03 04 05 06 08 09 10 11 13 15 21 LEADERS UHAK INTERNATIONAL STUDENTS SERVICE www.leadersuhak.com Leaders Uhak International Students

More information

<313620C1F5B7CA203032303520C3D6C7D1BCBB2E687770>

<313620C1F5B7CA203032303520C3D6C7D1BCBB2E687770> 대한내과학회지: 제 81 권 제 2 호 2011 간세포암종 환자에서 경동맥화학색전술 후 발생한 폐색전 사망 1예 국립중앙의료원 내과 1, 영상의학과 2 2 최한섶 1 권혁춘 1 남승우 1 김상용 1 박상민 1 진성찬 2 박현미 A Fatal Case of Pulmonary Embolism after Transcatheter Arterial Chemoembolization

More information

1차내지

1차내지 1»` 1904.1.1 10:39 AM ` 1 1»` 1904.1.1 10:39 AM ` 2 1»` 1904.1.1 10:39 AM ` 3 1»` 1904.1.1 10:39 AM ` 4 1»` 1904.1.1 10:39 AM ` 5 1»` 1904.1.1 10:39 AM ` 6 1»` 1904.1.1 10:39 AM ` 7 1»` 1904.1.1 10:39

More information

006- 5¿ùc03ÖÁ¾T300çÃâ

006- 5¿ùc03ÖÁ¾T300çÃâ 264 266 268 274 275 277 279 281 282 288 290 293 294 296 297 298 299 302 303 308 311 5 312 314 315 317 319 321 322 324 326 328 329 330 331 332 334 336 337 340 342 344 347 348 350 351 354 356 _ May 1 264

More information

7.ƯÁýb71ÎÀ¯È« š

7.ƯÁýb71ÎÀ¯È« š J KMA Special Issue Myelodysplastic Syndrome June Won Cheong, MD Yoo Hong Min, MD Department of Internal Medicine, Yonsei University College of Medicine E mail : jwcheong70@yumc.yonsei.ac.kr minbrmmd@yumc.yonsei.ac.kr

More information