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1.
Korean Journal of Clinical Oncology ; (2): 95-101, 2018.
Artículo en Inglés | WPRIM | ID: wpr-788039

RESUMEN

PURPOSE: The standard treatment of esophageal cancer is the Ivor-Lewis operation, which consists of an abdominal phase involving gastric tube formation, and a chest phase involving esophagectomy and anastomosis. We aimed to report our experience of performing thoracic esophagectomy with the laparoscopic gastric pull up (LGPU) technique and its surgical outcomes.METHODS: Clinicopathologic data and short-term surgical outcomes of 14 patients who underwent LGPU for thoracic esophageal cancer from August 2008 to May 2016 were retrospectively reviewed.RESULTS: Mean age of the patients was 62.3 years and mean body mass index was 21.7 kg/m2. Eleven patients had medical comorbidities. Patients' mean American Society of Anesthesiologists score was 2. Mean operation time was 428.5 minutes, with the mean abdominal operation time being 138.9 minutes. There was no open conversion case. Three patients had pneumonia, three patients had surgical site infection, and one patient had subcutaneous emphysema within 30 days after surgery. One patient had minor anastomosis site leakage. There was one 30-day mortality case. One patient with postoperative aspiration pneumonia developed acute respiratory distress disease, and died due to sepsis. Mean postoperative intensive care unit stay was 3.5 days, and mean postoperative hospital stay was 20.6 days. Nasogastric tubes were removed on average at 3.4 days, and mean oral intake time was 3.4 days.CONCLUSION: If the gastrointestinal surgeon has extensive experience in laparoscopic procedures, LGPU will be a safe and feasible technique for thoracic esophagectomy in patients with intrathoracic esophageal cancer.


Asunto(s)
Humanos , Índice de Masa Corporal , Comorbilidad , Neoplasias Esofágicas , Esofagectomía , Unidades de Cuidados Intensivos , Laparoscopios , Tiempo de Internación , Mortalidad , Neumonía , Neumonía por Aspiración , Procedimientos de Cirugía Plástica , Estudios Retrospectivos , Sepsis , Enfisema Subcutáneo , Infección de la Herida Quirúrgica , Tórax
2.
Korean Journal of Veterinary Research ; : 67-69, 2017.
Artículo en Inglés | WPRIM | ID: wpr-91202

RESUMEN

In the present study, Aeromonas (A.) hydrophila was isolated from a captive-bred adult freshwater stingray (Potamotrygon motoro) reared at a commercial aquarium in Korea. The stingray had bites on its fins, hemorrhages on the ventral part, and congested internal organs. A bacterium was isolated from kidney and subsequently identified as A. hydrophila. Based on phylogenetic analysis results, the isolate in the present study (SNUAh-LA1) was most closely related to A. hydrophila AH10 (China) and A. hydrophila AKR1 (Korea). It is most likely that the pathogen infection resulted from Potamotrygon motoro cohabiting with ricefish (Oryzias latipes).


Asunto(s)
Adulto , Humanos , Aeromonas hydrophila , Aeromonas , Estrógenos Conjugados (USP) , Agua Dulce , Hemorragia , Riñón , Corea (Geográfico)
3.
Korean Journal of Veterinary Research ; : 45-46, 2016.
Artículo en Inglés | WPRIM | ID: wpr-30547

RESUMEN

For several days, there was a series of mortalities of chub mackerel (Scomber japonicus) that were reared for public exhibition in a private aquarium in Seoul, Korea. As part of the diagnosis of the dead fish, a bacterial isolate from the kidney was cultured, identified, and confirmed to be Vibrio (V.) harveyi using Vitek System 2 and 16S rRNA gene sequencing. Phylogenetic analysis was also performed by the neighbor-joining method. As a result, the V. harveyi isolated from chub mackerels of a private aquarium in Korea, called as SNUVh-LW1, was clustered in the same group with V. harveyi ATCC33843.


Asunto(s)
Cyprinidae , Diagnóstico , Genes de ARNr , Riñón , Corea (Geográfico) , Mortalidad , Perciformes , Seúl , Vibrio
4.
Korean Journal of Veterinary Research ; : 125-127, 2016.
Artículo en Inglés | WPRIM | ID: wpr-20934

RESUMEN

Gradual mortality of look down fish (Selene vomer) was observed in a private aquarium in Seoul, showing abnormal swimming behavior and lethargy. A bacterial pathogen from kidney was cultured, identified, and confirmed as Vibrio harveyi using Vitek System 2 and 16S rRNA gene sequencing. A predominant bacterial strain, SNUVh-LW2 was proved to be most closely related to isolates from China by phylogenetic analysis with minimum evolution method. Also, tetracycline was considered as the most sensitive antibiotic agent via antibiotic usceptibility test. The group of fish was treated according to the diagnostic result and no more mortality was observed.


Asunto(s)
China , Genes de ARNr , Riñón , Letargia , Métodos , Mortalidad , Seúl , Natación , Tetraciclina , Vibrio
5.
Korean Journal of Anesthesiology ; : 334-339, 2012.
Artículo en Inglés | WPRIM | ID: wpr-213840

RESUMEN

BACKGROUND: 5-hydroxytryptamine type 3 (5-HT3) receptor antagonists are effective and safe on postoperative nausea and vomiting (PONV). Palonosetron, the newest 5-HT3 antagonist, has potent antiemetic property. We hypothesized that a combination of palonosetron and dexamethasone could more decrease PONV than palonosetron alone. METHODS: Among the patients scheduled to undergo laparoscopic gynecologic surgery, mastoidectomy with tympanoplasty or thyroidectomy under general anesthesia, eighty four female patients with at least two PONV risk factors were enrolled in this study. They were received randomly 0.075 mg palonosetron and 4 mg dexamethasone (group C) or 0.075 mg palonosetron alone (group P). The severity of PONV using Rhodes index and the percentage of complete response during postoperative 24 hours were compared between groups. RESULTS: The frequency of mild/moderate/great/severe PONV based on Rhodes index were 9.8%/0%/0%/0% and 9.3%/2.3%/2.3%/0% in group P and group C, respectively. Complete response for PONV was observed in 90.2% and 86% of patients in group P and group C, respectively. The overall incidence of PONV in group P and C was 9.8% and 14%, respectively. There was no significant difference between the two groups. CONCLUSIONS: There were no differences between palonosetron monotherapy and combination therapy of palonosetron and dexamethasone in patients with high emetogenic risk.


Asunto(s)
Femenino , Humanos , Anestesia General , Dexametasona , Procedimientos Quirúrgicos Ginecológicos , Incidencia , Isoquinolinas , Náusea y Vómito Posoperatorios , Quinuclidinas , Factores de Riesgo , Serotonina , Antagonistas del Receptor de Serotonina 5-HT3 , Tiroidectomía , Timpanoplastia
6.
Journal of Veterinary Science ; : 41-48, 2011.
Artículo en Inglés | WPRIM | ID: wpr-47190

RESUMEN

The antibiotic resistance of 16 Aeromonas (A.) salmonicida strains isolated from diseased fish and environmental samples in Korea from 2006 to 2009 were investigated in this study. Tetracycline or quinolone resistance was observed in eight and 16 of the isolates, respectively, based on the measured minimal inhibitory concentrations. Among the tetracycline-resistant strains, seven of the isolates harbored tetA gene and one isolate harbored tetE gene. Additionally, quinolone-resistance determining regions (QRDRs) consisting of the gyrA and parC genes were amplified and sequenced. Among the quinolone-resistant A. salmonicida strains, 15 harbored point mutations in the gyrA codon 83 which were responsible for the corresponding amino acid substitutions of Ser83-->Arg83 or Ser83-->Asn83. We detected no point mutations in other QRDRs, such as gyrA codons 87 and 92, and parC codons 80 and 84. Genetic similarity was assessed via pulsed-field gel electrophoresis, and the results indicated high clonality among the Korean antibiotic-resistant strains of A. salmonicida.


Asunto(s)
Animales , Aeromonas salmonicida/clasificación , Antibacterianos/farmacología , Proteínas Bacterianas/genética , Farmacorresistencia Bacteriana , Ambiente , Enfermedades de los Peces/microbiología , Peces , Infecciones por Bacterias Gramnegativas/microbiología , Pruebas de Sensibilidad Microbiana , Mutación Puntual , Reacción en Cadena de la Polimerasa , Quinolonas/farmacología , República de Corea , Análisis de Secuencia , Tetraciclina/farmacología , Resistencia a la Tetraciclina
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