Yonsei medical journal
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Yonsei medical journal · Jan 2014
Case ReportsA five-year survivor without recurrence following robotic anterior radical antegrade modular pancreatosplenectomy for a well-selected left-sided pancreatic cancer.
Radical antegrade modular pancreatosplenectomy (RAMPS) is regarded as a reasonable approach for margin-negative and systemic lymph node clearance in left-sided pancreatic cancer. We present a patient with more than 5 years disease-free survival after robotic anterior RAMPS for pancreatic ductal adenocarcinoma in the body of the pancreas. The distal part of pancreas, soft tissue around the celiac trunk, and the origin of splenic vessels was dissected with the underlying fascia between the pancreas and adrenal gland. ⋯ The patient received only postoperative adjuvant radiotherapy around the tumor bed. The patient has survived for more than 5 years without evidence of cancer recurrence. Minimally invasive radical left-sided pancreatectomy with splenectomy may be oncologically feasible in well-selected pancreatic cancer.
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Yonsei medical journal · Jan 2014
The effect of obturator nerve block on hip lateralization in low functioning children with spastic cerebral palsy.
Hip adductor spasticity has a great impact on developing hip displacement in children with cerebral palsy (CP). Obturator nerve (ON) block is less invasive intervention rather than soft tissue surgery for reduction of hip adductor spasticity. The aim of this study is to investigate the effect of ON block on hip lateralization in low functioning children with spastic CP. ⋯ ON block with ethyl alcohol is useful as an early effective procedure against progressive hip displacement in these children with spastic CP.
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Yonsei medical journal · Jan 2014
The assessment of the oncological safety margin of insufficient lymph node dissection in pT2 (pm) gastric cancer.
To identify the effect of insufficient lymph node dissection (LND) on the survival of patients with pT2 gastric cancer. ⋯ If a patient has pN0 or pN1 category after insufficient LND for pT2 gastric cancer, the surgery can be regarded as secure. However, for patients with pN2 or pN3 category, more careful examination is required.
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Yonsei medical journal · Jan 2014
Three-year experience of pouch dilatation and slippage management after laparoscopic adjustable gastric banding.
Pouch dilatation and band slippage are the most common long-term complications after laparoscopic adjustable gastric banding (LAGB). The aim of the study is to present our experience of diagnosis and management of these complications. ⋯ The incidence of pouch dilatation with/without band slippage was 11.1%. Management should be individualized according to clinico-radiologic patterns. Gastric plication below the band might prevent these complications.
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Yonsei medical journal · Jan 2014
Psychological and social factors affecting Internet searches on suicide in Korea: a big data analysis of Google search trends.
The average mortality rate for death by suicide among OECD countries is 12.8 per 100000, and 33.5 for Korea. The present study analyzed big data extracted from Google to identify factors related to searches on suicide in Korea. ⋯ A positive relationship between stress- and suicide-related searches further confirmed that stress affects suicide. Taken together and viewed in context of the big data analysis, our results point to the need for a tailored prevention program. Real-time big data can be of use in indicating increases in suicidality when search words such as stress and suicide generate greater numbers of hits on portals and social network sites.