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간의 국소 결절 과형성의 수술의 적응증; 48예의 단일 기관 연구

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Abstract
Background : Focal nodular hyperplasia (FNH) is one of the most common benign tumors of the liver. There is still lack of evidence on surgical indication of FNH. This study intended to analyze the surgical indications of FNH.
Methods : We analyzed the 48 cases of FNH diagnosed after hepatic resection
Results : The common reasons leading to surgical resection were diagnostic uncertainty (n = 31) and persistent symptoms (n = 8). Percutaneous biopsy was performed in 14 patients and diagnosed as FNH in 9, hepatic adenoma in 1, hepatocellular carcinoma in 1, plasmacytoma in 1, angiosarcoma in 1, and atypical hepatocellular proliferation in 1. Minor hepatectomy (n = 37) was performed more frequently than major hepatectomy (n = 11). Open hepatectomy (n = 29) was performed more frequently than laparoscopic hepatectomy (n = 19), but laparoscopic and minimally invasive surgery was frequently performed during the late phase of the study period. Postoperative surgical complications occurred in two patients (4.1%).
Conclusion : FNH can be diagnosed by imaging studies, but surgical treatment can be considered if there is diagnostic uncertainty or persistent symptoms.
Author(s)
정진민
Issued Date
2018
Awarded Date
2019-02
Type
Dissertation
Keyword
liver tumorbenign disease
URI
https://oak.ulsan.ac.kr/handle/2021.oak/6469
http://ulsan.dcollection.net/common/orgView/200000174738
Alternative Author(s)
Jin-Min Jung
Affiliation
울산대학교
Department
일반대학원 의학과의학전공
Advisor
황신
Degree
Master
Publisher
울산대학교 일반대학원 의학과의학전공
Language
eng
Rights
울산대학교 논문은 저작권에 의해 보호받습니다.
Appears in Collections:
Medicine > 1. Theses (Master)
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