분당서울대학교병원에 찾아오시는 길입니다.
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진료시간표
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세계적 수준의 위암 치료와 연구, 교육의 선도적인 역할을 하고 있는 분당서울대학교병원 위장관외과에서 위암 및 각종 위장관외과 종양의 외과 치료와 연구에 주력하고 있습니다.
진료에 있어, 국내외 최고 수준의 복강경 위암 수술 경험을 보유하고 있는 분당서울대학교병원 위장관외과 및 단일 기관 세계 최초로 위암 수술3만례 시행한 서울대학교병원 위장관외과의 임상 경험을 직접 공유하고 있습니다. 수술 후 빠른 회복을 위해서 복강경, 로봇을 비롯한 최소침습수술기법에 주목하여 단일공복강경위암 부분절제술 및 전절제술, 위식도경계부암에서 복강경 수술과 같은 고난이도 최소침습수술 기법을 안전하게 시행하고자 노력하고 있으며, 유문보존 위절제술 및 근위부위절제술과 같은 기능보존위절제술을 적절한 환자에게 시행하여 위암 환자 개개인별로 삶의 질을 높이고자 노력하고 있습니다.
이와 같은 다양한 맞춤형 수술적 치료를 시행하면서도, 위식도경계부암의 분류와 예후 및 재발에 대한 분석, 유문보존 위절제술의 성적 비교, 최신 단일공복강경수술 기법의 안전성, 분자생물학적 진단/치료 기준 연구 등을 포함한 각종 위암 진단과 치료, 예후에 관한 다양한 연구 결과를 국내외 유수 학술지에 논문 발표하여 그 의학적 안전성과 효과를 입증 받고 있습니다. 뿐만 아니라 위암 및 각종 위장관 질환으로 고통받고 있는 환자분들의 치료 성적 향상과 동시에 보호를 위해, 공정하고 윤리적인 연구 진행 및 연구 참여 환자의 권익보호를 위해 국제 임상 시험 관리 기준과 피험자 보호 프로그램을 엄격히 준수하고 환자분들과 직접 그 정보를 나누고 있습니다.
조기위암에서 복강경 수술을 포함한 최소습수술을 이용해 환자 삶의 질을 높이는 치료를 위해 노력하고 있으며, 진행위암에서 환자 개개인에 최적화된 보다 발전된 치료 성적을 이루기 위해 따뜻한 마음으로 최선을 다하고 있습니다.
복강경 수술이란 배를 크게 절개하지 않고, 5~6개정도의 5mm ~ 12mm 투관침을 복강내로 넣은 후 복강경을 통해 복강 내를 모니터화면으로 보면서, 투관침을 통해 복강경 수술 기구를 이용하여 위절제 및 장관 문합을 모두 복강경을 이용하여 수술하는 것을 말합니다. 따라서 기존 개복 수술에 비해서 통증이 적고, 흉터가 작고, 회복이 빠른 장점이 있습니다. 초기에는 수술시간이 길고, 비용이 많이 들었으나 현재는 많은 경험이 축적되어 수술 시간의 차이도 거의 없고, 2006년부터 복강경 수술의 보험적용으로 비용 차이도 많이 줄었습니다.
분당서울대학교병원이 주도적으로 참여한 국내 무작위 다기관 3상 임상 연구를 바탕으로 조기 위암에서는 그 효과가 입증되었으며, 일부 진행 위암에서도 개복 수술 대비 합병증이 낮다는 긍정적인 중간 임상 연구 결과가 발표되었습니다.
수술 전날 입원하게 되면, 수술 및 마취에 대한 평가가 이뤄집니다.
복강경을 이용한 수술은 빠른 회복, 작은 상처, 개복술에 비해서 통증이 훨씬 적어서 빠른 사회로의 복귀 등의 장점이 있습니다.
단일절개 복강경 위암 수술이란 배꼽에 2.5-3cm의 절개만으로 특수히 고안된 복강경 기구로 수술을 하는 것으로, 기존의 복강경 수술에 비해서도 흉터가 거의 보이지 않고 통증도 적은 것으로 생각됩니다. 현재 조기위암을 대상으로 시행하고 있는 순수 단일절개 복강경 위암 수술은 최신의 고난이도 위암 수술 기법으로서, 우리나라와 일본 등 세계적으로도 극소수의 기관에서만 시행하고 있습니다.
위의 중간 부위에 위치한 조기 위암으로 대상으로 선택적으로 시행하는 기능보존 위암수술입니다. 위와 십이지장 사이의 밸브 역할을 하는 유문과 함께 위 주변의 미주 신경 분지를 보존하면서도 위암과 주변 림프절을 안전하게 절제하는 수술입니다. 유문과 미주 신경 분지를 보존함으로 인해 위 절제 후 증후군으로 흔하게 알려진 덤핑 증후군이나 담석 발생률을 유의하게 줄이면서 위의 기능을 최대한 유지시켜주는 대표적인 기능보존 수술입니다.
기본적인 적응증 및 수술방법은 복강경 위 수술과 동일합니다. 투관침 삽입 부위로 로봇 팔이 연결된 복강경 기구를 삽입 후, 집도의가 이 로봇 팔을 조작함으로써 복강경 위 수술과 동일한 방법으로 수술을 진행합니다. 일반적인 조기 위암에서 복강경 수술 대비 임상적인 장점이 뚜렷하지 않지만, 일부 위암 환자에서 적은 출혈량 등에 관한 장점도 보고된 바 있어, 환자의 여러 상황을 고려하여 선택적으로 시행할 수 있습니다.
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Cancer
2020 ;126 (9) :1929 -1939
Mitsuro Kanda, Yun-Suhk Suh, Do Joong Park, Chie Tanaka, Sang-Hoon Ahn, Seong-Ho Kong, Hyuk-Joon Lee, Daisuke Kobayashi, Michitaka Fujiwara, Hideaki Shimada, BeLong Cho, Kenta Murotani, Hyung-Ho Kim, Han-Kwang Yang, Yasuhiro Kodera
Serum levels of ANOS1 serve as a diagnostic biomarker of gastric cancer: a prospective multicenter observational study.
Gastric Cancer
2020 ;23 (2) :203 -211
Shin-Hoo Park, Yun-Suhk Suh, Ji-Ho Park, Tae-Han Kim, Young-Gil Son, Yeon-Ju Huh, Yumi Kim, Han-Byoel Lee, Seong-Ho Kong, Hyuk-Joon Lee, Wonshik Han, Han-Kwang Yang
Near-infrared image-guided laparoscopic omental flap for breast cancer.
Asian J Endosc Surg
2020 ;13 (2) :250 -255
Shin Dong Wook, Suh Beomseok, Lim Hyunsun, Suh Yun-Suhk, Choi Yoon Jin, Jeong Su-Min, Yun Jae Moon, Song Sun Ok, Park Youngmin
Increased Risk of Osteoporotic Fracture in Postgastrectomy Gastric Cancer Survivors Compared With Matched Controls: A Nationwide Cohort Study in Korea
AM J GASTROENTEROL
2019 ;114 (11) :1735 -1743
Kim Sa-Hong, Lee Hyuk-Joon, Park Ji-Hyeon, Choi Jong-Ho, Park Shin-Hoo, Choe Hwi-Nyeong, Oh Seung-Young, Suh Yun-Suhk, Kong Seong-Ho, Park Do-Joong, Yang Han-Kwang
Proposal of a New TNM Classification for Gastric Cancer: Focusing on pN3b and Cytology-Positive (CY1) Disease
J GASTRIC CANCER
2019 ;19 (3) :329 -343
Oh Seung-Young, Lee Jeong-Hwan, Lee Hyuk-Joon, Kim Tae Han, Huh Yeon-Ju, Ahn Hye-Seong, Suh Yun-Suhk, Kong Seong-Ho, Kim Ga Hee, Ahn Su Joa, Kim Se Hyung, Choi Yunhee, Yang Han-Kwang
Natural History of Gastric Cancer: Observational Study of Gastric Cancer Patients Not Treated During Follow-Up
ANN SURG ONCOL
2019 ;26 (9) :2905 -2911
Shin Chaewon, Yang Han-Kwang, Park SungHye, Lee Hyuk-Joon, Kong Seong-Ho, Suh Yun-Suhk, Huh Yeon-Ju, Kim Yun-Jeong, Park So-Yong, Ahn Tae-Beom, Lee Seok Hwa, Kim Han-Joon, Jeon Beomseok
Prospective cohort study of patients with early gastric cancer to detect prodromal Parkinson disease (EGC-PPD): A study protocol and baseline characteristics
J CLIN NEUROSCI
2019 ;66 :26 -32
Huh Yeon-Ju, Lee Hyuk-Joon, Kim Tae-Han, Choi Yun-Suck, Park Ji-Ho, Son Young-Gil, Suh Yun-Suhk, Kong Seong-Ho, Yang Han-Kwang
Efficacy of Assessing Intraoperative Bowel Perfusion with Near-Infrared Camera in Laparoscopic Gastric Cancer Surgery
J LAPAROENDOSC ADV S
2019 ;29 (4) :476 -483
Shim Eun-Jung, Noh Hae Lim, Lee Kwang-Min, Hwang Heesung, Son Kyung-Lak, Jung Dooyoung, Kim Won-Hyoung, Kong Seong-Ho, Suh Yun-Suhk, Lee Hyuk-Joon, Yang Han-Kwang, Hahm Bong-Jin
Trajectory of severity of postoperative delirium symptoms and its prospective association with cognitive function in patients with gastric cancer: results from a prospective observational study
SUPPORT CARE CANCER
2019 ;27 (8) :2999 -3006
Zhu Chun-Chao, Cao Hui, Berlth Felix, Xu Jia, Park Shin-Hoo, Choe Hwi-Nyeong, Suh Yun-Suhk, Kong Seong-Ho, Lee Hyuk-Joon, Kim Woo-Ho, Yang Han-Kwang
Pylorus-preserving gastrectomy for early cancer involving the upper third: can we go higher?
GASTRIC CANCER
2019 ;22 (4) :881 -891
Kong Seong-Ho, Kim Sung Min, Kim Dong-Gun, Park Kee Hong, Suh Yun-Suhk, Kim Tae-Han, Kim Il Jung, Seo Jeong-Hwa, Lim Young Jin, Lee Hyuk-Joon, Yang Han-Kwang
Intraoperative Neurophysiologic Testing of the Perigastric Vagus Nerve Branches to Evaluate Viability and Signals along Nerve Pathways during Gastrectomy
J GASTRIC CANCER
2019 ;19 (1) :49 -61
Kong Seong-Ho, Marchegiani Francesco, Soares Renato, Liu Yu-Yin, Suh Yun-Suhk, Lee Hyuk-Joon, Dallemagne Bernard, Yang Han-Kwang, Marescaux Jacques, Diana Michele
Fluorescence lymphangiography-guided full-thickness oncologic gastric resection
SURG ENDOSC
2019 ;33 (2) :620 -632
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