Ki Hoon Kim

Inje University Paik Hospital · Department of Surgery

The diagnostic evaluation of pancreatic injuries has improved dramatically in recent years. However, it is sometimes difficult to diagnose pancreatic injuries. Surgical treatment after delayed diagnosis is associated with increased risks of mortality and morbidity. A 47-year-old man was referred to our emergency department after experiencing blunt...

Introduction: The aim of this study is to evaluate the demographics, injury pattern, and treatment outcomes among children hospitalized for the management of blunt liver and spleen injury at a single institution in Korea, and to document trends in treatment strategies of children with blunt torso trauma. Methods: Children (<20 years) with blunt...

Objectives: Acupuncture is increasing in popularity as a complementary and alternative medicine. Pneumothorax is the most common and potentially serious adverse effect after acupuncture. This complication can cause fatality in the absence of rapid treatment. Here, we analyze the clinical presentation and discuss prevention of post-acupuncture pneum...

Introduction: Some patients with complicated appendicitis and no periappendiceal abscess on preoperative computed tomography may need the extended cecectomy, including ileocecectomy and right hemicolectomy. In this study, we determined if there are predictive factors for extended cecectomy in these patients, to assist the preoperative decision-maki...

Background Emphysematous pyelonephritis is a severe, life-threatening infection of the renal parenchyma and perinephric tissues. This condition is primarily encountered in patients with diabetes mellitus or ureteral obstruction, and is characterized by the production of intrarenal and perinephric gas. Emphysematous pyelonephritis is associated with...

Purpose Intussusception is uncommon in adults and often manifests as nonspecific symptoms. Owing to its low incidence and the lack of knowledge on the symptoms, causes, and treatment of adult intussusception (AI), many surgeons may have limited experience in the diagnosis and treatment of intussusception. This study aimed to describe the experience...

Purpose: Proper use of antibiotics during emergency abdominal surgery is essential in reducing the incidence of surgical site infection. However, no studies have investigated the type of antibiotics and duration of therapy in individuals with abdominal trauma in Korea. We aimed to investigate the status of initial antibiotic therapy in patients wi...

Purpose: This study aimed to describe demographic characteristics of hospitalised children with successful reduction of intussusception and their early outcomes, and assess the frequency of hospital-level interventions, to determine the necessity of hospitalisation through hospital-level intervention assessment. Methods: We conducted a retrospectiv...

The aim of our study was to analyze the short-term and long-term outcomes of gastric cancer patients who underwent surgical treatment in a small, single institute by one surgeon. We retrospectively reviewed the medical records of 950 patients who underwent surgical treatment for gastric cancer between January 2000 and January 2010 at Dong-rae Paik...

Purpose This study aimed to independently analyze pediatric trauma characteristics from a single institution in Korea to gain a better understanding of pediatric injury. Methods A retrospective review was conducted at a single, non-regional trauma center using data from 303 children (< 8 years) who presented at the emergency department (March 2010...

Pyometra is a rare condition that is defined as the accumulation of purulent material in the uterine cavity caused by an occlusion to the natural drainage of the uterus. Pyometra cases are seldom reported. The symptoms of pyometra may be non-specific, resulting in a delay or misdiagnosis that may subsequently increase the risk of perforation of the...

Purpose: Surgery itself causes an inflammatory response to an injury to the patient that leads to a stress metabolic state. Emergency gastrointestinal surgery may cause complications, such as ileus, bowel obstruction, ischemia, or anastomotic leakage, resulting in a delayed oral diet or poor overall nutrition. This study investigated the route of n...

Purpose: Blunt small bowel injury is rare, and its timely diagnosis may be difficult. The effects of a delayed intervention on prognosis are unclear. We aimed to determine whether the time to surgical intervention affects outcomes in patients with blunt small bowel perforation. Methods: The study was performed between March 2010 and December 201...

Background The aim of this study is to evaluate the long-term outcomes and short-term outcomes of gastric cancer patients who underwent surgical treatment in a small-sized single center by one surgeon. Methods We retrospectively reviewed the medical records of 950 patients who underwent surgical treatment for gastric cancer between January 2000 an...

Ampelopsin (AMP) is a well-known flavonoid that exerts a number of biological and pharmacological effects including anticancer effects against several cancer cell lines. In this study, we investigated the anticancer activity of AMP against Epstein-Barr virus (EBV)-positive cells and its mechanism of action. Our results showed that AMP dose-dependen...

Purpose: Adenocarcinoma is an extremely rare malignancy in the pediatric population. Research regarding pediatric adenocarcinoma is very rare in Korea. This study aimed to investigate the clinical features of pediatric adenocarcinomas of various primary organ sites in Korea. Materials and methods: Pediatric patients under 18 years, diagnosed wit...

Purpose: Adrenal gland injuries in trauma are rare and usually misdiagnosed or undere-stimated in an emergency setting because they are asymptomatic and associated with severe abdominal injuries. This paper reviews the clinical characteristics of adrenal injuries. Methods: A retrospective analysis of trauma patients who visited the authors’ emergen...

Ureteral injuries reportedly occur in 2–5% of gunshot wounds to the abdomen, and are even rarer in abdominal stab wounds. Ureteral injuries are usually silent and produce no early signs or symptoms. An unrecognized or mismanaged ureteral injury can lead to significant morbidity and mortality. A 34-year-old woman was transferred to our emergency dep...

Perforation is the rarest complication of the duodenal diverticulum (DD), but it is the most serious complication. Mortality rate was reported up to 30%, which may be related to diagnostic delay because the symptoms of the perforated DD are vague and nonspecific. Therefore, accurate diagnosis is important to improve the clinical outcome. Surgical t...

Accurate, real-time identification and display of critical anatomic structures, such as the nerve and vasculature structures, are critical for reducing complications and improving surgical outcomes. Human vision is frequently limited in clearly distinguishing and contrasting these structures. We present a novel imaging system, which enables noninva...

Surgical methods guided by exogenous fluorescent markers have the potential to define tissue types in real time. Small molecule dyes with efficient and selective renal clearance could enable visualization of the ureter during surgical procedures involving the abdomen and pelvis. These studies report the design and synthesis of a water soluble, net...

Study’s underlying data set. We provide complete data set of our study after anonymization. (XLSX)

Nano String gene list

Although methidathion is an organophosphate insecticide, it is different from the other organophosphates in terms of toxicity. Because of its relatively high fat solubility, the apparent volume of methidathion distribution throughout the body is very high, indicating that hemoperfusion is not effective in removing this organophosphate from the body...

We report an 81 -year-old man who was brought to the emergency department (ED) after drug intoxication. Due to unstable vital signs, prompt intubation was performed. During MRI examination, he becamesemicomatose. CPR was performed andreturn of spontaneous circulation occurred after 15 minutes of CPR. Chest radiography showed severe subcutaneous emp...

With acupuncture treatment becoming a widely used technique in medicine to control chronic pain, there have been increasing reports on its associated complications. Although pneumothorax is the most frequently reported, infectious complications may not be uncommon. However, retroperitoneal or intraabdominal abscess caused by acupuncture may be much...

Supplementary data related to this article can be found at http://www.jhbps.org/journal/view.html?volume=20&number=3&spage=97.

We report a case of type Ilia ileal atresia in which the patient underwent end-to-oblique anastomosis after partial closure of the dilated proximal bowel to match the diameter of the distal bowel. A 3-day old male baby had sudden-onset bilious vomiting. Type Ilia ileal atresia was located approximately 20 cm from the ileocecal valve and approximate...

We report the case of a 43-year-old woman with primary left breast cancer presenting metastatic lymphadenopathy in the contralateral axilla. This patient represents a diagnostic and therapeutic challenge because primary breast cancer, occult contralateral breast cancer, and extra-mammary primary lesion can all be the source of the contralateral axi...

Acute abdomen can occasionally develop into a life-threatening condition requiring prompt diagnosis and emergency surgery. Acute appendicitis is the most common cause of those emergency surgeries. Delay in the diagnosis and treatment of appendicitis leads to substantial increases in morbidity, length of hospitalization and cost. Therefore, immediat...

The liver is the major site of metastasis of primary colorectal cancer. Hepatic resection (HR) is considered the standard treatment for colorectal liver metastasis. In high-risk cases, radiofrequency ablation (RFA) can be attempted as an alternative treatment. This study compared the clinical profiles and overall and disease-free survival rates of...

Hypothermia generates potentially severe complications in operating or recovery room. Forced air warmer is effective to maintain body temperature. Extremely low frequency electromagnetic field (ELF-EMF) is harmful to human body and mainly produced by electronic equipment including convective air warming system. We investigated ELF-EMF from convecti...

Laparoscopic cholecystectomy (LC) has become a standard procedure for treatment of benign gallbladder diseases. There has been a small proportion of gallbladder cancer (GBC) which was incidentally found in the gallbladder specimen, and LC has been tried in some patients with faintly suspected GBC. This study intended to analyze the prognosis of pat...

Acute acalculous cholecystitis (AAC) is defined as acute inflammation of the gallbladder in the absence of gallstones. AAC occurs in patients after major surgery and in the presence of serious co-morbidities such as severe trauma, burns, sepsis, prolonged intravenous hyperalimentation and hemodynamic instability. AAC is rare in patients with none o...

We report a rare case of haemorrhage from the inferior epigastric artery, which was injured after acupuncture. The haemorrhage was successfully controlled by transcatheter arterial embolisation. To the best of our knowledge, this is the first report describing the use of transcatheter arterial embolisation for inferior epigastric artery haemorrhage...

In liver transplantation, a left lateral section (LLS) graft may have unusual variant left hepatic vein (LHV) anatomy. This study was designed to analyze the incidence of unusual variant LHV and to determine technical methods for its effective reconstruction in infant recipients weighing around 10 Kg or less. The study comprised three parts: LHV va...

Living donor liver graft can be used for the first or second liver transplantation. The timing of retransplantation also should be stratified as 2 types according to the reoperation timing. Combination of these two classifications results in 6 types of living donor liver transplantation (LDLT)-associated retransplantation. However, late retransplan...

62 Background: Several retrospective studies have suggested that surgical resection of residual lesions could be beneficial if resection was done after disease control (partial response or stable disease) with imatinib in patients with metastatic or recurrent GIST. However, the benefit of surgical resection has not been proven yet compared to imati...

The purpose of this study was to investigate the safety and usefulness of the Hem-o-lok clip for the closure of appendicular stumps and limitations of the Hem-o-lok clip. From May 2010 to August 2011, 105 consecutive patients underwent laparoscopic appendectomies by three surgeons. XL size Hem-o-lok clips were used for the closure of appendicular s...

Backgrounds/Aims Gallbladder carcinoma (GBCa) T2 lesions are considered to be advanced tumors showing diverse features in tumor extent. When this T2 lesion does not involve the cystic duct and there is no evidence of lymph node metastasis, we have to consider what is the most reasonable extent of resection - that is, whether to perform concurrent e...

Backgrounds/Aims This study is intended to investigate the clinicopathological features of the intraductal papillary neoplasms of the intrahepatic bile duct (IPNB), especially focused on malignant changes. Methods From the institutional database of liver resection cases (Asan Medical Center, University of Ulsan College of Medicine), 18 patients wh...

Background: The long-term outcomes after resection for hepatocellular carcinoma (HCC) with macroscopic bile duct tumor thrombus (BDTT) are unclear. This multicenter study was conducted to determine the prognosis of HCC patients with macroscopic BDTT who underwent resection with curative intent. Methods: Of 4,308 patients with HCC from four Korea...

Background/aims: Laparoscopic liver resection has become an increasingly popular operation but is still in relatively limited use. Here we evaluate the intermediate-term results of laparoscopic liver resection. Methodology: Fifty-seven patients with HCC underwent laparoscopic liver resection at the Asan Medical Center. Data for all resections we...

Robotic surgical systems offer an alternative to laparoscopic liver resection for minimally invasive liver resections. Well-trained surgeons can perform both major and minor liver resections through the robotic approach. Although little data regarding robotic liver resection have been reported, robotic liver resection appears to be similar to lapar...

Backgrounds/Aims Although recent advances in surgical techniques and alternative treatment, the long-term survival >5 years after liver resection for hepatocellular carcinoma (HCC) is still unsatisfactory due to the high recurrence rate compared with other solid organ cancers. This study was conducted to analyze long-term survival after HCC resecti...

Large vein allografts are suitable for middle hepatic vein (MHV) reconstruction, but their supply is often limited. Although polytetrafluoroethylene (PTFE) grafts are unlimitedly available, their long-term patency is relatively poor. We intended to enhance the clinical usability of PTFE grafts for MHV reconstruction during living donor liver transp...

Human cytomegalovirus (CMV) infection is usually self-limiting in healthy adults, but it can lead to significant complications. This report presents the case of an immunocompetent adult with fulminant hepatitis caused by a CMV infection requiring emergency living-donor liver transplantation. A 39-year-old female with persistent fever for 6 weeks wa...

Secure reconstruction of the right hepatic vein (RHV) is essential for the successful implantation of a right liver graft during living donor liver transplantation (LDLT). To develop reliable surgical techniques for RHV reconstruction, we performed 3 concurrent studies: a simulation study using a fluid dynamics experimental model and a computationa...

Hepatocellular carcinoma (HCC) often recurs after complete surgical resection. Detection of markers of residual circulating cancer cells may predict postoperative HCC recurrence. Human telomerase reverse transcriptase (hTERT) mRNA may be a candidate tumor marker. We prospectively assessed the expression patterns and prognostic value of preoperative...

Adult liver transplantation (LT) recipients occasionally show serious acute cardiopulmonary dysfunction, requiring intensive care. We have assessed the feasibility of extracorporeal membrane oxygenation (ECMO) support in adult LT recipients facing acute pulmonary failure and refractory to conventional mechanical ventilation and concurrent nitric ox...

Shortage of deceased donor organs led to establishment of living donor liver transplantation. Recent reports have strongly suggested that laparoscopic approach should be the gold standard for lesions in the left lateral section. Laparoscopic living donor left lateral sectionectomy was first described in 2002. Subsequently, laparoscopic procurement...

We evaluated efficacy of exercise and diet modification for steatosis improvement of non-obese non-alcoholic fatty liver disease (NAFLD) patients. We analyzed retrospectively the clinical and histological parameters of consecutive living liver donors, who experienced repeated liver biopsies due to steatosis and were treated using exercise and diet...

It is important to perform intraoperative cholangiography (IOC) during liver resection in order to detect bile leaks, but its performance is not so simple during repeat hepatectomy. We describe the technique of antegrade intraoperative cholangiography not requiring hepatic hilar dissection during repeated hepatectomy. The patient was a 35-year-old...

Tuberculosis primarily affecting the appendix is extremely rare and the diagnosis is difficult. Here, we report the case of a 14-year-old healthy boy presenting with right lower quadrant abdominal pain. On computed tomography, the distended appendix with 3.3 × 2.7 cm mass located at the right side of the right iliac artery was detected. There was n...

Background/aims: Compared to the open method of left lateral sectionectomy, the laparoscopic method has demonstrated shorter hospital stay with less bleeding and complications and is becoming the gold standard procedure. We report our experience with 15 Iaparoscopic left lateral sectionectomies performed during PLDLTs from May 2008. Methodology:...

This study was intended to assess the effect of resection of pulmonary metastasis (PM) of hepatocellular carcinoma (HCC) after liver transplantation (LT). No effective treatment modality exists for PM-HCC, and little is known about the posttransplant outcomes of pulmonary metastasectomy (PMT). Of 587 adult LT recipients diagnosed with HCC, 43 had P...

The paraduodenal hernia is an internal hernia that might cause a small bowel obstruction. The laparoscopic repair of paraduodenal hernia is sporadically reported for its safety, convenience, and patient's satisfaction. We performed the laparoscopic treatment of the left paraduodenal hernia in two children, a 3-months old boy and 12-year old girl. T...

Because revascularization of the inferior right hepatic vein (IRHV) is a major component of right liver graft (RLG) reconstruction, we assessed the surgical techniques and clinical outcomes of IRHV reconstruction so that we could formulate practical guidelines for standardized procedures. From July 2004 to February 2010, we performed separate IRHV...

Glidescope GVL  is frequently used in intubation of difficult airway. We report a case of right side of faucial pillar perforation during intubation with Glidescope . A rigid stylet can facilitate placing of endotracheal tube quickly but it may also penetrate the soft tissue to cause injuries. (Hong Kong j.emerg.med. 2012;19: 62-64) Glidescope GV...

Despite recent improvements in survival outcome after ABO incompatible (ABOi) adult living donor liver transplantation (ALDLT), concerns about the incidence of biliary stricture (BS) still exist. However, reports on the actual incidence of BS have been scarce.

Backgrounds/Aims The rates of surgery-related complications during and after pancreaticoduodenectomy (PD) remain very high, reaching up to 41%. They were primarily caused by leakage of pancreatic juice. We evaluated the effectiveness of external drainage of the bile duct using a pigtail drain to prevent pancreatic leakage in patients undergoing PD....

The high incidence of percutaneous transhepatic biliary drainage (PTBD) tract recurrence after resection of perihilar bile duct cancer (BDC) at a reference single center has suggested the need for endoscopic biliary drainage (EBD) to prevent PTBD-related tumor recurrence. To determine the general applicability of these findings, we validated the ri...

Massive bleeding due to traumatic pelvic bone fracture is a leading cause of death. Thus, several methods to control bleeding have been attempted, but none of these has yet been clearly established. After an automobile accident, a 34-year-old motorist was admitted to the Emergency Department for right hip,leg and abdominal pain. Because the patient...

Objective To compare the maximal infusion rate of FMS 2000 fluid warmer on various intravenous catheters and fluids. Methods This study was performed on 4th February 2011 in operation room, Haeundae Paik Hospital, Inje University, Busan, Republic of Korea. 0.9% sodium chloride (NS), Ringer's lactate (RL), and 6% hydroxylethyl starch 130/0.4 (HES) w...

To evaluate the utility of the tardus parvus waveform of the hepatic artery at Doppler ultrasonography (US) in the diagnosis of hepatic arterial stenosis in liver transplant (LT) recipients and determine whether the accuracy of such a diagnosis is enhanced by including an optimal peak systolic velocity (PSV) cutoff. This retrospective study was ins...

Background/aims: This 26-week pilot study was performed in de novo liver transplant recipients to evaluate the efficacy of tacrobell capsule as an immunosuppressant drug after living donor liver transplant patients by determining the rate of acute cellular rejection after its use and evaluating its safety after transplantation. Methodology: From...

The derivation of hepatocytes from human embryonic stem (hES) cells is of value both in the study of early human liver organogenesis and in the creation of an unlimited source of donor cells for hepatocyte transplantation therapy. Here, we report the generation of hepatocyte-like cells derived from hES cells. Hepatic endoderm cells were generated b...