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  1. Article: Weighing the benefits of lymphadenectomy in early-stage colorectal cancer.

    Baik, Seung Min / Lee, Ryung-Ah

    Annals of surgical treatment and research

    2023  Volume 105, Issue 5, Page(s) 245–251

    Abstract: Recent advancements in endoscopic procedures have resulted in a growing diagnosis of early colorectal cancer (CRC) cases, where ... ...

    Abstract Recent advancements in endoscopic procedures have resulted in a growing diagnosis of early colorectal cancer (CRC) cases, where classical
    Language English
    Publishing date 2023-10-31
    Publishing country Korea (South)
    Document type Journal Article ; Review
    ZDB-ID 3012234-X
    ISSN 2288-6796 ; 2288-6575
    ISSN (online) 2288-6796
    ISSN 2288-6575
    DOI 10.4174/astr.2023.105.5.245
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  2. Article: National cancer screening program for colorectal cancer in Korea.

    Baik, Seung Min / Lee, Ryung-Ah

    Annals of surgical treatment and research

    2023  Volume 105, Issue 6, Page(s) 333–340

    Abstract: Colorectal cancer is the 3rd leading cause of cancer-related deaths in Korea, ranking 4th and 3rd among men and women, respectively. It is also the most common cause of cancer-related deaths in women older than 64 years. This study assessed the National ... ...

    Abstract Colorectal cancer is the 3rd leading cause of cancer-related deaths in Korea, ranking 4th and 3rd among men and women, respectively. It is also the most common cause of cancer-related deaths in women older than 64 years. This study assessed the National Cancer Screening Program for colorectal cancer and examined its efficacy in enhancing public health. The fecal occult blood test (FOBT), a traditional noninvasive colorectal cancer screening test that can be performed on an outpatient basis was replaced with the fecal immunochemical test (FIT) because of the latter's better predictive value. Since 2004, the Government of South Korea has recommended an annual FIT for people aged 50 years and older as the first step in colorectal cancer screening. Individuals who test positive on the FIT are scheduled for follow-up screening procedures, such as colonoscopy or double-contrast barium enema, whereas those who have a negative FOBT are not recommended for colonoscopy. Colonoscopy, as a screening tool in Korea, has definite merits because it is highly accessible to patients and is performed by qualified specialists. Although the domestic colorectal cancer screening rate is relatively stable, there is scope for improvement. Owing to the low cost of colonoscopy and the wealth of skilled endoscopy specialists, the number of intention-to-screen procedures for colonoscopy has increased. As Korea is rapidly becoming an ultra-elderly society, it is time to reconsider the revision of the classical screening program and recommend region-specific, cost-effective guidelines.
    Language English
    Publishing date 2023-11-29
    Publishing country Korea (South)
    Document type Journal Article ; Review
    ZDB-ID 3012234-X
    ISSN 2288-6796 ; 2288-6575
    ISSN (online) 2288-6796
    ISSN 2288-6575
    DOI 10.4174/astr.2023.105.6.333
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  3. Article ; Online: Efficacy of a rehabilitation program using minor muscles in colorectal cancer patients with chemotherapy-induced neuropathy: preliminary study.

    Hong, Kyung Sook / Chung, Soon Sup / Kim, Kwang Ho / Lee, Ryung-Ah

    Korean journal of clinical oncology

    2022  Volume 18, Issue 1, Page(s) 11–16

    Abstract: Purpose: Chemotherapy-induced peripheral neuropathy (CIPN) is one of the common reasons that colorectal cancer patients cannot maintain their routine chemotherapy schedules. Some medications are used for pain relief; however, the effect of medication is ...

    Abstract Purpose: Chemotherapy-induced peripheral neuropathy (CIPN) is one of the common reasons that colorectal cancer patients cannot maintain their routine chemotherapy schedules. Some medications are used for pain relief; however, the effect of medication is disappointing. We carried out this study to confirm that a rehabilitation program using minor muscles might provide a valuable aid in symptom relief of CIPN.
    Methods: Eleven colorectal cancer patients participated in the basic craftwork program which encouraged the use of the minor muscles of the hands to make and decorate the handicrafts and it was held for 2 hours once a week, for a total of four times. There were no limitations in the stage of cancer or types of chemotherapy to participate the program. Questionnaires were obtained from participants before and after the basic handicrafts program.
    Results: Of the 11 patients (3 men, 8 women; mean age, 53.0±11.2 years), six received 5-fluorouracil (5-FU) chemotherapy, four received FOLFOX4 (combination of 5-FU, leucovorin, and oxaliplatin) chemotherapy, and one received 5-FU, FOLFOX4, and FOLFIRI (combination of 5-FU, leucovorin, and irinotecan) chemotherapy sequentially. Patients attended the program a mean of 3.8±0.4 times. Common symptoms of CIPN were "throbbing pain," "aching pain," and "numbness." The mean score of the questionnaires between pre- and post-program was 34.1±31.7 points and 24.4±21.5 points each, and it was significantly decreased (P=0.040).
    Conclusion: Patients often suffered from CIPN symptoms like throbbing or aching pain and numbness during their adjuvant chemotherapy. A rehabilitation program using minor muscles for CIPN is expected to be effective.
    Language English
    Publishing date 2022-06-30
    Publishing country Korea (South)
    Document type Journal Article
    ISSN 2288-4084
    ISSN (online) 2288-4084
    DOI 10.14216/kjco.22002
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  4. Article ; Online: Trans-abdominal single-incision robotic surgery with the da Vinci SP® surgical system for 8 cases of retrorectal tumour.

    Kim, Ho Seung / Oh, Bo-Young / Chung, Soon Sup / Lee, Ryung-Ah / Noh, Gyoung Tae

    The international journal of medical robotics + computer assisted surgery : MRCAS

    2023  , Page(s) e2599

    Abstract: Background: This study aimed to evaluate transabdominal single-incision robotic surgery using the da Vinci SP (dVSP, Intuitive Surgical, Sunnyvale, CA, USA) surgical system for retrorectal tumours.: Methods: Eight patients who underwent surgical ... ...

    Abstract Background: This study aimed to evaluate transabdominal single-incision robotic surgery using the da Vinci SP (dVSP, Intuitive Surgical, Sunnyvale, CA, USA) surgical system for retrorectal tumours.
    Methods: Eight patients who underwent surgical excision of retrorectal tumours using the dVSP surgical system were retrospectively analysed.
    Results: Five patients (62.5%) had tumours positioned above the levator ani muscle, two (25.0%) had that extending across the levator ani muscle, and one (12.5%) had that located below the levator ani muscle. All surgical procedures were successfully completed without any intraoperative complications. The median operative, docking, and console times were 198, 6, and 145 min, respectively. Two patients (25.0%) experienced postoperative complications classified as Clavien-Dindo grade II. The median duration of follow-up was 6.5 months, and no recurrence was observed.
    Conclusions: In our early experience of eight patients, retrorectal tumours can be safely excised with the dVSP surgical system, even at very low tumour levels.
    Language English
    Publishing date 2023-12-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2151860-9
    ISSN 1478-596X ; 1478-5951
    ISSN (online) 1478-596X
    ISSN 1478-5951
    DOI 10.1002/rcs.2599
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6382: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Validity of C-Reactive Protein as a Surrogate Marker for Infectious Complications After Surgery for Colorectal Cancer.

    Nam, Jin Hoon / Noh, Gyoung Tae / Chung, Soon Sup / Kim, Kwang Ho / Lee, Ryung-Ah

    Surgical infections

    2023  Volume 24, Issue 5, Page(s) 488–494

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Humans ; C-Reactive Protein/analysis ; Retrospective Studies ; Early Detection of Cancer/adverse effects ; Biomarkers ; Postoperative Complications/diagnosis ; Postoperative Complications/epidemiology ; Anastomotic Leak/diagnosis ; Anastomotic Leak/epidemiology ; ROC Curve ; Colorectal Neoplasms/surgery ; Predictive Value of Tests
    Chemical Substances C-Reactive Protein (9007-41-4) ; Biomarkers
    Language English
    Publishing date 2023-05-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1440120-4
    ISSN 1557-8674 ; 1096-2964
    ISSN (online) 1557-8674
    ISSN 1096-2964
    DOI 10.1089/sur.2022.392
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5617: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Short-term outcomes of single-incision robotic colectomy versus conventional multiport laparoscopic colectomy for colon cancer.

    Kim, Ho Seung / Oh, Bo-Young / Chung, Soon Sup / Lee, Ryung-Ah / Noh, Gyoung Tae

    Journal of robotic surgery

    2023  Volume 17, Issue 5, Page(s) 2351–2359

    Abstract: Since the da Vinci SP (dVSP) surgical system was introduced, single-incision robotic surgery (SIRS) for colorectal diseases has gained increasing acceptance. Comparison of the short-term outcomes between SIRS using dVSP and those of conventional ... ...

    Abstract Since the da Vinci SP (dVSP) surgical system was introduced, single-incision robotic surgery (SIRS) for colorectal diseases has gained increasing acceptance. Comparison of the short-term outcomes between SIRS using dVSP and those of conventional multiport laparoscopic surgery (CMLS) was performed to verify its efficacy and safety in colon cancer. The medical records of 237 patients who underwent curative resection for colon cancer by a single surgeon were retrospectively reviewed. Patients were divided into two groups according to surgical modality: SIRS (RS group) and CMLS (LS group). Intra- and postoperative outcomes were analyzed. Of the 237 patients, 140 were included in the analysis. Patients in the RS group (n = 43) were predominantly female, younger, and had better general performance than those in the LS group (n = 97). The total operation time was longer in the RS group than in the LS group (232.8 ± 46.0 vs. 204.1 ± 41.7 min, P < 0.001). The RS group showed faster first flatus passing (2.5 ± 0.9 vs. 3.1 ± 1.2 days, P = 0.003) and less opioid analgesic requirement (analgesic withdrawal within 3 postoperative days: 37.2% vs. 18.6%, P = 0.018) than the LS group. The RS group showed a higher immediate postoperative albumin level (3.9 ± 0.3 vs. 3.6 ± 0.4 g/dL, P < 0.001) and lower C-reactive protein level (6.6 ± 5.2 vs. 9.3 ± 5.5 mg/dL, P = 0.007) than the LS group during the postoperative period. On multivariate analysis after adjusting for deviated patient characteristics, no significant difference was observed in short-term outcomes, except for operation time. SIRS with dVSP showed short-term outcomes comparable with those of CMLS for colon cancer.
    MeSH term(s) Humans ; Female ; Male ; Robotic Surgical Procedures/methods ; Retrospective Studies ; Treatment Outcome ; Colonic Neoplasms/surgery ; Colectomy ; Laparoscopy ; Systemic Inflammatory Response Syndrome/surgery ; Length of Stay
    Language English
    Publishing date 2023-07-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-023-01666-z
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  7. Article ; Online: [Crisis in recruit of competent surgeon in Korea].

    Lee, Ryung-Ah

    Korean journal of medical education

    2014  Volume 26, Issue 4, Page(s) 253–256

    Language Korean
    Publishing date 2014-12-01
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2846769-3
    ISSN 2005-7288 ; 2005-2367 ; 2005-727X ; 1225-8067
    ISSN (online) 2005-7288 ; 2005-2367
    ISSN 2005-727X ; 1225-8067
    DOI 10.3946/kjme.2014.26.4.253
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  8. Article ; Online: Robotic single-incision right hemicolectomy with extended lymphadenectomy using the da Vinci SP Surgical Platform.

    Noh, Gyoung Tae / Chung, Soon Sup / Lee, Ryung-Ah / Kim, Kwang Ho

    Journal of minimally invasive surgery

    2021  Volume 24, Issue 2, Page(s) 109–112

    Abstract: The da Vinci SP Surgical System (dVSP; Intuitive Surgical, Sunnyvale, CA, USA) was introduced to overcome this limitation of single-incision laparoscopic surgery. This new surgical platform has been demonstrated favorable performance in colorectal ... ...

    Abstract The da Vinci SP Surgical System (dVSP; Intuitive Surgical, Sunnyvale, CA, USA) was introduced to overcome this limitation of single-incision laparoscopic surgery. This new surgical platform has been demonstrated favorable performance in colorectal surgery and its use has been increasing. And, in accordance with the increment of adoption of dVSP, the indication to apply this platform has been expanding. Herein, we report a technique of right hemicolectomy with extended lymphadenectomy beyond conventional lymph node dissection using dVSP.
    Language English
    Publishing date 2021-11-25
    Publishing country Korea (South)
    Document type Journal Article
    ISSN 2234-5248
    ISSN (online) 2234-5248
    DOI 10.7602/jmis.2021.24.2.109
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  9. Article ; Online: Initial Clinical Experience of Pure Single-Incision Robotic Right Hemicolectomy with da Vinci SP Platform.

    Noh, Gyoung Tae / Han, Myunghyun / Chung, Soon Sup / Lee, Ryung-Ah / Kim, Kwang Ho

    Journal of minimally invasive surgery

    2022  Volume 22, Issue 4, Page(s) 181–183

    Abstract: The da Vinci SP Surgical System (dVSP; Intuitive Surgical, Sunnyvale, CA, USA) was introduced to perform pure single-incision surgery in 2018. This new surgical platform demonstrated favorable performance compared with the positive aspect of single- ... ...

    Abstract The da Vinci SP Surgical System (dVSP; Intuitive Surgical, Sunnyvale, CA, USA) was introduced to perform pure single-incision surgery in 2018. This new surgical platform demonstrated favorable performance compared with the positive aspect of single-incision laparoscopic surgery and robot surgery. To date, its use has mainly been in urological and gynecological procedures. We report a case of successful robotic single-incision right hemicolectomy for cecal cancer with the dVSP.
    Language English
    Publishing date 2022-02-15
    Publishing country Korea (South)
    Document type Journal Article
    ISSN 2234-5248
    ISSN (online) 2234-5248
    DOI 10.7602/jmis.2019.22.4.181
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  10. Article: Body composition index obtained by using a bioelectrical impedance analysis device can be a predictor of prolonged operative time in patients undergoing minimally invasive colorectal surgery.

    Kim, Ho Seung / Kim, Kwang Ho / Noh, Gyoung Tae / Lee, Ryung-Ah / Chung, Soon Sup

    Annals of coloproctology

    2022  Volume 39, Issue 4, Page(s) 342–350

    Abstract: Purpose: Obesity has been known to contribute to technical difficulties in surgery. Until now, body mass index (BMI) has been used to measure obesity. However, there are reports that BMI does not always correspond to the visceral fat. Recently, ... ...

    Abstract Purpose: Obesity has been known to contribute to technical difficulties in surgery. Until now, body mass index (BMI) has been used to measure obesity. However, there are reports that BMI does not always correspond to the visceral fat. Recently, bioelectrical impedance analysis (BIA) has been used for body composition analysis. This study aimed to evaluate the usefulness of the body composition index obtained using a BIA device in predicting short-term postoperative outcomes.
    Methods: Data of patients who underwent elective major colorectal surgery using minimally invasive techniques were reviewed retrospectively. Body composition status was recorded using a commercial BIA device the day before surgery. The relationship between BMI, body composition index, and short-term postoperative outcomes, including operative time, was analyzed.
    Results: Sixty-six patients were enrolled in this study. In the correlation analysis, positive correlation was observed between BMI and body composition index. BMI and body composition index were not associated with short-term postoperative outcomes. Percent body fat (odds ratio, 4.226; 95% confidence interval [CI], 1.064-16.780; P=0.041) was found to be a statistically significant factor of prolonged operative time in the multivariate analysis. Correlation analysis showed that body fat mass was related to prolonged operative time (correlation coefficients, 0.245; P=0.048). In the area under curve analysis, body fat mass showed a statistically significant predictive probability for prolonged operative time (body fat mass: area, 0.662; 95% CI, 0.531-0.764; P=0.024).
    Conclusion: The body composition index can be used as a predictive marker for prolonged operative time. Further studies are needed to determine its usefulness.
    Language English
    Publishing date 2022-06-03
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2711906-3
    ISSN 2287-9722 ; 2287-9714
    ISSN (online) 2287-9722
    ISSN 2287-9714
    DOI 10.3393/ac.2022.00262.0037
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