Si-Hak Lee

ORCID: 0000-0002-1923-4777
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About
Contact & Profiles
Research Areas
  • Gastric Cancer Management and Outcomes
  • Metastasis and carcinoma case studies
  • Gastrointestinal Tumor Research and Treatment
  • Esophageal and GI Pathology
  • Intestinal and Peritoneal Adhesions
  • Enhanced Recovery After Surgery
  • Gastrointestinal disorders and treatments
  • Minimally Invasive Surgical Techniques
  • Hernia repair and management
  • Appendicitis Diagnosis and Management
  • Helicobacter pylori-related gastroenterology studies
  • Cancer Diagnosis and Treatment
  • Cardiac, Anesthesia and Surgical Outcomes
  • Bacteriophages and microbial interactions
  • Surgical Simulation and Training
  • Intestinal Malrotation and Obstruction Disorders
  • Ovarian cancer diagnosis and treatment
  • Shoulder and Clavicle Injuries
  • Gastrointestinal Bleeding Diagnosis and Treatment
  • Bariatric Surgery and Outcomes
  • Bone Tumor Diagnosis and Treatments
  • Micro and Nano Robotics
  • Sarcoma Diagnosis and Treatment
  • Reconstructive Surgery and Microvascular Techniques
  • Metamaterials and Metasurfaces Applications

Pusan National University Yangsan Hospital
2015-2025

Pusan National University Hospital
2025

Pusan National University
2021-2025

Endoscopic submucosal dissection (ESD) is considered the treatment of choice for early gastric cancer (EGC) with a negligible risk lymph node metastasis. Locally recurrent lesions on artificial ulcer scars are difficult to manage. Predicting local recurrence after ESD important manage and prevent event. We aimed elucidate factors associated EGC. Between November 2008 February 2016, consecutive patients (n = 641; mean age, 69.3 ± 9.5 years; men, 77.2%) EGC who underwent at single tertiary...

10.3390/jcm12052018 article EN Journal of Clinical Medicine 2023-03-03

A congenital adhesion band is a rare condition, but may induce small bowel obstruction (SBO) at any age. However, only few sporadic case reports exit. We aimed to identify the clinical characteristics of manifesting SBO stratified by age group between pediatric and adult patients. The medical records all patients with Jan 1, 2009 Dec 31, 2015 were retrospectively reviewed. Cases associated previous surgical procedure cases secondary due inflammatory processes or tumor other systemic diseases...

10.1186/s12893-016-0196-4 article EN cc-by BMC Surgery 2016-12-01

Postoperative complications (PCs) after gastrectomy are associated with readmission and longer hospital stay. This study aimed to determine the role of CRP as an early predictor PCs a reliable discharge indicator gastrectomy.Clinicopathologic data 613 patients who underwent for gastric cancer in 2015-2016 were retrospectively analyzed, including consecutive blood samples obtained preoperatively, at operative day, postoperatively. Following Clavien-Dindo classification, divided into group...

10.4174/astr.2019.97.2.65 article EN Annals of Surgical Treatment and Research 2019-01-01

Abstract Background Petersen’s hernia, which occurs after Billroth-II (B-II) or Roux-en-Y (REY) anastomosis, can be reduced by defect closure. This study aims to compare the incidence of bowel obstruction above Clavien–Dindo classification grade III due hernia between mesenteric fixation method and conventional methods laparoscopic robotic gastrectomy. Methods was designed as prospective, single-blind, non-inferiority randomized controlled multicenter trial in Korea. Patients with...

10.1186/s13063-023-07841-9 article EN cc-by Trials 2024-01-02

The selection of the appropriate treatment strategy for patients with mucosal gastric cancer (MGC) remains controversial. In present study, we aimed to determine risk factors lymph node (LN) metastasis in MGC and reassess role endoscopic submucosal dissection (ESD).We examined 1,191 who underwent curative gastrectomy between January 2005 December 2014. We determined clinicopathologic LN among patients.Among MGC, 42 (3.5%) had metastasis. Univariate analysis indicated that age ≤ 50 years (P =...

10.4174/astr.2016.91.3.118 article EN Annals of Surgical Treatment and Research 2016-01-01

Abstract Background Previous studies have focused on the non-inferiority of RPG compared with conventional port gastrectomy (CPG); however, we assumed that some candidates might derive more significant benefit from over CPG. Methods We retrospectively analyzed clinicopathological and perioperative parameters 1442 patients gastric cancer treated by between 2009 2022. The C-reactive protein level postoperative day 3 (CRPD3) was used as a surrogate parameter for surgical trauma. Patients were...

10.1007/s10120-023-01438-6 article EN cc-by Gastric Cancer 2023-10-24

This study introduces a novel technique for liver retraction during laparoscopic gastrectomy and assesses its impact on postoperative recovery. included 139 patients in whom Nelaton catheters (n=57) or Nathanson retractors (n=82) were used retraction. Serum enzyme levels measured preoperatively the first, second, third, fifth, seventh days. Clinicopathologic features recovery variables between 2 groups compared. The aspartate aminotransferase, alanine C-reactive protein significantly lower (...

10.1097/sle.0000000000000489 article EN Surgical Laparoscopy Endoscopy & Percutaneous Techniques 2017-11-16

Compensation for increased medical services from reimbursement systems are sometimes insufficient. Generally, appendectomies performed by individual surgeons with their preferred instrument. Surgical equipment standardization is known to reduce cost without compromising patient safety. Hence, we investigated the effectiveness of surgical required operative laparoscopic appendectomy at our tertiary hospital.Nine hospital agreed use standardized appendectomy. We compared outcomes among...

10.1097/qmh.0000000000000315 article EN Quality Management in Health Care 2021-08-03

The use of naturally sourced organic materials with chirality, such as the M13 bacteriophage, holds intriguing implications, especially in field nanotechnology. chirality properties bacteriophages have been demonstrated through numerous studies, particularly analysis liquid crystal phase transitions, developing specific applications. However, exploring utilization bacteriophage a template for creating chiral nanostructures optics and sensor applications comes significant challenges. In this...

10.3390/nano14141208 article EN cc-by Nanomaterials 2024-07-16

Endoscopic submucosal dissection (ESD) plays a pivotal role in treating early gastric cancer (EGC). Some patients require additional gastrectomy because of non-curative ESD. This study aimed to analyze the clinical factors associated with ESD and re-evaluate according its indication criteria. Altogether, 134 who had undergone lymphadenectomy for based on pathological results specimens were included. Their data including pre-ESD diagnosis, reasons requesting gastrectomy, surgical outcomes...

10.1097/md.0000000000040111 article EN cc-by-nc Medicine 2024-10-11

The aim of this study was to analyze the effects reduced fasting time on postoperative recovery in patients who underwent totally laparoscopic distal gastrectomy (TLDG).This retrospective included 347 TLDG. Patients were divided into 2 groups: group (n = 139) and conventional feeding 208). We compared total hospital cost parameters, such as complications, mean stay, day first flatus, initiation soft diet, serum CRP levels, between groups.The had a lower (P < 0.001) than group. Regarding...

10.4174/astr.2020.99.4.205 article EN Annals of Surgical Treatment and Research 2020-01-01

Torsion of the appendix is rare, and appendiceal mucocele can be one its causes. The first case was a 49-year-old man who visited emergency room (ER) for abdominal pain. Abdominal computed tomography (CT) showed with suspected torsion rupture. patient underwent laparoscopic exploration appendectomy. second 69-year-old ER epigastric CT suspicious ischemic change, indicating appendix. twisted successfully removed by exploration. An causes With torsion, diagnosed as rupture ischemia which may...

10.3393/ac.2020.00150.0021 article EN cc-by-nc Annals of Coloproctology 2021-06-29

Mucinous gastric adenocarcinoma (MGC) is defined by the World Health Organization as a with >50% extracellular mucin pools within tumors. In this study, we attempted to analyze clinicopathologic features of patients pathologically diagnosed cancer lower than 50% tumor volume pool (LEMPC). We compared MGC versus nonmucinous (NMGC). were used in abbreviations LEMPC for NMGC including pool.Files 995 (n = 935), 20), 40) who underwent curative resection at Pusan National University Yangsan...

10.4174/astr.2015.89.5.254 article EN Annals of Surgical Treatment and Research 2015-01-01

We report a case of 65 years old man who was found on routine esophagogastroduodenoscopy to have gastric tumour. Histology revealed adenocarcinoma. Staging investigation with abdominal computed tomography (CT) confirmed cancer the antrum lymph node enlargement at hepato-duodenal ligament. The patient underwent laparoscopic assisted distal gastrectomy D2 lymph-adenectomy. Pathology intestinal type moderately differentiated tubular adenocarcinoma invading lamina propria (pT1a). Four positive...

10.7602/jmis.2020.23.2.99 article EN Daehan nae'si'gyeong bog'gang'gyeong oe'gwa haghoeji/Journal of minimally invasive surgery 2020-06-15

There are many possible causes of duodenal obstruction, such as congenital anomalies and various acquired conditions associated with space-occupying lesions. However, hemorrhage or retroperitoneal hematoma is a rare cause obstruction. Here, we report the case 55-year-old man who developed obstruction due to large after acupuncture therapy. The patient experienced abdominal discomfort along vomiting nausea. Considering size hematoma, emergency surgery could have been performed, but...

10.20408/jti.2020.0011 article EN cc-by-nc Journal of Trauma and Injury 2020-11-23

Background: Duodenal stump leakage (DSL) is a serious complication after gastrectomy. In this study, we developed novel prevention technique using falciform ligament patch (FLP) to prevent DSL among high-risk patients Materials and Methods: From January 2019 July 2021, 14 who were judged be at high risk for during preoperative examinations or surgery included in retrospective the FLP was applied duodenal stump. The separated from liver transection gastrectomy; end part used cover fixed...

10.1089/lap.2022.0454 article EN Journal of Laparoendoscopic & Advanced Surgical Techniques 2022-12-02

Internal hernia after gastrectomy is a rare but potentially life-threatening condition without surgical intervention. Clinical risk factors of internal should, hence, be reviewed gastrectomy. From 2008 to 2018, patients who underwent for gastric cancer were investigated.Abdominal computed tomography (CT) was used screen hernia, and exploration performed confirm the diagnosis. Using retrospective statistical analysis, incidence, characteristics, identified, characteristics group reviewed.The...

10.7602/jmis.2021.24.1.18 article EN Daehan nae'si'gyeong bog'gang'gyeong oe'gwa haghoeji/Journal of minimally invasive surgery 2021-03-15

This study aimed to clarify the clinicopathologic features and explore treatment strategies for patients with pathologically confirmed advanced gastric cancer (AGC) diagnosed as clinically early (cEGC) before surgery. We included 955 who were treated by curative gastrectomy between 2008 2013; 42 had cEGC. The of cEGC compared those (EGC); AGC; muscularis propria (MP cancer, invading stomach); or SM3 (gastric all 3 parts submucosal layer). Patients more tumor lymph node metastasis; lymphatic...

10.9738/intsurg-d-15-00245.1 article EN cc-by-nc International Surgery 2016-12-01

Background: This study presents a novel technical tip for intraoperative tumor localization and determination of the proximal resection line using titanium ring strip totally laparoscopic distal gastrectomy in patients with middle-third gastric cancer describes short-term results its application.Methods: In total, 42 who underwent through radiography between January 2020 December 2021 were enrolled this study. We retrospectively analyzed patients’ prospectively collected clinical,...

10.7180/kmj.23.113 article EN cc-by-nc Kosin Medical Journal 2023-06-23

Securing an appropriate proximal resection margin (PRM) is crucial for oncological safety in treating gastric cancer. This study investigated the clinicopathological characteristics of patients with incomplete PRM length <2 cm early Clinicopathological data 1,493 who underwent subtotal gastrectomy cancer 2012 to 2021 were retrospectively reviewed. Patients divided into and ≥2 groups based on pathological results. Univariate multivariate analyses evaluated factors length. Factors related a...

10.1097/md.0000000000035393 article EN cc-by-nc Medicine 2023-10-06
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