Speaker Ho Yong Park2019-05-29T15:58:51+08:00

Plenary & Workshop Speakers

EDUCATION:
1991 : Graduated in School of Medicine, Kyungpook National University
1995 : The degree of Master of medical science, school of medicine,
Kyungpook National University
2004 Ph. D., Pusan National University Postgraduate school, Pusan, Korea.

POSTGRADUATE TRAINING:
Mar. 1991 – Feb. 1992 : Rotating Internship
Kyungpook National University Hospital
Mar. 1992 – Feb. 1996 : Residency
Department of surgery, Kyungpook National University Hospital

POSITIONS HELD:
Feb.  1996 – Mar. 1999 : Surgeon in ROK Army
May. 1999 – Feb. 2000 : Clinical fellow of breast and thyroid surgery
Kyungpook National University Hospital
Mar.  2000 – Mar. 2001 : Full-time lecturer as a faculty member of Surgery
Kyungpook National University Hospital
April, 2001- April, 2005 : Assistant Professor
May, 2005 — 2009 : Associate Professor
2009 – Present: Professor
Department of Surgery,
Kyungpook National University Hospital

INTERNATIONAL NETWORK:
2002 Visiting doctor in Cancer Institute Hospital, Tokyo, Japan
2003 Visiting doctor in Noguchi breast and thyroid foundation,Beppu, Japan
2004.8-2006.8 Visiting Professor (Research Associate) in breast cancer research lab, Endocrinology and Metabolism in University of Virginia Health System, Charlottesville, VA
2006.09 Visiting Doctor in Rome Catholic University Hospital, Italy
2007.07  Visiting Doctor in Rome Catholic University Hospital, Italy
2008.04 Visiting Doctor in Interdisciplinary Breast Center. Duesseldorf. Germany
2009.03 European institute oncology, Milan, Italy
2010.12  Visiting doctor in Memorial Sloan- Kettering Cacner center, New York
2012.03 Visiting doctor in MD Anderson Cancer Center, Houston, Texas, US
2013.05 Visiting doctor in MGH, Harvard university, Boston, US
2017.05 Visiting doctor in UHN, Princess Margaret Hospital, Toronto, Canada

LICENSURE AND CERTIFICATION:
Korean medical license, 1991
Diplomate in Korean Board of Surgery, 1996
ECFMG certification, 1998

RECENT PUBLICATION:
1  . Park H-Y, Aiyar, S-E, Fan, P, Wang, J-P, et al. Effects of Tetramethoxystilbene on hormone-resistant breast cancer cells: biological mechanisms of action : Cancer Research, 2007; 67: 5717-5726
2  . Bae SG, Yang JD, Lee SY, Chung KH, Chung HY, Cho BC, Park HY. Oncoplastic Techniques For Treatment of Inferiorly Located Breast Cancer, J Korean Soc Plast Reconstr Surg. 2008 Nov;35(6):680-686
3  . Woo-Chan Park, Lee Su Kim, Tae Hyun Kim, Byeong-Woo Park, Ho Yong Park, Byung Joo Song, Jae Bok Lee, Chang Wan Jeon, Un-Jong Choi. Molecular Targets for Treatment of Breast Cancer, J Breast Cancer. 2009 Dec 12(4): 229-234.
4  . Jung JH, Chae YS, Moon JH, Kang BW, Kim JG, Sohn SK, Park JY, Lee MH, Park HY. TNF superfamily gene polymorphism as prognostic factor in early breast cancer, J Cancer Res Clin Oncol, 2010 May;136(5):685-94
5  . Aiyar SE, Park H, Aldo PB, Mor G, Gildea JJ, Miller AL, Thompson EB, Castle JD, Kim S, Santen RJ. TMS, a chemically modified herbal derivetive of resveratrol, induces cell death by targeting Bax, Breast Cancer Res Treat. 2010 Nov;124(1):265-77
6  . Jung J, Park H, Park J, Kim H. Accuracy of preoperative ultrasound and ultrasound-guided fine needle aspiration cytology for axillary staging in breast cancer, ANZ J Surg. 2010 Apr;80(4):271-5.
7  . Jung J, Uchino S, Lee Y, Park H. A Korean family of familial medullary thyroid cancer with cys618ser RET germline mutation, J Korean Med Sci, 2010 Feb;25(2):226-9
8  . Jung Dug Yang, Jung Hun Lee, Ho Yun Chung, Byung Chae Cho, Ho Yong Park, Jin Hyang Jung. Contralateral Breast Management Related to Breast Reconstruction in Korean Females, J Breast Cancer, 2010 Jun;13(2):147-153
9  . Chae YS, Lee SJ, Moon JH, Kang BW, Kim JG, Sohn SK, Jung JH, Park HY, Park JY, Kim HJ, Lee SW. VARS2 V552V variant as prognostic marker in patients with early breast cancer, Med Oncol, 2011 Dec;28(4):1273-80
10 . Lee SJ, Lim HJ, Kim HY, Song CH, Kim BS, Lee WJ, Kim DW, Jung JH, Park HY, Kim SG, Yoon GS, Lee JT. The Feasibility of Sentinel Lymph Node Biopsy with a Multidisciplinary Cooperative Team Approach for the Management of Koreans with Cutaneous Malignant Melanoma. Ann Dermatol, 2010 Feb;22(1):26-34
11 . Yang JD, Song JM, Lee SY, Chung HY, Cho BC, Park HY, Jung JH. Supercharged Technique in TRAM flap Breast Reconstruction, J Korean Soc Plast Reconstr Surg. 2010 Sep;37(5):577-582
12 . Chae YS, Kim JG, Jung HJ, Yang JD, Jung JH, Aiyar SE, Kim S, Park H. Anticancer effect of (E)-2-hydroxy-30,4,50-trimethoxystilbene on breast cancer cells by mitochondrial depolarization, Cancer Chemother Pharmacol, 2011 Aug;68(2):349-58
13 . Li Y, Wang JP, Santen RJ, Kim TH, Park H, Fan P, Yue W. Estrogen stimulation of cell migration involve multiple signaling pathway interactions, Endocrinology, 2010 Nov;151(11):5146-56
14 . Yang JD, Bae SG, Chung HY, Cho BC, Park HY, Jung JH. The usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts , Annals of Plastic Surgery, 2011 Nov;67(5):474-80
15 . Kim T, Park H, Yue W, Wang JP, Atkins KA, Zhang Z, Rogan EG, Cavalieri EL, Mohammad KS, Kim S, Santen RJ, Aiyar SE. Tetra-methoxystilbene modulates ductal growth of the developing murine mammary gland, Breast Cancer Res Treat, 2011 Apr;126(3):779-89
16 . Yang JD, Lee JW, Kim WW, Jung JH, Park HY. Oncoplastic Surgical Techniques for Personalized Breast Conserving Surgery in Breast cancer patient with Small to Moderate Sized Breast, J Breast Cancer, 2011 Dec;14(4):253-61
17 . Lim CK, Shin J, Lee YD, Kim J, Park HY, Kwon IC, Kim S. Heavy-Atomic Construction of Photosensitizer Nanoparticles for Enhanced Photodynamic Therapy of Cancer, small, 2011 Jan 3;7(1):112-8
18 . Jung Dug Yang, Jeong Woo Lee, Young Kyoo Cho, Wan Wook Kim1, Seung Ook Hwang1, Jin Hyang Jung1, Ho Yong Park. Surgical Techniques for Personalized Oncoplastic Breast Conserving Surgery in Breast cancer patient with Small to Moderate Sized Breast(part 1): Volume displacement, J Breast Cancer, 2012 March; 15(1): 1-6.
19 . Jung Dug Yang, Jeong Woo Lee, Young Kyoo Cho, Wan Wook Kim1, Seung Ook Hwang1, Jin Hyang Jung1, Ho Yong Park. Surgical Techniques for Personalized Oncoplastic Breast Conserving Surgery in Breast cancer patient with Small to Moderate Sized Breast(part 2): Volume replacement, J Breast Cancer , 2012 March; 15(1): 7-14.
20 . 이해경, 박호용, 김완욱, 양정덕, 장아람, 유전성유방학 제 1판 유방암의 국소 치료. 한국유방암학회, 2012
21  . So Hyun Lee, Yu-Sun Min, Ho Yong Park, Tae-Du Jung. Health- Related Quality of Life in Breast Cancer Patients with Lymphedema Who Survived More than One Year after Surgery, J Breast Cancer, 2012;15(4): 449-453.
22  . Mi-Na Song, Pyong-Gon Moon, Jeong-Eun Lee, MinKyun Na, Wonku Kang, Yee Soo Chae, Ji-Young Park, Hoyong Park, and Moon-Chang Baek. Proteomic Analysis if Breast Cancer Tissues to Identify Biomarker Candidates by Gel-Assited Digestion and Label-free Quantifucation Methods Using LC-MS/MS, Arch Pharm Rws, 2012 Oct;35(10):1839-47.
23  . Jung Dug Yang, Dong Wan Ryu, Jeong Woo Lee, Kang Young Choi, Ho Yun Chung, Byung Chae Cho, Ho Yong Park, Jin Suk Byun. Usefulness of Oncoplasic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts, Archives of Plastic Surgery, 2012 Sep; 39(5): 489–496.
24  . Kim WW, Jung JH, Park HY. New technique using the snake retractor for complete lymph node dissection in robotic thyroid surgery: initial experiences. Surg Laparosc Endosc Percutan Tech. 2013 Feb;23(1):e1-4.
25  . Yang JD, Ryu DW, Lee JW, Choi KY, Chung HY, Cho BC, Park HY, Byun JS. Usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer. Arch Plast Surg. 2013 Jul;40(4):367-73.
26  . 황승욱, 최향희, 김완욱, 박호용, 정진향. 갑상선 전절제술 및 중앙경부 림프절 박리술 후 발생한 유미누출 : 3예 증례보고, The Korean Journal of Endocrine Surgery. 2013;13:165-168.
27  . Kim C, Park H, Lee H. Comparison of laser-induced damage with forward-firing and diffusing optical fiber during laser-assisted lipoplasty. Lasers Surg Med. 2013 Sep;45(7):437-49.
28  . Hwang SO, Lee SW, Kim HJ, Kim WW, Park HY, Jung JH. The Comparative Study of Ultrasonography, Contrast-Enhanced MRI, and (18)F-FDG PET/CT for Detecting Axillary Lymph Node Metastasis in T1 Breast Cancer. J Breast Cancer. 2013 Sep;16(3):315-21.
29  . Park HY, Choi HH, Lee JJ, Hwang SO, Jung JH, Sohn IB, Lee H, Kim WW. Comparison of laser ablation using multidirectional and forward-firing fiber in human thyroid gland: experimental study. Otolaryngol Head Neck Surg. 2013 Nov;149(5):689-91.
30  . Kim WW, Park HY, Jung JH. Surgical extent of central lymph node dissection in clinically node-negative papillary thyroid cancer. Head Neck. 2013 Nov;35(11):1616-20.
31  . Yang JD, Kwon OH, Lee JW, Chung HY, Cho BC, Park HY, Kim TG. The effect of montelukast and antiadhesion barrier solution on the capsule formation after insertion of silicone implants in a white rat model, Eur Surg Res .2013;51(3-4):146-55.
32  . Kim C, Sohn IB, Park H, Lee YJ, Lee H. Comparison of laser-assisted damage in soft tissue using bi-directional and forward-firing optical fiber. Optics & Laser Technology. 2014;56:196-201
33  . Lee SJ, Chae YS, Kim JG, Kim WW, Jung JH, Park HY, Jeong JY, Park JY, Jung HJ, Kwon TH. AQP5 expression predicts survival in patients with early breast cancer. Ann Surg Oncol. 2014 Feb;21(2):375-83.
34  . Lee JW, Kim MC, Park HY, Yang JD. Oncoplastic volume replacement techniques according to the excised volume and tumor location in small- to moderate-sized breasts. Gland Surg. 2014 Feb;3(1):14-21.
35  . Hwang SO, Jung JH, Park HY, Kim WW. A Prospective, Randomized Study between the Small Jaw® and the Harmonic Focus® in Open Thyroidectomy. Otolaryngol Head Neck Surg. 2014 Mar 26;150(6):943-948.
36  . Choi HH, Hwang SO, Kim WW, Park H, Lee SJ, Jeong JY. Carcinoma erysipelatoides resulting from cutaneous metastasis of breast cancer. J Breast Dis. 2014 Jun;2(1):27-31.
37  . Lee SJ, Seo JW, Chae YS, Kim JG, Kang BW, Kim WW, Jung JH, Park HY, Jeong JY, Park JY. Genetic polymorphism of miR-196a as a prognostic biomarker for early breast cancer. Anticancer Res. 2014 Jun;34(6):2943-9.
38  . 권택주, 백진오, 이지연, 강진구, 황승욱, 김완욱, 박호용, 정지윤, 박지영, 정진향. 갑상선 유두암의 예후 예측 인자로서 BRAFV600E 돌연변이의 역할. The Korean Journal of Endocrine Surgery. 2014; 14:150-155.
39  . Hwang SO, Lee SW, Kang JK, Choi HH, Kim WW, Park HY, Jung JH. Clinical value of visually identifiable 18F-fluorodeoxyglucose uptake in primary papillary thyroid microcarcinoma. Otolaryngol Head Neck Surg. 2014 Sep;151(3):415-20.
40  . Park HC, Kim HY, Kim MC, Lee JW, Chung HY, Cho BC, Park HY, Yang JD. Partial breast reconstruction using various oncoplastic techniques for centrally located breast cancer. Arch Plast Surg. 2014 Sep;41(5):520-8.
41  . Kim C, Jeon MJ, Jung JH, Yang JD, Park H, Kang HW, Lee H. Fabrication of novel bundled fiber and performance assessment for clinical applications. Lasers Surg Med. 2014 Nov;46(9):718-25.
42  . Lee J, Jung JH, Kim WW, Hwang SO, Kang JG, Baek J, Kim HJ, Park JY, Jeong JY, Lim JY, Park HY. Ductal carcinoma arising from ectopic breast tissue following microcalcification observed on screening mammography: a case report and review of the literature. J Breast Cancer. 2014 Dec;17(4):393-6.
43  . Kim WW, Jung JH, Park HY. A single surgeon’s experience and surgical outcomes of 300 robotic thyroid surgeries using a bilateral axillo-breast approach. J Surg Oncol. 2015 Feb;111(2):135-40.
44  . Lee J, Jung JH, Kim WW, Hwang SO, Kang JG, Baek J, Yang JD, Lee JW, Park HY. Oncologic outcomes of volume replacement technique after partial mastectomy for breast cancer: a single center analysis. Surg Oncol. 2015 Mar;24(1):35-40.
45  . Kang S, Chae YS, Lee SJ, Kang BW, Kim JG, Kim WW, Jung JH, Park HY, Jeong JH, Jeong JY, Park JY. Aquaporin 3 Expression Predicts Survival in Patients with HER2-positive Early Breast Cancer. Anticancer Res. 2015 May;35(5):2775-82.
46  . Baek J, Jung JH, Kim WW, Hwang SO, Lee J, Kang JG, Chae YS, Lee SJ, Jeong JW, Park JY, Lee JW, Yang JD, Kim HJ, Park HW. Recurrence of Breast Cancer with Tumor Lymphangiogenesis Involving the Reconstructed Transversus Rectus Abdominis Myocutaneous Flap. J Breast Dis, 2015 June; 3(1): 31-35
47  . Yoo JN, Cheong YS, Min YS, Lee SW, Park HY, Jung TD. Validity of Quantitative Lymphoscintigraphy as a Lymphedema Assessment Tool for Patients With Breast Cancer. Ann Rehabil Med 2015;39(6):931-940
48  . 박진희, 박호용, 정진향, 황승욱, 이지연, 권택주, 김완욱. 부갑상선 점수가 갑상선 전절제술 후 저칼슘혈증을 예측할 수 있을까?. Korean J Endocr Surg 2015;15:34-40.
49  . Lee YD, Cho HJ, Choi MH, Park H, Bang J, Lee S, Kwon IC, Kim S. Directed molecular assembly into a biocompatible photosensitizing nanocomplex for locoregional photodynamic therapy. J Control Release. 2015 Jul 10;209:12-9.
50  . Yang BR, Kim HJ, Shin KM, Cho SH, Jang YJ, Lee HJ, Park YM, Lee SM, Park JY, Park HY, Jung JH. Serial Ultrasound Findings After Laser Ablation for Benign Breast Lesions on Long-Term Follow-Up: Implications for Evaluation of Procedural Success. Photomed Laser Surg. 2015 Aug;33(8):404-8.
51  . Kim WW, Jung JH, Park HY. The Learning Curve for Robotic Thyroidectomy Using a Bilateral Axillo-Breast Approach From the 100 Cases. Surg Laparosc Endosc Percutan Tech. 2015 Oct;25(5):412-6.
52  . Yang JD, Huh JS, Min YS, Kim HJ, Park HY, Jung TD. Physical and Functional Ability Recovery Patterns and Quality of Life after Immediate Autologous Latissimus Dorsi Breast Reconstruction: a 1-year Prospective Observational Study. Plast Reconstr Surg. 2015 Dec;136(6):1146-54.
53  . Lee JE, Moon PG, Cho YE, Kim YB, Kim IS, Park H, Baek MC. Identification of EDIL3 on extracellular vesicles involved in breast cancer cell invasion. J Proteomics. 2016 Jan 10;131:17-28.
54  . Lee J, Jung JH, Kim WW, Hwang SO, Kim HJ, Park JY, Chae YS, Yang JD, Park HY. The role of preoperative breast magnetic resonance (MR) imaging for surgical decision in patients with triple-negative breast cancer. J Surg Oncol. 2016 Jan;113(1):12-6.
55  . Lee JW, Jung GS, Kim JB, Choi KY, Chung HY, Cho BC, Park JY, Kim HJ, Park HY, Yang JD. Pseudoangiomatous Stromal Hyperplasia Presenting as Rapidly Growing Bilateral Breast Enlargement Refractory to Surgical Excision. Arch Plast Surg. 2016 Mar;43(2):218-21.
56  . Moon PG, Lee JE, Cho YE, Lee SJ, Jung JH, Chae YS, Bae HI, Kim YB, Kim IS, Park HY, Baek MC. Identification of Developmental Endothelial Locus-1 on Circulating Extracellular Vesicles as a Novel Biomarker for Early Breast Cancer Detection. Clin Cancer Res. 2016 Apr 1;22(7):1757-66.
57  . Lee J, Park HY, Jung JH, Kim WW, Hwang SO, Kwon TJ, Chung JH, Bae Y. Non-stereotactic method involving combination of ultrasound-guided wire localization and vacuum-assisted breast biopsy for microcalcification. Gland Surg. 2016 Jun;5(3):300-5.
58  . Lee J, Bae Y, Jung JH, Kim WW, Hwang SO, Kwon TJ, Chung JH, Park HY, Lee S, Jung Y. Effects of Quilting Suture Interval on Donor Site Seromas After Breast Reconstruction With Latissimus Dorsi Muscle Flap: A Randomized Trial. Clin Breast Cancer. 2016 Jun 7.
59  . Moon PG, Lee JE, Cho YE, Lee SJ, Chae YS, Jung JH, Kim IS, Park HY, Baek MC. Fibronectin on circulating extracellular vesicles as a liquid biopsy to detect breast cancer. Oncotarget. 2016 Jun 28;7(26)
60  . Kim WW, Choi H, Lee J, , Hwang SO, Park HY, Park JY, Jung JH. BRAFV600E Test for Suspicious Lateral Lymph Nodes in Papillary Thyroid Cancer. Korean J Endocr Surg 2016;16:36-41.
61  . Lee J, Jung JH, Kim WW, Hwang SO, Park JY, Jeong JY, Kim C, Sohn IB, Lee H, Park HY. Ultrasound-Guided Laser Ablation Using Multidirectional-Firing Fiber for Papillary Thyroid Carcinoma: An Ex Vivo Study with Evaluation of Tumor Cell Viability. Photomed Laser Surg. 2016 Jul;34(7):300-4.
62  . Kim WW, Jung JH, Lee J, Kang JG, Baek J, Lee WK, Park HY. Comparison of the Quality of Life for Thyroid Cancer Survivors Who Had Open Versus Robotic Thyroidectomy. J Laparoendosc Adv Surg Tech A. 2016 Aug;26(8):618-24.
63  . Lee J, Jung JH, Chae YS, Park HY, Kim WW, Lee SJ, Jeong JH, Kang SH. Long Noncoding RNA snaR Regulates Proliferation, Migration and Invasion of Triple-negative Breast Cancer Cells. Anticancer Res. 2016 Dec;36(12):6289-6295.
64  . Lee SJ, Kang BW, Kim JG, Jung JH, Lee J, Kim WW, Park HY, Jeong JH, Jeong JY, Park JY, Park JH, Chae YS. AQP5 Variants Affect Tumoral Expression of AQP5 and Survival in Patients with Early Breast Cancer. Oncology. 2017;92:153-160.
65  . Lee J, Jung JH, Kim WW, Hwang SO, Chae YS, Lee SJ, Yang JD, Lee JW, Park HY. Five-Year Oncologic Outcomes of Volume Displacement Procedures After Partial Mastectomy for Breast Cancer. Clin Breast Cancer. 2017 Feb;17(1):70-75
66  . Lee J, Park HY, Jung JH, Kim WW, Chae YS, Lee SJ, Lee S, Bae Y. Lymph node status as a prognostic factor in BRCA-positive breast cancer. Journal of Surgical Research. 2017(215):125-131.
67  . Ja Ryung Han, Jin Hyang Jung, Wan Wook Kim, Jeeyeon Lee, Ho Yong Park, Hye Jung Kim, Ji-Young Park. Bilateral Papillary Thyroid Cancer Increases the Risk of Lymph Node Metastasis Compared with Unilateral Multifocal Papillary Thyroid Cancer, J Endocr Surg. 2017 Jun;17(2):63-72
68  . Jeeyeon Lee, Jin Hyang Jung, Wan Wook Kim, Jung Dug Yang, MD,Jeong Woo Lee, MD, Junjie Li, MD, Ho Yong Park, Comparison of two different types of oxidized regenerated cellulose for partial breast defects, Journal of Surgical Research, 2 0 1 7 ( 2 1 4 ): 2 2 1-2 2 8
69  . Duk-Hee Lee, David R. Jacobs, Ho Yong Park, David O. Carpent. A role of low dose chemical mixtures in adipose tissue in carcinogenesis. Environment International, 2017 Nov;108:170-175
70  . Lee J, Park HY, Kim WW, Lee SJ, Jeong JH, Kang SH, Jung JH, Chae YS, Biological function of long noncoding RNA snaR in HER2-positive breast cancer cells, Tumour Biol. 2017 Jun;39(6):1010428317707374
71  . Yoo TK, Chae BJ, Kim SJ, Lee J, Yoon TI, Lee SJ, Park HY, Park HK, Eom YH, Kim HS, Kim CJ, Shin MS, You SH, Song BJ. Identifying long-term survivors among metastatic breast cancer patients undergoing primary tumor surgery. Breast Cancer Res Treat. 2017 Aug;165(1):109-118
72  . Lee J, Park HY, Kim WW, Jeong JY, Lee YD, Choi MH, Kim S, Park JY, Jung JH. Combination Treatment with Photodynamic Therapy and Laser Ablation in Breast Cancer: An Animal Model Study. Photomed Laser Surg. 2017 Sep;35(9):505-512
73  . Jung JH, Son SH, Kim DH, Lee J, Jeong SY, Lee SW, Park HY, Lee J, Ahn BC. CONSORT-Independent prognostic value of asphericity of pretherapeutic F-18 FDG uptake by primary tumors in patients with breast cancer. Medicine (Baltimore). 2017 Nov;96(46):e8438
74  . Kim WH, Kim HJ, Jung JH, Park HY, Lee J, Kim WW, Park JY, Cheon H, Lee SM, Cho SH, Shin KM, Kim GC. Ultrasound-Guided Fine-Needle Aspiration of Non-palpable and Suspicious Axillary Lymph Nodes with Subsequent Removal after Tattooing: False-Negative Results and Concordance with Sentinel Lymph Nodes. Ultrasound Med Biol. 2017 Nov;43(11):2576-2581
75  . Kim JB, Kim DK, Lee JW, Choi KY, Chung HY, Cho BC, Park HY, Lee JY, Yang JD. The usefulness of pedicled perforator flap in partial breast reconstruction after breast conserving surgery in Korean women. Arch Plast Surg. 2018 Jan;45(1):29-36.
76  . Lee J, Jung JH, Kim WW, Moon SH, Jeong JH, Park JY, Jeong JY, Lee H, Sohn IB, Kim CH, Park HY. Comparison of laser ablation using multidirectional and forward-firing fibers in breast cancer. Minim Invasive Ther Allied Technol. 2018 Jan 21:1-8
77  . Lee SJ, Lee J, Kim WW, Jung JH, Park HY, Park JY, Chae YS. Del-1 Expression as a Potential Biomarker in Triple-Negative Early Breast Cancer. Oncology. 2018;94(4):243-256
78  . Lee J, Jung JH, Kim WW, Chae YS, Lee SJ, Park HY. Comparison of 5-year oncological outcomes of breast cancer based on surgery type. ANZ J Surg. 2018 May;88(5):E395-E399
79  . Kim WH, Lee SW, Kim HJ, Chae YS, Jeong SY, Jung JH, Park HY, Lee WK. Prediction of Advanced Axillary Lymph Node Metastases (ypN2-3) Using Breast MR imaging and PET/CT after Neoadjuvant Chemotherapy in Invasive Ductal Carcinoma Patients, Sci Rep. 2018 Feb 16;8(1):3181
80  . Kim WH, Kim HJ, Jung JH, Park HY, Lee J, Kim WW, Park JY, Chae YS, Lee SJ. Ultrasound-Guided Restaging and Localization of Axillary Lymph Nodes After Neoadjuvant Chemotherapy for Guidance of Axillary Surgery in Breast Cancer Patients: Experience with Activated Charcoal. Ann Surg Oncol. 2018 Feb;25(2):494-500
81  . Jung Y, Lee SJ, Lee J, Noh WC, Nam SJ, Park BW, Bae YT, Kang SS, Park HK, Yoon JH, Kim JR, Cho SH, Kim LS, Moon BI, Jung SH, Lim CW, Kim SY, Park HY, et al. Assessment of Quality of Life and Safety in Postmenopausal Breast Cancer Patients Receiving Letrozole as an Early Adjuvant Treatment. J Breast Cancer. 2018 Jun;21(2):182-189
82  . Kim WW, Choi JA, Lee JY, Jung JH, Park HY, Fluorescence imaging–guided robotic thyroidectomy and central lymph node dissection, J Surg Res, 2018 (231) 297-301
83  . Jeeyeon Lee, Jin Hyang Jung, Wan Wook Kim, Ryu Kyung Lee, Hye Jung Kim, Won Hwa Kim, Ho Yong Park et al; 5-year oncological outcomes of targeted axillary sampling in pT1-2N1 breast cancer; Asian journal of surgery, 2018. 11
84  . SH Park, J Lee, JE Lee, MK Kang, MY Kim, HY Park, JH Jung, YS Chae, … Local and regional recurrence following mastectomy in breast cancer patients with 1–3 positive nodes: implications for postmastectomy radiotherapy volume; Radiation oncology journal 36 (4), 285-294
85  . Joon Seok Lee, PilSeon Eo, Min Chul Kim, Jae Bong Kim, Hee Kyung Jin, Jae-Sung Bae, Jae-hwan Jeong, Ho Yong Park, Jung Dug Yang; Effects of Stromal Vascular Fraction on Breast Cancer Growth and Fat Engraftment in NOD/SCID Mice; Aesthetic plastic surgery 2019.1 (in press)
86  . Jae Bong Kim, Jeong Ryeol Eom, Jeong Woo Lee, Jeeyeon Lee, Ho Yong Park, Jung Dung Yang; Utility of two surgical techniques using a lateral intercostal artery perforator flap after breast conserving surgery; A single center retrospective study; Plastic and Reconstructive surgery 2019(in press)

ABSTRACT:

How can senior doctor develop into an endoscopic and robotic surgeon?

Cancer surgery is always seeking new techniques to improve oncologic and esthetic outcomes. And current patients with breast cancer are demanding a development of surgical techniques to maximize their quality of life and minimize postoperative scars. Many surgeons consistently learn new techniques and improve their surgical skills not to be fallen behind the general trend of surgery. However, these situations could be extremely stressful to senior surgeons, especially who was not trained with endoscopic and robotic surgery. In most aspects, the learning curve will be increased slowly compared to junior surgeons. However, although it would be difficult, the senior surgeons should not abandon their chances to learn new surgical techniques but should make more efforts.

The author, one of senior breast surgeons, introduces a serial process to attempt endoscopic and robotic breast surgery. And I want to show a way to prepare first trial of endoscopic and robotic breast surgery and encourage many senior surgeons who want to learn endoscopic and robotic surgical skills.

First of all, I had observed various cancer surgeries which performed by the other surgeons including colorectal cancer, gastric cancer, gynecological cancer. Because these surgeons were very good to endoscopic and robotic surgery, their skills were very helpful to me. However, the problem was that the breast does not have as much space as the abdominal or pelvic cavity. So I had to imagine surgical fields with various situations in order to apply their skills to breast surgery.

Second, I began to touch the endoscopic devices one by one to make them familiar to me. Several days after, the pain was started from joint of my thumbs to wrist and elbow joint. Finally, the movements of my fingers became limited. Through this process, I began to search for better tools in route of off and online. I gathered our breast team members every 2-3 weeks to discuss about every devices, surgical methods and listen to the opinions of juniors to improve my idea. A robotic Surgeon, who performed more than 600 cases of robotic thyroidectomy, gave us much information and advices. His opinions were really useful to conduct a real practice of breast and breast reconstruction.

By the time my hands got used to a certain degree of equipment, I had the courage to try the surgery. However, still there was fear for the patient to apply an endoscopic or robotic surgery of breast. This ultimately led to an attempt to use an animal model of surgery. In City Osong, Incheon of Korea, there are big surgery centers for medical students, residents and specialists to practice dry lab and animal labs, especially for laparoscopy, endoscopy and ultrasonography. Our team divided as two (Senior with fellow vs Junior) and visited surgery centers to practice animal labs for breast surgery and reconstructive surgery including plastic surgeons. In this process, plastic surgeons with little experience in endoscopic surgery were also present, and they started out on the starting line with me and learned their skills.

At the same time, our team members completed the da Vinci Surgery with Internet practice and Da Vinci Xi through Simulation training. During this practice, two important issues have been raised about robot surgery. Based on the negative results of the robotic surgery of the cervical cancer, the Korea FDA gave to surgeons a caution about the robotic surgery. Therefore, I put off a robotic breast surgery for a while and will start it after my surgical skill is more improved with endoscopic surgery.

Based the experiences of four Pig Animal models with their 8 breast and LD surgery, now our team is just getting started with endoscopic surgery. Although it is still difficult to say that we perform a whole endoscopic surgery through incision to closure, it is obvious that endoscopic scope could be applied where there is no way to see through bare eyes and devices can be arranged properly where devices cannot be reached. Recently modified articulated laparoscopic surgery instruments have been modified and applied to endoscopic breast surgery, which has helped to solve a limited part of endoscopic surgery. (It will be carried out at April and will tell you the experiences at meeting).

Our team is still in training and I feel that there are still many barriers. However, I would be delighted if someone else could experience and try this process a little shorter through my course of preparation as a senior. And after several times of my experiences to patients, we can discuss about the clinical controversies of endoscopic and robotic breast surgery at October in Korea.