2024-03-28T13:04:09Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02015591
2022-10-31T07:40:45Z
1642838163960:1642838198944:1642838199408:1642838224750
1642838403551:1642838412624
[症例報告]門脈走行異常を伴う十二指腸乳頭部癌の1切除例
Cancer of the Duodenal Papilla in a Patient with Abnormal Configuration of the Portal Vein: Case Report
伊地, 隆晴
池原, 康一
仲宗根, 由幸
池村, 綾
山城, 聡
宮城, 和史
伊波, 潔
Ichi, Takaharu
Ikehara, Yasukazu
Nakasone, Yoshiyuki
ikemura, Ryo
Yamashiro, Satoshi
Miyagi, Kazufumi
Iha, Kiyoshi
open access
琉球医学会
cancer of the duodenal papilla
portal vein
abnormal configuration
pancreatoduodenectomy
A 70-year-old woman was admitted to our hospital for fever and jaundice as a chief complaint. Cancer of the duodenal papilla was diagnosed, but preoperative CT of the abdomen revealed an anatomically abnormal configuration of the main pancreatic duct, which coursed along the dorsal side of the portal vein. Intraoperative exploration showed that the portal vein penetrated the pancreatic head and that there were two pancreatic ducts, one located on the ventral side of the portal vein, and the other on the dorsal side. Pyloruspreserving pancreatoduodenectomy (Imanaga method) was performed, and pancreatojejunostomy was performed by suturing each pancreatic duct to the jejunal mucosa. After the operation, the cancer was pathologically diagnosed as moderately differentiated adenocarcmoma, and the overall degree of progression was Stage I. The postoperative course was favorable, without complications, and the patient was discharged from the hospital 35 days after the operation. At present, the patient's condition is stable.
論文
琉球医学会
Ryukyu Medical Association
2008
jpn
journal article
VoR
http://hdl.handle.net/20.500.12000/0002015591
https://u-ryukyu.repo.nii.ac.jp/records/2015591
1346-888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
27
1・2
35
39
https://u-ryukyu.repo.nii.ac.jp/record/2015591/files/v27p35.pdf