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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 17巻3号
  1. 部局別インデックス
  2. その他

[症例報告]上腸間膜動脈浸潤および上腸間膜静脈分岐部浸潤を伴った進行膵鈎部癌に対する拡大手術の1例

http://hdl.handle.net/20.500.12000/0002016040
http://hdl.handle.net/20.500.12000/0002016040
ce4da935-1ce0-40dc-857e-ecc79d682883
名前 / ファイル ライセンス アクション
v17p161.pdf v17p161.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2010-07-02
タイトル
タイトル [症例報告]上腸間膜動脈浸潤および上腸間膜静脈分岐部浸潤を伴った進行膵鈎部癌に対する拡大手術の1例
言語 ja
タイトル
タイトル Resection of the advanced pancreatic carcinoma (invasion of the superior mesenteric artery and bifurcation of the superior mesenteric vein) of the uncus : a case report
言語 en
作成者 長濱, 正吉

× 長濱, 正吉

ja 長濱, 正吉

Search repository
白石, 祐之

× 白石, 祐之

ja 白石, 祐之

Search repository
砂川, 宏樹

× 砂川, 宏樹

ja 砂川, 宏樹

Search repository
下地, 英明

× 下地, 英明

ja 下地, 英明

Search repository
比嘉, 宇郎

× 比嘉, 宇郎

ja 比嘉, 宇郎

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宮城, 純

× 宮城, 純

ja 宮城, 純

Search repository
戸板, 孝文

× 戸板, 孝文

ja 戸板, 孝文

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草野, 敏臣

× 草野, 敏臣

ja 草野, 敏臣

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武藤, 良弘

× 武藤, 良弘

ja 武藤, 良弘

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Nagahama, Masayoshi

× Nagahama, Masayoshi

en Nagahama, Masayoshi

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Shiraishi, Masayuki

× Shiraishi, Masayuki

en Shiraishi, Masayuki

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Sunagawa, Hiroki

× Sunagawa, Hiroki

en Sunagawa, Hiroki

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Shimoji, Hideaki

× Shimoji, Hideaki

en Shimoji, Hideaki

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Higa, Takao

× Higa, Takao

en Higa, Takao

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Miyagi, Sunao

× Miyagi, Sunao

en Miyagi, Sunao

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Toita, Takafumi

× Toita, Takafumi

en Toita, Takafumi

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Kusano, Toshiomi

× Kusano, Toshiomi

en Kusano, Toshiomi

Search repository
Muto, Yoshihiro

× Muto, Yoshihiro

en Muto, Yoshihiro

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 passive bypass
主題
言語 en
主題Scheme Other
主題 carcinoma of pancreatic uncus
主題
言語 en
主題Scheme Other
主題 reconstruction of superior mesenteric vein
内容記述
内容記述タイプ Other
内容記述 The advanced pancreatic carcinoma of the uncus is accompanied by major vascular invasion, including the superior mesenteric vein (SMV) and the superior mesenteric artery (SMA). Surgical resection of such tumors is often abandoned due to the technical difficulty of vascular reconstruction. We herein present the case of an extended resection for advanced pancreatic carcinoma with invasion to both the SMV and SMA, which was performed by a two-step passive bypass of the portal flow using the Anthron bypass tube (VTT type). A 56-year-old male presenting with complaints of abdominal fullness and pain, was diagnosed to have a pancreatic tumor of the uncus. He was thus referred to our department for surgical treatment on January 24, 1997. Abdominal ultrasonography showed a mass at the pancreatic uncus. Enhanced computed tomography revealed an irregular high density area around the low density tumor. Angiography of the SMA showed an encasement of the arterial wall and the portal phase showed extensive invasion of the tumor to the SMV at its bifurcation of the gastro-colic trunk, iliac vein, and jejunal vein. Markedly developed collateral vessels of the marginal colic vein were also obvious. At laparotomy on Feb. 4, 1997, a tumor involving both the SMV and SMA was found to be located at the uncus of the pancreas, without any peritoneal dissemination, liver metastasis or lymph node swelling, which led us to perform a local resection of the tumor. To avoid intestinal congestion during the operation, apassive bypass of the portal flow to the umbilical vein was established in a two-step manner in addition to the normal operative procedures : first to the middle colic vein and then to the SMV. The tumor was successfully resected by a combined resection of the SMV, which was reconstructed by an interposition of the common iliac venous graft, while the tumor, which extended toward the left side beyond the SMA, was separately resected, after a routine pancreatoduodenectomy of the right side of the tumor. Intra-operative radiation to the retroperitoneal neural plexus was also performed after the resection. In conclusion, the above described surgical procedures may be useful as a new strategy for the resection of pancreatic cancer of the uncus.
内容記述
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
出版者
言語 en
出版者 Ryukyu Medical Association
言語
言語 jpn
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1346888X
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0289-1530
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 17, 号 3, p. 161-164, 発行日 1997
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