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内視鏡下のOPCAB
https://doi.org/10.24517/00051078
https://doi.org/10.24517/00051078a386221d-5b6d-4e6e-aa73-58b385f12697
名前 / ファイル | ライセンス | アクション |
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ME-PR-WATANABE-G-619-624.pdf (910.1 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2018-06-18 | |||||
タイトル | ||||||
タイトル | 内視鏡下のOPCAB | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Endoscopic off-pump coronary artery bypass | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
ID登録 | ||||||
ID登録 | 10.24517/00051078 | |||||
ID登録タイプ | JaLC | |||||
著者 |
富田, 重之
× 富田, 重之× 渡辺, 剛 |
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著者別表示 |
Tomita, Shigeyuki
× Tomita, Shigeyuki× Watanabe, Go |
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提供者所属 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 金沢大学医薬保健研究域医学系 | |||||
書誌情報 |
胸部外科 = 日本心臓血管外科学会雑誌 en : The Japanese journal of thoracic surgery 巻 59, 号 8 Suppl, p. 619-624, 発行日 2006-07 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0021-5252 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00062650 | |||||
出版者 | ||||||
出版者 | 日本心臓血管外科学会 = The Japanese Society for Cardiovascular Surgery / 南江堂 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Since 1999, we have performed total endoscopic off-pump coronary artery bypass (OPCAB). Innovation of endoscopic optic techniques and development of endoscopic forceps were necessary to perform this procedure. The operative methods of the endoscopic OPCAB; a 12 mm port for 3-D endoscope is firstly inserted through the 5th intercostal space (ICS) in the mid axillary line, and then the left internal thoracic artery (LITA) is taken down in semi-skeletonized fashion using other 2 instrumental 5 mm ports (the 3rd, 6th anterior axillary ICS). To anastomose LITA to the left anterior descending artery (LAD), other 2 10 mm and 12 mm ports are inserted through the 4th ICS in parallel. A conventional end-to-side anastomosis is manually performed with 8-0 prolene. The average LITA harvesting time and anastomotic time have been shortened significantly thanks to the endoscopic innovation. However, there are some limits to manual manipulations in the endoscopic OPCAB. Robotic surgery might have more advantages to the flexibility of forceps tips. The introduction of robotic surgery system is indispensable to safe and certain endoscopic OPCAB. | |||||
権利 | ||||||
権利情報 | Copyright © 日本心臓血管外科学会 The Japanese Society for Cardiovascular Surgery | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://jscvs.umin.ac.jp/ | |||||
関連名称 | http://jscvs.umin.ac.jp/ |