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膵頭部癌に対する拡大郭清膵切除術の評価
http://hdl.handle.net/2297/32506
http://hdl.handle.net/2297/325060a5de86b-dd41-4793-b430-80afeaa6c9da
名前 / ファイル | ライセンス | アクション |
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HO-PR-KITAGAWA-H-2409.pdf (458.2 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-10-05 | |||||
タイトル | ||||||
タイトル | 膵頭部癌に対する拡大郭清膵切除術の評価 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | An evaluation of extended radical pancreatectomy for carcinoma of the head of the pancreas based on the clinicopathologic analysis and quality of life | |||||
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 | |||||
著者 |
萱原, 正都
× 萱原, 正都× 永川, 宅和× 安居, 利晃× 北川, 裕久× 太田, 哲生× 藤村, 隆× 西村, 元一× 三輪, 晃一 |
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書誌情報 |
日本消化器外科学会雑誌 = The Japanese journal of gastroenterological surgery 巻 32, 号 10, p. 3409-2413, 発行日 1999-10-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0386-9768 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00192066 | |||||
出版者 | ||||||
出版者 | 日本消化器外科学会 = Japanese Society of Gastroenterological Surger | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 膵頭部膵管癌78例を対象に進局様式, 遠隔成績, 再発様式, quality of life(QOL)などを検討し, 拡大郭清膵切除術の評価をおこなった. リンパ節転移は77%の症例にみられ郭清の際に問題となるNo.14, No.16リンパ節転移率はそれぞれ31%, 18%であった. また, 胃周囲リンパ節転移率は3.8%であった. 転移陰性例の5年生存率は43%と良好であったが, n_2以上の症例では最長生存期間は3年であった. 膵周囲剥離面の癌遺残のないew_0の5年生存率は36%であったが, 癌遺残例では3年生存例はなかった. 長期生存例での体重減少やコレステロール値の低下がみられたが, 血清アルブミン値の変動はなかった. 上痢剤の投与が半数例になされたがperformace statusはほぼ満足のいくものであった. 以上より, 拡大郭清膵切除は膵癌治療成績向上に必要な術式と考えられた. To evaluate the results of extended pancreatectomy for pancreatic cancer, a total of 78 patients with carcinoma of the head of the pancreas were analyzed on the basis of a clinicopathologic study and quality of life. The incidence of nodal involvement was 77%. Rates of metastases to Group 14 and 16 were 31% and 18%, respectively. Perigastric lymph nodes were involved in three patients. Patients with lymph node involvement fared significantly worse than those without lymph node involvement (43% vs. 6% at 5 years). The category of tumor at the surgical margin (ew) was also an important prognostic factor. Although the 5-year survival rate for patients with a negative surgical margin was 36%, all patients with a positive surgical margin died within 3 years. Postoperative quality of life was evaluated by changes in body weight serum albumin levels, total cholesterol, and so on. Although diarrhea was one of the most important postoperative problems, the nutritional status was almost satisfactory. These results indicate that extended radical pancreatectomy is needed in the majority of patients with pancreatic carcinoma. | |||||
権利 | ||||||
権利情報 | 日本消化器外科学会 | 本文データは学協会の許諾に基づきCiNiiから複製したものである | |||||
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://www.jsgs.or.jp/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://ci.nii.ac.jp/naid/110001351352 |