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膵癌のMesopancerasへの進展に対する臓器発生と筋膜の構造からみた戦略
https://doi.org/10.24517/00055859
https://doi.org/10.24517/000558596939f5d6-a8c8-4255-b3e2-60c78d4faf39
名前 / ファイル | ライセンス | アクション |
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ME-PR-KITAGAWA-H-kaken 2014-6p.pdf (95.6 kB)
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Item type | 報告書 / Research Paper(1) | |||||
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公開日 | 2019-10-18 | |||||
タイトル | ||||||
タイトル | 膵癌のMesopancerasへの進展に対する臓器発生と筋膜の構造からみた戦略 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Significance of meso-pancreatoduodenum for en bloc resection of pancreatic head carcinoma | |||||
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_18ws | |||||
資源タイプ | research report | |||||
ID登録 | ||||||
ID登録 | 10.24517/00055859 | |||||
ID登録タイプ | JaLC | |||||
著者別表示 |
Kitagawa, Hirohisa
× Kitagawa, Hirohisa |
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書誌情報 |
平成25(2013)年度 科学研究費補助金 基盤研究(C) 研究成果報告書 en : 2013 Fiscal Year Final Research Report 巻 2011-2013, p. 6p., 発行日 2014-06-03 |
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出版者 | ||||||
出版者 | 金沢大学医薬保健研究域医学系 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 膵癌の手術でも、①直接浸潤の範囲と②所属リンパ流域をen blocに切除すべきである。 ①後方組織への浸潤RPに対して腎筋膜前葉は防護策の役割を果たしていた。膵頭部癌では、術前CTで「癌巣が広くIVCに接して且つ一部が突出している」場合に、腎筋膜前葉を越えてIVCに浸潤していた。 ②膵頭部、特に腹側膵領域の所属リンパ流域をmeso-pancreatoduodenumと名付けたが、IPDAを幹とし、発生の腸回転のためSMAの5時方向付近から膵鈎部へと巻くように存在するため、SMAの背側を中心として切除すべきであり、従来言われていたSMA右半周の郭清では取り残しが生じる。 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Resection of lymphatic basin and clearance of direct invasion are required for curative resection of pancreatic carcinoma. The anterior renal fascia acts as a barrier against retropancreatic invasion. The principle underlying our surgical strategy for resectable pancreatic head carcinoma is total excision of the lymphatic basin of the pancreatic head, which is termed meso-pancreatoduodenum (meso-pd). Our meso-pd concept refers to the mesentery of the pancreatic head and the duodenum, which is a firm and well-vascularized perineural lymphatic layer located dorsal to the pancreas that reaches behind the mesenteric vessels. The meso-pd is fan-shaped and its trunk is the inferior pancreatoduodenal artery, which is a tributary of the SMA. Therefore, a total meso-pd resection was performed with respect to the PLX surrounding the SMA and including the anterior renal fascia. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 研究課題/領域番号:23592005, 研究期間(年度):2011-2013 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 出典:「膵癌のMesopancerasへの進展に対する臓器発生と筋膜の構造からみた戦略」研究成果報告書 課題番号23592005 (KAKEN:科学研究費助成事業データベース(国立情報学研究所)) (https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-23592005/23592005seika/)を加工して作成 |
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著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/search/?qm=80272970 | |||||
関連名称 | https://kaken.nii.ac.jp/search/?qm=80272970 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-23592005/ | |||||
関連名称 | https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-23592005/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-23592005/23592005seika/ | |||||
関連名称 | https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-23592005/23592005seika/ |