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下咽頭頸部食道癌に対する咽頭喉頭頸部食道切除術の検討 : 遊離空腸移植による頸部食道再建
http://hdl.handle.net/2297/3976
http://hdl.handle.net/2297/397674d73dc2-0d34-4ba2-8faa-d9ace129edda
名前 / ファイル | ライセンス | アクション |
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HO-PR-OMURA-K-967.pdf (468.0 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 | 下咽頭頸部食道癌に対する咽頭喉頭頸部食道切除術の検討 : 遊離空腸移植による頸部食道再建 | |||||
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 |
大村, 健二
× 大村, 健二× 浦山, 博× 宗本, 義則× 石田, 文生× 平野, 勝康× 川上, 和之× 道伝, 研司× 渡辺, 洋宇 |
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提供者所属 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 金沢大学医学部附属病院外科 | |||||
書誌情報 |
日本消化器外科学会雑誌 巻 25, 号 4, p. 967-971, 発行日 1992-04-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0386-9768 | |||||
出版者 | ||||||
出版者 | 日本消化器外科学会 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | われわれは,これまでに下咽頭・頸部食道癌19例に対し咽頭喉頭頸部食道切除術および遊離空腸移植による頸部食道再建を施行した.その結果,術後合併症として縫合不全を1例(5.3%)に,創感染を3例(15.8%)に,腸重積を3例(15.8%)に認めた.術後の経口摂取は全例で十分量可能となり,患者自身の満足度も高かった.19例のうち術後8例が癌(原病)死し,5年生存率は27.2%であった.その再発形式をみると,局所4例,肺転移2例,脳転移2例であり,胸部および腹部のリンパ節郭清を行わなかったために再発をきたした症例はなかった.咽頭喉頭頸部食道切除術は,下咽頭,頸部食道に癌腫が限局しており,かつ画像診断上,胸部および腹部リンパ節に転移を疑わせない症例に対する切除術式として妥当であると思われた.また,かかる切除術後の頸部食道再建法として,遊離空腸移植は安全で優れた方法と思われた. Nineteen patients with hypopharyngeal and cervical esophageal carcinoma underwent pharyngolaryngoesophagecotmy with free jejunal autograft reconstruction. Postoperative complications included anastomotic leakage in 1 patient(5.3%), wound infection in 3 patients(15.8%) and intussusception in 3 patients(15.8%). Postoperatively, all patients were able to maintain adequate nutrition by oral intake. Eight of 19 patients died of the carcinoma, local recurrence in 4 patients, pulmonary metastases in 2 patients and brain metastases in 2 patients. Five-year survival rate was 27.2%. No patient, in whom the intrathoracic and intraabdominal lymph node dissection was not done, experienced a recurrence. Pharyngolaryngoesophagectomy is acceptable treatment for carcinoma localized in the hypopharynx and/or cervical esophagus without detectable intrathoracic or intraabdominal lymph node involvement. Free jejunal autograft is an excellent technique for reconstruction in such patients. | |||||
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 |