Feasibility of laparoscopic gastric devascularization and splenectomy for gastric varices
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- Kawanaka H
- Clinical Research Institute and Department of Gastrointestinal Surgery, National Hospital Organization, Beppu Medical Center Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
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- Akahoshi T
- Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
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- Matsumoto Y
- Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
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- Yoshida Y
- Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
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- Nagao Y
- Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
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- Hashimoto N
- Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
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- Yoshida D
- Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
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- Kinjo N
- Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
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- Yamaguchi S
- Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
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- Tomikawa M
- Department of Surgery, Fukuoka city Hospital
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- Yoshizumi T
- Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
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- Maehara Y
- Department of Surgery and Sciences, Graduate School of Medical Sciences, Kyushu University
Bibliographic Information
- Other Title
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- 胃静脈瘤に対する腹腔鏡下Hassab術の手技の工夫
- 臨床研究 胃静脈瘤に対する腹腔鏡下Hassab術の手技の工夫
- リンショウ ケンキュウ イ ジョウミャクリュウ ニ タイスル フククウキョウ カ Hassabジュツ ノ シュギ ノ クフウ
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Abstract
<p>胃上部血行郭清と脾摘を組み合わせたHassab術は,すべての胃静脈瘤に対して有用であるが,腹腔鏡下で行う場合,術中出血などのリスクが高くなるだけでなく,不十分な血行郭清で終わってしまう可能性もある.安全かつ効果的な腹腔鏡下Hassab術を行うためには,胃静脈瘤の血行動態の理解が必要不可欠である.当科では,胃静脈瘤に対する低侵襲外科治療として,標準化された安全な腹腔鏡下脾摘術の手技を基本とし,胃静脈瘤の血行動態に応じて,従来通りの血行郭清を行う腹腔鏡下Hassab術だけでなく,短胃静脈や後胃静脈が胃静脈瘤の供血路である症例には,腹腔鏡下脾摘術に加えて胃大弯側血行郭清のみ行う腹腔鏡下petit Hassab術を行っている.本研究では,腹腔鏡下Hassab術を12例,腹腔鏡下petit Hassab術を15例に施行し,全例で胃静脈瘤は消失し,平均観察期間47か月で再発・出血は経験していない.以上より,胃静脈瘤に対する腹腔鏡下手術は有用であり,左胃静脈が関与しない胃静脈瘤に対しては,胃小弯側の血行郭清を省略する腹腔鏡下petit Hassab術も胃静脈瘤治療として許容できると考えられた.</p>
Journal
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- Japanese Journal of Portal Hypertension
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Japanese Journal of Portal Hypertension 22 (4), 251-258, 2016
The Japan Society for Portal Hypertension
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Keywords
Details 詳細情報について
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- CRID
- 1390001288104968960
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- NII Article ID
- 130007552425
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- NII Book ID
- AA11349565
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- ISSN
- 21866376
- 13448447
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- NDL BIB ID
- 027799509
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed