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Pure Laparoscopic Spiegel's Lobectomy for a Case of Colorectal Liver Metastasis in the Caudate Lobe
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- MISHIMA Kohei
- Department of Surgery, International Goodwill Hospital Department of Surgery, Ageo Central General Hospital
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- MIYATA Ryohei
- Department of Surgery, International Goodwill Hospital
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- OGISO Masashi
- Department of Surgery, International Goodwill Hospital
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- HOSHINO Go
- Department of Surgery, International Goodwill Hospital
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- TOMITA Masato
- Department of Surgery, International Goodwill Hospital
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- SATO Michio
- Department of Surgery, International Goodwill Hospital
Bibliographic Information
- Other Title
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- 腹腔鏡下肝Spiegel葉切除を施行した転移性肝癌の1例
- 症例 腹腔鏡下肝Spiegel葉切除を施行した転移性肝癌の1例
- ショウレイ フククウキョウ カ カン Spiegel ヨウ セツジョ オ シコウ シタ テンイセイ カンガン ノ 1レイ
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Description
<p>Herein, we describe a case of pure laparoscopic Spiegel's lobectomy performed for a colorectal liver metastasis in the caudate lobe. The patient was an 81-year-old female, who had undergone open colectomy with D3 lymph node dissection for sigmoid colon cancer (T4aN2M0 Stage IIIB) at the age of 80. Nine months after the surgery, her tumor marker level was slightly elevated and CT revealed a mass measuring 18 mm in diameter in the caudate lobe of the liver (Spiegel's lobe). A diagnosis of liver metastasis from sigmoid colon cancer was confirmed, liver resection was scheduled, and pure laparoscopic Spiegel's lobectomy was performed. The operative time was 207 minutes and the operative blood loss was 100 ml. Although isolated caudate lobectomy is a highly difficult surgery because of the anatomical characteristics of the caudate lobe, the magnified caudal view offered by laparoscopy enables safe dissection of the Glissonian pedicles and short hepatic veins during pure laparoscopic Spiegel's lobectomy. Pure laparoscopic Spiegel's lobectomy is a feasible surgical procedure, involving maximal use of the advantages of laparoscopic surgery.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 80 (9), 1734-1738, 2019
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390846609820055424
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- NII Article ID
- 130007822853
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 030013912
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL Search
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed