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An experience of hepatopancreatoduodenectomy in patients with hepatobiliary malignancies
http://hdl.handle.net/10069/22225
http://hdl.handle.net/10069/22225d8e87a75-871d-49ed-9ec7-68fc2fb577ff
名前 / ファイル | ライセンス | アクション |
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HepGas55_1691.pdf (308.4 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2009-10-07 | |||||
タイトル | ||||||
タイトル | An experience of hepatopancreatoduodenectomy in patients with hepatobiliary malignancies | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Biliary malignancy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Hepatectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pancreato-duodenectomy | |||||
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 |
Nanashima, Atsushi
× Nanashima, Atsushi× Nagasaki, Toshiya× Sumida, Yorihisa× Abo, Takafumi× Tobinaga, Syuuichi× Takeshita, Hiroaki× Nonaka, Takashi× Hidaka, Shigekazu× Sawai, Terumitsu× Yasutake, Toru× Nagayasu, Takeshi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | BACKGROUND/AIMS: In the advanced stage of hepatobiliary malignancies, concurrent hepatopancreatoduodenectomy (HPD) is necessary to accomplish curative resection, even though high rates of morbidity and mortality still remain. METHODOLOGY: We examined the surgical records and outcome in 11 patients undergoing HPD. RESULTS: In 11 patients, diseases included bile duct carcinomas in 7 patients, gallbladder carcinomas in 3, and ampullar carcinoma in one. Hemi-hepatectomy with resection of the caudate lobe was performed in 8 patients and resection of segment 4 and 5 of the liver in two. Pancreatoduodenectomy (PD) was performed in 3 patients and pylorus-preserving PD in 8. Curative resection was accomplished in 8 patients. Two patients underwent adjuvant photodynamic therapy because of a cancer-positive margin. Morbidity rate was 36% but no hospital deaths were reported. The tumor recurrence rate was 73% and 8 patients died of cancer. Patient prognosis of gallbladder cancers (12 +/- 1 months) tended to be shorter than in patients with bile duct cancers (19 +/- 11 months) (p=0.15). Three patients with bile duct cancers survived without tumor relapse over 12 months. CONCLUSIONS: Complete surgical resection (R0) by HPD could be safely performed for diseases of the hepatobiliary malignancies, which achieved longer survival in some patients. | |||||
書誌情報 |
Hepato-gastroenterology 巻 55, 号 86-87, p. 1691-1694, 発行日 2008-09 |
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出版者 | ||||||
出版者 | Thieme | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 01726390 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00213244 | |||||
PubMed番号 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | PMID | |||||
関連識別子 | 19102371 | |||||
権利 | ||||||
権利情報 | Copyright 2008 Thieme Publishing | |||||
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 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Hepato-Gastroenterology, 55(86-87), pp.1691-1694; 2008 |