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Rupture of the Right Hepatic Artery After Left Lobectomy of the Liver in Patients with Bile Duct Carcinoma
http://hdl.handle.net/10069/16093
http://hdl.handle.net/10069/16093f4db4fc5-25cc-41cb-b4f6-1844698113be
名前 / ファイル | ライセンス | アクション |
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acta42_03_10_t.pdf (924.3 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2008-03-13 | |||||
タイトル | ||||||
タイトル | Rupture of the Right Hepatic Artery After Left Lobectomy of the Liver in Patients with Bile Duct Carcinoma | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | rupture of the hepatic artery | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | transcatheter | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | arterial embolization (TAE) | |||||
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 | departmental bulletin paper | |||||
著者 |
Sasaki, Makoto
× Sasaki, Makoto× Tomioka, Tsutomu× Kanematsu, Takashi× Ashizawa, Kazuto× Sakamoto, Ichiro× Matsunaga, Naofumi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Transcatheter arterial embolization (TAE) has been reported as the treatment of choice for rupture of the visceral artery. We experienced two clinical cases of rupture of the right hepatic artery after left lobectomy of the liver for radical resection of the bile duct carcinoma. In the first case, TAE was performed on the right hepatic artery twice under a condition of hemorrhagic shock. Consequently, hepatic ischemia developed into complete infarction of the remnant liver tissue in spite of control of bleeding from the rupture site. In the second case, TAE was successfully accomplished because of the patient's good general condition and sufficient collaterals to the remnant liver. Bile leakage from the hepaticojejunostomy was observed early in the postoperative course, and episodes of intermittent flow of blood through the abdominal drain were experienced in both cases. Injury to the exposed arterial wall by leaking bile after lymph-node dissection was considered to be a possible contributive factor of rupture. TAE following initial diagnostic arteriography should be performed at an early stage when there are several episodes of intraabdominal bleeding. However, hypovolemic shock from massive hemorrhage and poor arterial collaterals due to the primary surgical procedure unfavorably affected the prognosis of a patient undergoing TAE. | |||||
書誌情報 |
Acta medica Nagasakiensia 巻 42, 号 3-4, p. 54-57, 発行日 1997-12-20 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
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 | |||||
sortkey | ||||||
P00054-P00057 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia. 1997, 42(3-4), p.54-57 |