書誌事項
- タイトル別名
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- Less-invasive secure drainage for spontaneous rupture of the esophagus : transthoracic t-tube esophagostomy by thoracoscopy and endoscopy
- ショウレイ Tチューブ オ モチイタ ケイ キョウコウテキ ショクドウ ガイロウ ニ ヨリ チユ シタ トクハツセイ ショクドウ ハレツ ノ 2レイ
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Spontaneous rupture of the esophagus still remains a life-threatening disorder, requiring urgent surgical intervention. Although primary closure of the perforation site is considered, poor general conditions of the patient and fragility of the lacerated esophageal wall make the procedure very dangerous. We performed transthoracic T-tube esophagostomy with thoracic drainage using thoracoscopic and endoscopic techniques for two elderly poor-risk patients. After the fistula formation was accomplished, the T-tube was removed inward to the stomach via gastrostomy and replaced by a straight thoracic tube, phased out slowly. This method is simple and less-invasive without need for time-consuming deep-site measures, nor differential lung ventilation, and can be a reliable alternative in treatment of esophageal perforation.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 73 (7), 1654-1658, 2012
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204850723968
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- NII論文ID
- 10031123691
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL書誌ID
- 030739757
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可