書誌事項
- タイトル別名
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- CONTINUOUS HYPERTHERMIC PERITONEAL PERFUSION THERAPY COMBINED WITH PARAAORTIC LYMPH NODE DISSECTION FOR SEROSAL EXPOSED GASTRIC CANCER
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The aim of this study is to evaluate the usefulness of intraoperative continuous hyperthermic peritoneal perfusion therapy (CHPP) combined with paraaortic lymph node dissection for the patients with serosal exposed gastric cancer. The survival and recurrent rates between CHPP combined (CHPP(+)) group (n=29) and CHPP not combined (CHPP(-)) group (n=35) were discussed. In 7 peritoneal disseminated cases the apoptosis index before and after CHPP were examined at several lesions of peritoneal dissemination. The 3-year survival rates were 42.6% in CHPP(+) group and 46.4% in CHPP(-) group and the rates in n4(-) cases were 72.5% and 48.1% respectively. The rates of peritoneal recurrence were 31.0% in CHPP(+) group and 34.3% in CHPP(-) group. Especially in the n4(-) cases, the rates were 16.7% in CHPP(+) and 30.8% in CHPP(-). And no peritoneal recurrence was observed in n4(-) cases with the mean intraperitoneal temperature was more than 42°C. The apoptosis index was 3.5±2.3% before CHPP or 51.5±7.5% after CHPP. In conclusion, CHPP is effective as a local therapy and paraaortic node dissection combined with CHPP is useful for the patients with no paraaortic lymph node metastasis and those whose mean intraperitoneal temperature had been maintained at more than 42°C.
収録刊行物
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- 日本臨床外科医学会雑誌
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日本臨床外科医学会雑誌 58 (1), 16-21, 1997
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
- 1390001205314681856
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- NII論文ID
- 130003600165
- 10008525919
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- NII書誌ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可