THE MODE OF SPREAD OF PANCREAS CANCER ON MACROSCOPIC AND MICROSCOPIC INVESTIGATION AT OPERATION AND AUTOPSY

• SATO Koshi

  Department of Surgery Kitasato University School of Medicine

• YOSHIDA Muneki

  Department of Surgery Kitasato University School of Medicine

• OMIYA Harumi

  Department of Surgery Kitasato University School of Medicine

• FUNAMOTO Shinsaku

  Department of Surgery Kitasato University School of Medicine

• KANEDA Goro

  Department of Surgery Kitasato University School of Medicine

• TAKISHIMA Tsunemasa

  Department of Surgery Kitasato University School of Medicine

• ATSUMI Sumio

  Department of Surgery Kitasato University School of Medicine

• UCHIDA Hisanori

  Department of Surgery Kitasato University School of Medicine

• OBA Masatomi

  Department of Surgery Kitasato University School of Medicine

• HIKI Yoshiki

  Department of Surgery Kitasato University School of Medicine

• ASO Koichi

  Department of Surgery Kitasato University School of Medicine

Bibliographic Information

Other Title

• 膵癌の進展形式 : 手術所見ならびに剖検所見による検討

Abstract

北里大学外科で昭和46年7月より昭和60年12月までに経験した膵癌 (Duct cell carcinoma) 手術症例80例, 剖検症例24例につき膵癌の進展形式を検討し以下の結果を得た. 1) 切除例においても, 膵被膜浸潤, 膵後方剥離面への癌侵襲陽性のものが多かった. 2) 切除剖検例6例の検討では, 全例局在再発, 肝転移がみられ, 腹膜播種も5例にみられた. 3) 非切除例の検討では非切除の因子として門脈系浸潤, 動脈系への浸潤, 膵後方浸潤が多かった. また肝転移, 腹膜播種が非切除の因子となったものもみられた. これらの検討をもとに昭和61年1月より積極的に門脈合併切除を伴う拡大手術を行い膵頭部癌の切除率が 26.3% より 50.0% と向上した.

Journal

• The Japanese journal of gastroenterological surgery

  The Japanese journal of gastroenterological surgery 22 (1), 87-93, 1989-01-01

  The Japanese Society of Gastroenterological Surgery

Keywords

• 膵癌の進展形式
• 膵癌の手術所見
• 膵癌の病理所見
• 膵頭十二指腸切除
• 門脈合併切除

Details

• CRID: 1571980076849742592
• NII Article ID: 110001315676
• NII Book ID: AN00192066
• ISSN: 03869768
• Web Site: https://search.jamas.or.jp/link/ui/1989185032
• Text Lang: ja
• Data Source:
  • CiNii Articles