すい癌の術前診断と手術術式

• 真辺 忠夫

  京都大学第1外科

• 大塩 学而

  京都大学第1外科

• 戸部 隆吉

  京都大学第1外科

書誌事項

タイトル別名

• Preoperative Diagnosis and Surgical Management for Pancreatic Cancer.

抄録

In order to perform a curative operation for pancreatic cancer, an accurate diagnosis of retroperitoneal invasion and vessel involvement is necessary. CT scanning and selective angiography are very helpful to assess the operability of the cancer. If no major arteries are involved, it may be possible to perform curative pancreatectomy by extended pancreatectomy with sufficient lymph node clearance and excision of the connective tissue around the pancreas. When involvement of the portal system is suspected, resection of the portal system combined with pancreatectomy should be performed. The resection of the connective tissue should be accomplished by the skeletonization of the superior mesenteric artery and paraaortic regions. Furthermore, combined modality treatment using radiotherapy and chemotherapy should be employed to prevent microscopic lesions and distant metastasis.

収録刊行物

• 日本消化器外科学会雑誌

  日本消化器外科学会雑誌 25 (4), 1181-1185, 1992

  一般社団法人 日本消化器外科学会

キーワード

• pancreatic cancer
• retroperitoneal invasion
• extended pancreatectomy

詳細情報

• CRID: 1390001204915630464
• NII論文ID: 130004342130
• DOI: 10.5833/jjgs.25.1181
• ISSN: 13489372
• ISSN: 03869768
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可