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1. 直腸腺癌のマネージメントの概要overview of the management of rectal adenocarcinoma [show details]
…primary tumor is symptomatic or not. It is important that patients be assessed for patency of the rectal lumen before starting systemic chemotherapy treatment. These patients should be discussed in a multidisciplinary …
2. 直腸癌治療前の局所の病期分類評価pretreatment local staging evaluation for rectal cancer [show details]
… neoadjuvant chemoradiotherapy and RT for rectal cancer; adjuvant therapy following resection for rectal cancer; management of locally advanced, unresectable rectal cancer; and recommendations for post-treatment surveillance …
3. 肛門周囲膿瘍と直腸周囲膿瘍perianal and perirectal abscess [show details]
…do not cause perianal skin changes but can be palpated during digital rectal examination as a fluctuant mass protruding into the lumen. Supralevator abscess − Supralevator abscesses can originate from …
4. 外傷性および医原性の膀胱損傷traumatic and iatrogenic bladder injury [show details]
…complex features, which include : Open pelvic fracture with exposed bone within the bladder lumen. Concurrent rectal/vaginal injury in order to prevent subsequent fistula formation to the bladder. Bladder …
5. 婦人科外科手術の合併症complications of gynecologic surgery [show details]
…administer broad spectrum antibiotics if the bowel lumen is entered. Postoperatively, enemas and rectal probe temperatures are proscribed in patients with rectal injuries. There are no postoperative dietary …

Japanese Journal

早期子宮頸癌に対する腹腔鏡下広汎子宮全摘術

小林栄仁,細井文子,澤田健二郎 [他],吉野潔,筒井建紀,藤田征巳,木村正
産婦人科の進歩 66(3), 265-270, 2014
… 査委員会承認のうえ，2013年1月から開始し2014年1月までに計7例に対し本手術を施行した．手術概要は開腹の子宮頸癌根治術に準じ，まず腹腔鏡下に骨盤リンパ節郭清を系統的に行う．次いで膀胱側腔および直腸側腔を十分に展開した後に，前中後子宮支帯を分離切断する．続いて，腟式操作に移り腟管を腟式に切開し余剰腟壁をつけて子宮を経腟的に摘出するものを基本術式とした．現在までに施行した7症例を後方視 …
NAID 130004693972