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1. 腸切除の手技bowel resection techniques [show details]
…scalpel. End-to-end stapled reconstructions are typically used for colorectal or upper gastrointestinal anastomoses. If the stapled end-to-end anastomosis is to be used for a colorectal anastomosis, the patient …
2. 左結腸切除：開腹術left colectomy open technique [show details]
…frequently used stapled approach for a colorectal anastomosis is the end-to-end anastomosis. The general principles for performing an end-to-end colorectal anastomosis include : Place a pursestring suture at the …
3. Surgical reconstruction of the lower extremitysurgical reconstruction of the lower extremity [show details]
…prefer end-to-side anastomosis to prevent disruption of distal perfusion and anastomosis outside of the zone of injury . When the recipient vessel is not in continuity due to trauma, the anastomosis may be …
4. 右および拡大右結腸切除：開放術right and extended right colectomy open technique [show details]
…a hand-sewn end-to-end anastomosis. A meta-analysis of seven randomized trials including 842 patients identified no significant difference between single-layer and double-layer anastomosis closure for …
5. 直腸癌：手術手技rectal cancer surgical techniques [show details]
… Several techniques of coloanal anastomosis have been developed to improve their postsurgical bowel function, including colonic J-pouch reservoir, side-to-end anastomosis, and transverse coloplasty. For …

Japanese Journal

症例手術による摘出を要した機能的端端吻合部巨大腸石(径75mm)の1例

舘野佑樹,石井雅之,林隆広,畑地健一郎,手塚徹,桂川秀雄
日本臨床外科学会雑誌 81(11), 2285-2289, 2020
NAID 40022435461

腸重積にて発見された小腸平滑筋肉腫の１例

福久はるひ,喜島祐子,濵之上雅博,野口智弘,白濱浩,夏越祥次
日本外科系連合学会誌 44(2), 231-237, 2019
… 腸腫瘍および腫瘍を先進部とする腸重積が疑われた．下部消化管内視鏡で回腸腫瘍が確認され，生検で平滑筋肉腫の診断を得た．手術所見では回腸末端より50cmに腸重積を伴う鶏卵大の小腸腫瘍を認めた．断端を確保し小腸腫瘍を切除し小腸端端吻合を行った．病理所見ではDesmin，αSMA陽性でKi67の発現率高値であり，小腸平滑筋肉腫の確定診断となった．術後経過は順調であり，術後28カ月無再発生存中である．</p> …
NAID 130007837730

広背筋弁による気管膜様部再建で切除可能となった気管原発腺様囊胞癌の1例

田畑佑希子,久保田玲子,阿部大,加藤弘明,成田吉明
日本呼吸器外科学会雑誌 33(2), 127-132, 2019
… め，経食道的に生検を行い腺様囊胞癌と診断．転移は認めず手術を行った．左側臥位，右後側方切開にて有茎広背筋弁を採取し，第4肋間で開胸．気管膜様部に限局する6×4 cmの腫瘍で，10気管輪に及ぶため端端吻合での再建は困難であり，気管管状切除は断念した．腫瘍基部の辺縁で気管膜様部のみを切除し，欠損部は広背筋弁を縫着し再建した．術直後に喉頭浮腫を認めたが，重大な合併症なく経過良好だった．顕微 …
NAID 130007613415