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Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)最新文献

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A Case of Metastatic Hepatic Neuroendocrine Tumor from the Lung Diagnosed by Thyroid Transcription Factor (TTF) -1 Immunostaining 甲状腺转录因子(TTF) -1免疫染色诊断肺转移性肝神经内分泌肿瘤1例
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.89
Haruka Motegi, T. Wakabayashi, Shuhei Yamada, Tomonori Shimbo, Isao Kikuchi, Tsutomu Sato, M. Sageshima
{"title":"A Case of Metastatic Hepatic Neuroendocrine Tumor from the Lung Diagnosed by Thyroid Transcription Factor (TTF) -1 Immunostaining","authors":"Haruka Motegi, T. Wakabayashi, Shuhei Yamada, Tomonori Shimbo, Isao Kikuchi, Tsutomu Sato, M. Sageshima","doi":"10.3919/jjsa.84.89","DOIUrl":"https://doi.org/10.3919/jjsa.84.89","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82341566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
画像診断で術前診断した縦隔血管腫の1例 术前通过影像学诊断的纵隔血管瘤一例
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.43
H. Osumi, Hirokazu Hamasaki, Takashi Marutsuka
{"title":"画像診断で術前診断した縦隔血管腫の1例","authors":"H. Osumi, Hirokazu Hamasaki, Takashi Marutsuka","doi":"10.3919/jjsa.84.43","DOIUrl":"https://doi.org/10.3919/jjsa.84.43","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81938410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
緊急手術・保存的治療と異なる方針で治療したIII b型外傷性膵損傷の2例 紧急手术、保守治疗和采用不同治疗方案治疗的2例III b型外伤性胰损伤
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.326
Takashi Kuise, Daiki Mihara, Tomohiro Hamazaki, Yutaka Akimoto, Ryozou Harada, Toshihisa Yamano
{"title":"緊急手術・保存的治療と異なる方針で治療したIII b型外傷性膵損傷の2例","authors":"Takashi Kuise, Daiki Mihara, Tomohiro Hamazaki, Yutaka Akimoto, Ryozou Harada, Toshihisa Yamano","doi":"10.3919/jjsa.84.326","DOIUrl":"https://doi.org/10.3919/jjsa.84.326","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86530256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Breast Cancer in a Patient with Cowden Syndrome 乳腺癌伴考登综合征1例
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.24
Koji Kase, Miki Nagatsuka, M. Okano, M. Matsuzaki, N. Katagata, T. Nomizu
{"title":"A Case of Breast Cancer in a Patient with Cowden Syndrome","authors":"Koji Kase, Miki Nagatsuka, M. Okano, M. Matsuzaki, N. Katagata, T. Nomizu","doi":"10.3919/jjsa.84.24","DOIUrl":"https://doi.org/10.3919/jjsa.84.24","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80310350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
『腹腔鏡下S状結腸切除術後に発症したDST吻合部腸重積の1例』日臨外会誌 83（6），1096－1102，2022を読んで 《腹腔镜下乙状结肠切除术后发病的DST吻合部肠重积1例》日临外会刊83(6)，1096 - 110、202
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.486
進 大和田
{"title":"『腹腔鏡下S状結腸切除術後に発症したDST吻合部腸重積の1例』日臨外会誌 83（6），1096－1102，2022を読んで","authors":"進 大和田","doi":"10.3919/jjsa.84.486","DOIUrl":"https://doi.org/10.3919/jjsa.84.486","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135844302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
小腸多発真性憩室穿孔の1例 小肠多发真性憩室穿孔1例
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.416
Mikiya KISHINO, Kenjiro TANIGUCHI, Ken SUGEZAWA, Osamu YAMAMOTO, Takuji NAKA
{"title":"小腸多発真性憩室穿孔の1例","authors":"Mikiya KISHINO, Kenjiro TANIGUCHI, Ken SUGEZAWA, Osamu YAMAMOTO, Takuji NAKA","doi":"10.3919/jjsa.84.416","DOIUrl":"https://doi.org/10.3919/jjsa.84.416","url":null,"abstract":"小腸憩室は比較的稀な消化管憩室症であり，無症状で経過することが多い．小腸憩室穿孔は術前診断が困難であったという報告が多いが，手術をすることにより良好な経過をたどることが報告されている．今回，97歳と超高齢であったが，小腸憩室穿孔に対して手術加療によって良好な経過をたどった1例を経験したため報告する．症例は97歳，女性．施設在住で認知症があり，見守り歩行などで対応していた．腹痛と冷感を主訴に当院に紹介受診となった．腹膜刺激症状はっきりとしなかったが，造影CTでfree airを認め，小腸憩室穿孔を疑い緊急手術を行った．腹腔内を観察すると，小腸には多発憩室を認め，Treitz靱帯から70cm肛門側に膿瘍形成を認め，小腸憩室穿孔と診断し小腸部分切除を行った．病理結果では小腸真性憩室の穿孔であった．術後経過は良好で，術後39日目で退院となった．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135844663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
局所陰圧閉鎖療法が有効であった膵液皮膚瘻の1例 局部高压封闭疗法有效的胰液皮肤瘘的1例
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.467
Noriaki MOROFUJI, Yutaka FUMIZONO
{"title":"局所陰圧閉鎖療法が有効であった膵液皮膚瘻の1例","authors":"Noriaki MOROFUJI, Yutaka FUMIZONO","doi":"10.3919/jjsa.84.467","DOIUrl":"https://doi.org/10.3919/jjsa.84.467","url":null,"abstract":"症例は68歳，男性．慢性C型肝炎で通院中に膵頭部腫瘍を指摘され，精査で膵膿瘍と診断された．肝膿瘍も併発し，度重なる膿瘍再燃のため当院へ紹介された．通院開始2カ月後，十二指腸潰瘍術後の創瘢痕中央部が自壊し，膿汁を伴った漏出液と周囲の皮膚炎を認め，漏出も多く，緊急入院とした．CTで膵頭部と自壊部は連続し，漏出液のアミラーゼ値は47,360IU/dlと高値で膵液皮膚瘻と診断した．ガーゼ保護では皮膚炎は悪化．第2病日にソマトスタチンアナログ投与を開始したが，副作用で第6病日に中止となった．治癒には膵液の持続ドレナージが必要と考え，第9病日に局所陰圧閉鎖療法（negative pressure wound therapy:以下NPWT）を開始．皮膚炎は速やかに軽快し，開始4週間後には膵液皮膚瘻も閉鎖した．1カ月後，軽度の再燃を認めたが，1週間のNPWTで治癒し，以降の再燃は認めなかった．膵液皮膚瘻の治療にNPWTも有用である可能性が示唆された．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135844665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
一期的に虫垂切除とメッシュ修復を行った虫垂炎を伴うAmyand's herniaの2例 Amyand's hernia的两例阑尾炎患者，进行了一期阑尾切除和网状修复。
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.659
Koichi NAKAHASHI, Toru KAWAI, Takanori KYOKANE, Toshisada AIBA, Shingo KUZE, Masahiko MIYACHI
{"title":"一期的に虫垂切除とメッシュ修復を行った虫垂炎を伴うAmyand's herniaの2例","authors":"Koichi NAKAHASHI, Toru KAWAI, Takanori KYOKANE, Toshisada AIBA, Shingo KUZE, Masahiko MIYACHI","doi":"10.3919/jjsa.84.659","DOIUrl":"https://doi.org/10.3919/jjsa.84.659","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135317237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Predictors for Intestinal Ischemia due to an Incarcerated Obturator Hernia 嵌顿性闭孔疝引起肠道缺血的预测因素
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.512
Shumei MINETA, Shunji ENDO, Kazuhiko YOSHIMATSU, Yoshinori FUJIWARA, Tomio UENO
{"title":"The Predictors for Intestinal Ischemia due to an Incarcerated Obturator Hernia","authors":"Shumei MINETA, Shunji ENDO, Kazuhiko YOSHIMATSU, Yoshinori FUJIWARA, Tomio UENO","doi":"10.3919/jjsa.84.512","DOIUrl":"https://doi.org/10.3919/jjsa.84.512","url":null,"abstract":"背景:閉鎖孔ヘルニア嵌頓における嵌頓腸管虚血の予測因子として，「発症後経過時間」「嵌頓腸管径」「嵌頓腸管内容CT値」がある．当院での症例でこれらが腸管虚血の予測因子になるか検討した．方法:2010年から2022年の間に当院で閉鎖孔ヘルニア嵌頓で手術を行った症例は24例．腸管虚血のため腸切除したのは8例（切除群:全例緊急手術），腸切除しなかったのは16例（非切除群:緊急手術例 7例，非観血的整復後待機手術例 9例）．両群で3つの予測因子について検討した．結果:発症から手術あるいは嵌頓解除までの経過時間（中央値）は，切除群が36時間，非切除群が6時間で有意差を認めなかった（p=0.07）．嵌頓腸管径は，切除群が3.5cm，非切除群が3.5cmで有意差を認めなかった（p=0.99）．嵌頓腸管内容CT値は，切除群が22HU，非切除群が8.3HUで有意差を認めた（p=0.04）．結語:腸管虚血の予測に嵌頓腸管内容CT値は予測因子になりうると考えられた．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135260766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Jejunal Diverticulum Perforation One Month after Surgery for Strangulated Bowel Obstruction 绞窄性肠梗阻术后1月空肠憩室穿孔1例
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.584
Kohei OKAMOTO, Takatsugu MATSUMOTO, Takanori NISHIMURA, Yusuke SUKA, Motoki NAGAI, Yukihiro NOMURA, Masaki OGAWA, Yoshio SUZUKI
{"title":"A Case of Jejunal Diverticulum Perforation One Month after Surgery for Strangulated Bowel Obstruction","authors":"Kohei OKAMOTO, Takatsugu MATSUMOTO, Takanori NISHIMURA, Yusuke SUKA, Motoki NAGAI, Yukihiro NOMURA, Masaki OGAWA, Yoshio SUZUKI","doi":"10.3919/jjsa.84.584","DOIUrl":"https://doi.org/10.3919/jjsa.84.584","url":null,"abstract":"小腸憩室は稀な疾患であり，憩室穿孔の報告例は少ない．今回，絞扼性腸閉塞手術時に認めた空腸憩室が術後早期に発症した癒着性腸閉塞により穿孔に至った1例を経験したので報告する．症例は81歳の男性で，絞扼性腸閉塞にて当院へ紹介．同日緊急手術を施行したところ，小腸間膜根部が内ヘルニアにより絞扼されており，全小腸が虚血に陥っていた．また，虚血小腸に憩室を複数認めた．絞扼解除のみ施行し，第17病日に軽快退院となった．第38病日に癒着性腸閉塞を発症し，保存加療抵抗性であったため第44病日に癒着解除術を施行した．初回手術時に認めた小腸憩室のうち，1つが穿孔し腹腔内膿瘍を認めた．穿孔部を含めた小範囲の空腸を切除し，第59病日に退院となった．病理所見は仮性憩室であった．空腸仮性憩室が虚血の影響で脆弱化し，癒着性腸閉塞による腸管内圧上昇のために穿孔したと推察された．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135261191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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