Name: 腹腔鏡下左半膝蓋切除術と尾状葉切除術の併用 (動画) | JoVE Journal
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Description: 学ぶ腹腔鏡下左半肝切除術と尾状葉切除術の併用手技。肝内胆管がん治療における解剖学的課題への対応と、低侵襲手術による患者予後改善の可能性を解説します。

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<li>Jiang, N., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Patterns+of+caudate+lobe+invasion+of+hilar+cholangiocarcinoma%3A+A+panoramic+histologic+study+of+liver%5BTitle%5D)+AND+%22Ann+Surg+Oncol%22%5BJournal%5D)">Patterns of caudate lobe invasion of hilar cholangiocarcinoma: A panoramic histologic study of liver.</a> Ann Surg Oncol. 29 (11), 6804-6812 (2022).</li>
<li>Si, A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Impact+of+anatomical+versus+non-anatomical+liver+resection+on+short-+and+long-term+outcomes+for+patients+with+intrahepatic+cholangiocarcinoma%5BTitle%5D)+AND+%22Ann+Surg+Oncol%22%5BJournal%5D)">Impact of anatomical versus non-anatomical liver resection on short- and long-term outcomes for patients with intrahepatic cholangiocarcinoma.</a> Ann Surg Oncol. 26 (6), 1841-1850 (2019).</li>
<li>Wang, C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Anatomical+resection+improved+the+outcome+of+intrahepatic+cholangiocarcinoma%3A+A+propensity+score+matching+analysis+of+a+retrospective+cohort%5BTitle%5D)+AND+%22J+Oncol%22%5BJournal%5D)">Anatomical resection improved the outcome of intrahepatic cholangiocarcinoma: A propensity score matching analysis of a retrospective cohort.</a> J Oncol. 2022, 4446243(2022).</li>
<li>Huang, J., Sun, D., Xu, D., Zhang, Y., Hu, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+comprehensive+study+and+extensive+review+of+the+caudate+lobe%3A+The+last+piece+of+%26%2334%3Bjigsaw%26%2334%3B+puzzle%5BTitle%5D)+AND+%22Asian+J+Surg%22%5BJournal%5D)">A comprehensive study and extensive review of the caudate lobe: The last piece of &#34;jigsaw&#34; puzzle.</a> Asian J Surg. 47 (1), 1-7 (2024).</li>
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<li>Chun, Y. S., Pawlik, T. M., Vauthey, J. N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((8th+edition+of+the+AJCC+cancer+staging+manual%3A+Pancreas+and+hepatobiliary+cancers%5BTitle%5D)+AND+%22Ann+Surg+Oncol%22%5BJournal%5D)">8th edition of the AJCC cancer staging manual: Pancreas and hepatobiliary cancers.</a> Ann Surg Oncol. 25 (4), 845-847 (2018).</li>
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<table><tbody><tr><td>バイポーララジオ周波数切除止血装置</td><td>ERBE</td><td>20195-136</td><td></td></tr><tr><td>使い捨てトロカール</td><td>Kangji Medical</td><td>101Y.611</td><td></td></tr><tr><td>内視鏡リニアカッターリロード</td><td>Ethicon, LLC</td><td>ECR60W</td><td></td></tr><tr><td>腹腔鏡システム</td><td>STORZ</td><td>26003BA</td><td></td></tr><tr><td>腹腔鏡システム</td><td>STORZ</td><td>TC200</td><td></td></tr><tr><td>非吸収性ポリマーライゲーションクリップ(Hem-o-lok)</td><td>Teleflex Medical</td><td>544240</td><td></td></tr><tr><td>肺腹膜針</td><td>Kangji Medical</td><td>101Y.611</td><td></td></tr><tr><td>超音波ナイフ</td><td>Johnson</td><td>GEN11</td><td></td></tr><tr><td>ビデオシステム</td><td>SONY</td><td>LMD-3252SC</td><td></td></tr></tbody></table>

腹腔鏡下左半膝蓋切除術と尾状葉切除術の併用

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection

この操作の関連する結果を 表 1 に示します。患者の全尾状葉と左肝臓は、50 mLの失血と約1500 mLの液体補充により、200分で切除されました。術中の尿量は150mLでした。肝茎の解剖と肝臓の尾状葉と下大静脈との間の空間の解剖を含む、肝実質の横断時間は84分でした。プリングル操作は3回行われました(肝肺門閉塞の時間はそれぞれ10分、20分、15分でした)。手術後の回復期間は順調に進み、術後の胆汁漏れや出血の兆候はありませんでした。手術後6日目 と10日目 に2本のドレーンを抜去しました。術後 14日目に退院した。
病理学的解析により、胆管癌(pT1N0M0、ステージI、AJCC第8版 )16が明らかになり、血管系に腫瘍血栓が見える。MVIグレード:M2(高リスクグループ)。肝臓の手術断端は陰性でした。免疫組織化学は、CK7、CK19、EMA、CK8、MSH6、MSH2、PMS2、MLH1、Ki67(40%)が...

Intrahepatic cholangiocarcinoma (ICC) is the common malignant tumor of the liver. Radical surgical resection is the mainstay of potentially curative ...

laparoscopic-left-hemihepatectomy-combined-with-caudate-lobe-resection

Research

JoVE Journal

Medicine

医学

このビデオでは、肝臓のセグメントIIとIIIに限定カロリー病を患っている53歳の男性で付け方腹腔鏡下左肝sectoriectomyのケースを提示。...

セグメントIIおよびIIIに制限カロリー病の腹腔鏡下左肝Sectoriectomy

このビデオでは、完全にそのまま肝十二指腸間膜を残して右hemipedicleの肝切除と右hemihepatectomyを説明します。...

血管ホッチキスを使って右HemipedicleのSuprahilar肝内切除により右Hemihepatectomy

ここでは、改良された技術と器具を使用して修正腹腔鏡下解剖学的肝切除術を行うためのプロトコルを提示します。...

修正腹腔鏡下解剖学的肝切除術:単純な体外プリングル操作と組み合わせた2人の外科医技術

タージマハル手順を使用した肝S4b、S5、およびS1のロボット切除は、肺門胆管癌の選択された患者にとって実行可能で安全です。この手術のステップバイステップの詳細はここに提示されます。...

肺門胆管癌に対するロボットタージマハル肝切除術

多くの研究が解剖学的切除の利点を実証しています。それにもかかわらず、解剖学的切除がR0切除率を高めることができるかどうかは議論の余地があります。そこで本研究では,腹腔鏡下肝切除術における解剖学的切除と組み合わせた一括概念を含む革新的な手技について述べ,術後の再発と転移を軽減できる.

腹腔鏡下肝切除術における解剖学的切除と組み合わせたEnBloc概念の適用

ここでは、腹腔鏡下右前肝切除術を実施するための段階的なプロトコルを提示し、その臨床効果と術後の転帰を従来の肝切除術と比較します。肝細胞がん患者82人のデータを解析したところ、腹腔鏡下右前方肝切除術は従来の肝切除術よりも臨床転帰および生存率が良好であることが明らかになった。...

腹腔鏡下右前方肝切除術:単一施設の経験

腹腔鏡下左側方切片切除術は、肝靭帯と臍裂静脈によって誘導され、低中心静脈圧を制御しなくても術中出血を効果的に制御し、実質解離中の方向筋の喪失を防ぎます。...

腹腔鏡下左外側切片切除術:肝靭帯と臍裂静脈による指導

Laennec Capsule Techniqueに基づく右前葉の腹腔鏡下解剖学的切除術

In situ anterior アプローチによる腹腔鏡下解剖学的右半肝切除術

右肝静脈切断を用いた腹腔鏡的S7+S8d切除技術を提示し、下右肝静脈およびS6節を保存します。術中超音波検査を行わず、詳細な解剖学的ランドマークに頼るこのアプローチは、特に高度なナビゲーション資源が限られている環境において、背側に位置する右肝腫瘍に対して正確かつ実質を保つ選択肢を提供します。...

腹腔鏡下の解剖学的S7+S8D切除(右肝静脈および右肝静脈切断を伴うS6)を保存

学ぶ腹腔鏡下左半肝切除術と尾状葉切除術の併用手技。肝内胆管がん治療における解剖学的課題への対応と、低侵襲手術による患者予後改善の可能性を解説します。

腹腔鏡下左半膝蓋切除術と尾状葉切除術の併用

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