Name: 腹腔鏡下右半結腸切除術における尾から頭蓋へのアプローチ(中結腸中結腸完全切除およびD3リンパ節郭清) (動画) | JoVE Journal
Uploaded: 2026-01-09T14:20:00.000+00:00
Duration: 6 min 46 s
Description: 学ぶ腹腔鏡下右半結腸切除術における尾から頭蓋へのアプローチ。中結腸完全切除とD3リンパ節郭清を含む低侵襲手術技術で、術中出血量の低減と安全性向上を実現する方法を解説します。

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<table><tbody><tr><td>腹部トロカー</td><td>ゴールデン・ステープラー外科株式会社</td><td>JW12TLV;5mm、10mm、12mm</td><td>腹部穿刺による手術経路の確立</td></tr><tr><td>吸収型外科用縫合糸</td><td>建世外科器具有限公司</td><td>3-0</td><td>小腸と結腸の共通の開口部を閉じます</td></tr><tr><td>吸収型外科用縫合糸</td><td>建世外科器具有限公司</td><td>2番目</td><td>腹膜と白線を継続的に閉じます</td></tr><tr><td>吸収型外科用縫合糸</td><td>B.ブラウン外科外科 S.A</td><td>3-0</td><td>腸の切断部を縫合する</td></tr><tr><td>使い捨てライゲーションクリップ</td><td>カンジ医療機器株式会社</td><td>KJ-JZJ06L、KJ-JZJ06ML</td><td>血管の結紮</td></tr><tr><td>使い捨て医療用ドレーナーチューブ</td><td>陳生医療技術有限公司</td><td>タイプG</td><td>排水と灌漑</td></tr><tr><td>内視鏡用リニアホチキス</td><td>リーチ外科機器株式会社</td><td>IM60WHT</td><td>消化管再建</td></tr><tr><td>HD腹腔鏡</td><td>カール・ストルツ SE &KG中隊</td><td>TC200</td><td>&mdash;&mdash;</td></tr><tr><td>腹腔鏡下器具</td><td>桐廬有士医療機器有限公司</td><td>&mdash;&mdash;</td><td>&mdash;&mdash;</td></tr><tr><td>絹編み込み吸収性の縫合糸</td><td>ジョンソン&ジョンソン・メディカル(中国)有限公司</td><td>2-0</td><td>皮膚を縫合する</td></tr><tr><td>外科的止血術&nbsp;&nbsp;アブレーション電気トーム</td><td>易伯雷明医療技術有限公司</td><td>LM-A5</td><td>腹部にミニ開腹手術を行います</td></tr><tr><td>超音波ナイフ</td><td>イノルコン医療技術株式会社</td><td>SG35モデル、直径5mm</td><td>外科的手技</td></tr></tbody></table>

腹腔鏡下右半結腸切除術における尾から頭蓋へのアプローチ(中結腸中結腸完全切除およびd3リンパ節郭清)

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

腹腔鏡下右半結腸切除術における尾から頭蓋へのアプローチ(中結腸中結腸完全切除およびD3リンパ節郭清)

Laparoscopic right hemicolectomy (LRH) has been proven to be an effective and safe surgical approach. However, due to the numerous vessels involved in the ...

caudal-to-cranial-approach-laparoscopic-right-hemicolectomy-with

Research

JoVE Journal

Medicine

医学

本明細書に記載されたロボット技術は、腹膜反射の下に位置する局所進行(T3/T4)直腸癌に対するロボット支援全メソレクタル切除および横方向骨盤リンパ節解離に対する段階的なアプローチを詳述することを目的とする。...

局所進行中低直腸癌に対するロボット支援全中腸切除および横骨盤リンパ節切断

ここでは、大腸癌の単一外科医、3ポート腹腔鏡下切除を自然にオリフィス標本抽出で成功裏に行うためのプロトコルを紹介します。...

天然オリフィス検体抽出による大腸癌に対する単一外科医、3ポート、腹腔鏡下切除術の臨床応用

このプロトコルでは、血管管理とリンパ節郭清を最適化し、外科的処置を簡素化し、手術の安全性と効率を向上させるように設計された修正腹腔鏡下右半結腸切除術である外科的体幹指向腹腔鏡下右半結腸切除術 (ST-LRH)...

右側結腸癌に対する外科的体幹指向腹腔鏡下右半結腸切除術 (ST-LRH)

肝門部胆管がん (pCCA) は、悪性度が高く侵攻性の腫瘍であり、根治的切除術が利用可能な唯一の治癒的治療法です。腹腔鏡技術と器具の継続的な進歩により、pCCAの腹腔鏡根治手術は現在、技術的に安全で実現可能であると考えられています。しかし、手術は非常に複雑であり、エビデンスに基づく臨床サポートが不足しているため、IIIb pCCA型に対する腹腔鏡下根治手術は、少数の大規模な肝胆道センターでのみ行われています。現在のガイドラインでは、切除可能なIIIb型pCCAに対して、左半肝切除術と尾状葉全摘出術および標準化されたリンパ節郭清を組み合わせることが推奨されています。したがって、この記事では、IIIb...

腹腔鏡下完全根治的切除術による肝心軟管癌IIIb型

尾状葉の肝内胆管癌は、そのユニークな位置のために多くの外科医にとって課題です。ここでは、胆管癌に対する腹腔鏡下左半肝切除術と尾状葉切除術の段階的な詳細を示すためのプロトコルを紹介します。...

腹腔鏡下左半膝蓋切除術と尾状葉切除術の併用

この研究は、腸間膜の根部にある腸間膜リンパ管のマクロおよびマイクロ解剖の実現可能性を、リンパクリアランスの形態測定を伴うものに提示することを目的としています。...

小腸および大腸腸間膜の D3 容積における疝痛および小腸動脈リンパ管束の定義における解剖学的解剖の役割

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

この記事は、右前部切除術のための新しいラエネックのカプセルガイド下腹腔鏡アプローチを紹介し、複雑な肝切除における安全性、精度、再現性を向上させる可能性を強調することを目的としています。...

肝椎弓根優先アプローチによる腹腔鏡下解剖学的右前方切面切除術: 技術的詳細と代表的な症例図

このプロトコルは、ビスマス・コレットタイプIIIb型の門周胆管癌に対する根治的切除のための段階的な腹腔鏡的プロトコルを提示します。この手技は術前PTCD、複雑な血管解離・修復、胆道再建を統合し、高容量肝胆道センターでの応用を図ります。...

ビスマス・コレットタイプIIIb型腔管がんの腹腔鏡的根治的切除における複雑血管癒着下の術中戦略

蛍光イメージングは​​、外科腫瘍学における画像誘導手術のための有望な革新的なモダリティである。このビデオでは、婦人科oncologicyで展示として、蛍光イメージングを用いたセンチネルリンパ節の検出のための技術的な手順を説明します。蛍光剤と一緒にマルチスペクトル蛍光カメラシステム、インドシアニングリーン、適用されます。...

婦人科腫瘍におけるセンチネルリンパ節の術中検出のためのマルチスペクトルのリアルタイム蛍光イメージング

学ぶ腹腔鏡下右半結腸切除術における尾から頭蓋へのアプローチ。中結腸完全切除とD3リンパ節郭清を含む低侵襲手術技術で、術中出血量の低減と安全性向上を実現する方法を解説します。

腹腔鏡下右半結腸切除術における尾から頭蓋へのアプローチ(中結腸中結腸完全切除およびD3リンパ節郭清)

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