Spontaneous Portacaval Shunts in Patients with Gastric Cancer and Hepatic Cirrhosis.
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概要
- 論文の詳細を見る
Two rare cases of a spontaneous portacaval shunt occurring in patients with gastric cancer and hepatic cirrhosis are retrospectively reviewed with special attention for the operative indications and techniques. One patient underwent proximal gastrectomy for a IIa cancer in the C region with splenectomy and closure of the splenorenal shunt, and died two years and 3 months later due to hepatic failure. The other patient underwent distal gastrectomy for IIa+IIc, IIc double cancers in the M and A regions with splenectomy through an upper transverse abdominal incision that ligated and divided the paraumbilico-caval shunt, and is alive and well 1 year and 2 months, postoperatively. The ICG-R<SUB>15</SUB> was markedly decreased and the K-ICG and ICG-Rmax were improved following the operation in both cases. The preoperative chronic encephalopathy and hyperammonemia disappeared postoperatively in both cases.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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KAKEGAWA TERUO
Department o f Surgery, Kurume University School of Medicine
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KOUFUJI KIKUO
Department o f Surgery, Kurume University School of Medicine
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HASHIMOTO KEN
Department o f Surgery, Kurume University School of Medicine
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TAKEDA JINRYO
Department o f Surgery, Kurume University School of Medicine
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ANAKA TAKAHO
Department of Surgery, Kurume University School of Medicine
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ARISHIMA TSUNEAKI
Arishima Hospital
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