| Item type |
☆紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2012-02-02 |
| タイトル |
|
|
タイトル |
<Case Reports> Hepatocellular carcinoma accompanied by hypersplenism: five cases of simultaneous hepatectomy and laparoscopic splenectomy |
|
言語 |
en |
| 著者 |
Nakata, Yasuyuki
Haji, Seiji
Yamasaki, Mitsuo
Ishikawa, Hajime
Yasuda, Takeo
Nakai, Takuya
Takeyama, Yoshifumi
|
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
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主題 |
hypersplenism, cirrhosis, hepatocellular carcinoma, hepatectomy, splenectomy |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 著者 所属 |
|
|
値 |
Department of Surgery, Kinki University Faculuty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Surgery, Kinki University Faculuty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Surgery, Kinki University Faculuty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Surgery, Kinki University Faculuty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Surgery, Kinki University Faculuty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Surgery, Kinki University Faculuty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Surgery, Kinki University Faculuty of Medicine |
| 著者所属(翻訳) |
|
|
値 |
近畿大学医学部 |
| 著者所属(翻訳) |
|
|
値 |
近畿大学医学部 |
| 著者所属(翻訳) |
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|
値 |
近畿大学医学部 |
| 著者所属(翻訳) |
|
|
値 |
近畿大学医学部 |
| 著者所属(翻訳) |
|
|
値 |
近畿大学医学部 |
| 著者所属(翻訳) |
|
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値 |
近畿大学医学部 |
| 著者所属(翻訳) |
|
|
値 |
近畿大学医学部 |
| 版 |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 出版者 名前 |
|
|
出版者 |
The Kinki University Medical Association |
| 書誌情報 |
en : ACTA MEDICA KINKI UNIVERSITY
巻 36,
号 2,
p. 81-86,
発行日 2011-12-01
|
| ISSN |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
03866092 |
| 抄録 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
[Abstract] Background : We performed simultaneous hepatectomy and laparoscopic splenectomy in a patient with hepatocellular carcinoma accompanied by a reduced platelet count caused by hypersplenism. Methods : We retrospectively studied 5 cases of hepatectomy performed immediately after laparoscopic splenectomy at our hospital after July 2006, and evaluated the intraoperative blood loss, need for transfusion during surgery, postoperative complications, and postoperative hospital stay. Hematological analysis included the white blood cell count (WBC), platelet count (Plt), serum alanine transaminase (ALT), total serum bilirubin (T-Bil), prothrombin time (PT)％, and serum albumin (Alb). Analysis was performed on postoperative days (POD) 7, 14, 30, and 60. Results : The results showed intraoperative thromblood loss of 891+523.2 ml (mean+ SD, 35-2, 199), blood transfusion in 3 cases (60％), no complications in all cases, and a postoperative hospital stay of 11.8 (11-13) days. Compared with preoperative levels, WBC and Plt were significantly higher on POD 7, 14, 30, and 60. while ALT and T-Bil were significantly lower on POD 30. Alb levels were low on all postoperative days compared with preoperative levels. There were no significant changes in PT％. Conclusions : It was safe to conduct hepatectomy simultaneously with laparoscopic splenectomy. No significant liver dysfunction occurred postoperatively, suggesting a potential reduction in the patient burden. |
| フォーマット |
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|
内容記述タイプ |
Other |
|
内容記述 |
application/pdf |
AA0050842X-20111200-0081.pdf (522.5 kB)
