Author 小山 かおる| 野久保 隆| 三島 愛架| Kishida, Yoshirou| 富山 雅光| Oikawa, Takuro|
Published Date 2009-04-01
Publication Title 岡山大学農学部センター報告
Volume volume31
Content Type Departmental Bulletin Paper
Author Ibi, Takayuki|
Published Date 2011-02-01
Publication Title 岡山大学農学部学術報告
Volume volume100
Content Type Departmental Bulletin Paper
JaLCDOI 10.18926/okadaironkou/60660
FullText URL okadaironkou_10_44_50.pdf
Author 竹本 由子|
Publication Title 岡大国文論稿
Published Date 1982-03-01
Issue issue10
Start Page 44
End Page 50
ISSN 0386-3123
language 日本語
File Version publisher
Author 伊藤 半右衛門|
Published Date 1930-02-01
Publication Title 農学研究
Volume volume14
Content Type Departmental Bulletin Paper
JaLCDOI 10.18926/11786
Title Alternative Malignant diseases maifesting jaundice as a main symptom -Diagnosis and treatment to improve the poor survival in carcinoma of the bile duct and pancreatic head -
FullText URL 002_001_022.pdf
Author Mimura, Hisashi|
Abstract Primary malignant diseases manifesting jaundice as a main symptom are the carcinomas of the bile duct and the pancreatic head, both of which have very poor survival rates after surgical resection or other treatments. Statistically, unresectable cases of the diseases are absolutely fatal within one or two years. Pathologically curative resection in early stage could only give the patients a chance to survive without diseases. Role of early detection of the diseases at the primary clinics of internal physicians is essentially important, because the patients noticing jaundice would firstly visit them under the impression of having the liver deseases. They should not waste much time in examining various liver function tests. Image diagnosis on the bile duct and the pancreatic duct by ultrasonography, followed by PTC or ERCP, detect the diseases. Tumor marker, CT, MRI and angiography are also performed supplementally to determine the tumor expansion or resectability. Surgery should be the histologically curative resection, including extended skeletonization of the retroperitoneum. Recent five years' survival rates of the bile duct carcinoma after resection in all over Japan are 64.5% in stage-Ⅰ, 50.4% in stage-Ⅱ, 30.7% in stage-Ⅲ and 9.4% in stage-Ⅳ. And those of the pancreatic carcinoma are 39.3% in T(1) (within 2cm in tumor diameter), 21.3% in T(2) (2-4cm), 13.1% in T(3) (4-6cm) and 12.1% in T(4) (over 6cm). From these data, curative resection in the early stages (stage-Ⅰ or -Ⅱ in bile duct carcinoma ant T(1) or T(2) in pancreatic carcinoma) is recommended, but even in the stage-Ⅲ the chance to live longer by extended resection is preserved. To achieve furhter improvement, author has devised the NEW surgical technigues, "block resection of the hepatoduodenal ligament" for carcinoma of the bile duct and "isolated pancreatectomy" for pancreatic carcinoma. Curative resectabilities are increasing by applying these techniques and hepatic recurrence rate in pancreatic carcinoma is decreasing by "isolated pancreatectomy", although the statistical results of improvement in five years' survival rates are not yet achieved because of shortage in cases' numbers and time duration.
Keywords 黄疸 診断 治療 手術
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1992-02-05
Volume volume2
Start Page 1
End Page 22
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313384
Author 西門 義一| 井上 成信| 井上 忠男|
Published Date 1952-12-01
Publication Title 農学研究
Volume volume40
Issue issue3
Content Type Departmental Bulletin Paper
Author 西門 義一| 井上 忠男|
Published Date 1953-09-15
Publication Title 農学研究
Volume volume41
Issue issue2
Content Type Departmental Bulletin Paper
Author 高橋 隆平| 安田 昭三| 山本 二郎| 塩尻 勇|
Published Date 1954-01-15
Publication Title 農学研究
Volume volume41
Issue issue3
Content Type Departmental Bulletin Paper
Author 高橋 隆平| 安田 昭三| 山本 二郎| 塩尻 勇|
Published Date 1953-02-28
Publication Title 農学研究
Volume volume40
Issue issue4
Content Type Departmental Bulletin Paper
Author 高橋 隆平| 山本 二郎|
Published Date 1951-10-20
Publication Title 農学研究
Volume volume40
Issue issue1
Content Type Departmental Bulletin Paper
Author Yasuda, S.|
Published Date 1968-06-24
Publication Title 農学研究
Volume volume52
Issue issue2
Content Type Departmental Bulletin Paper
Author Yasuda, S.| Shimoyama, H.|
Published Date 1965-01
Publication Title 農学研究
Volume volume50
Issue issue4
Content Type Departmental Bulletin Paper
Author Takahashi, R.| Yasuda, S.|
Published Date 1960-03
Publication Title 農学研究
Volume volume47
Issue issue4
Content Type Departmental Bulletin Paper
Author 安田 昭三| 高橋 隆平|
Published Date 1954-09-25
Publication Title 農学研究
Volume volume42
Issue issue2
Content Type Departmental Bulletin Paper
Author Yasuda, S.| Okinaga, Y.|
Published Date 1976-03
Publication Title 農学研究
Volume volume55
Issue issue4
Content Type Departmental Bulletin Paper
Author 安田 昭三|
Published Date 1969-03
Publication Title 農学研究
Volume volume53
Issue issue1-2
Content Type Departmental Bulletin Paper
Author Yasuda, S.| Okinaga, Y.|
Published Date 1977-03
Publication Title 農学研究
Volume volume56
Issue issue3
Content Type Departmental Bulletin Paper
Author Inouye, N.|
Published Date 1960-03
Publication Title 農学研究
Volume volume47
Issue issue4
Content Type Departmental Bulletin Paper
Author 井上 成信| 高須 謙一|
Published Date 1959-03
Publication Title 農学研究
Volume volume46
Issue issue4
Content Type Departmental Bulletin Paper
Author 井上 成信| 西門 義一|
Published Date 1959-03
Publication Title 農学研究
Volume volume46
Issue issue4
Content Type Departmental Bulletin Paper