フルテキストURL K0005649_abstract_review.pdf K0005649_summary.pdf K0005649_fulltext.pdf
著者 二宮 卓之|
発行日 2018-03-23
資料タイプ 学位論文
学位授与番号 甲第5649号
学位授与年月日 2018-03-23
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 English
タイトル(別表記) Surgically treated Zenker’s diverticulum: Diverticulectomy and cricopharyngeal myotomy
フルテキストURL 127_19.pdf
著者 二宮 卓之| 金谷 信彦| 勝田 浩| 田中屋 宏爾| 青木 秀樹| 竹内 仁司|
抄録  Zenker's diverticulum is a very rare disease among gastorointestinal diverticulum. We report a case of Zenker's diverticulum successfully treated with diverticulectomy and cricophalyngial myotomy. A 71-year-old male complained of aspirating water for two years. He was diagnosed as Zenker's diverticulum. Due to his severe symptoms, the operation was performed in an open-neck approach. The left recurrent laryngeal nerve was identified and preserved. An incision was made in the diverticulum wall, and the internal diameter of normal cervical esophagus was measured. The diverticulum was then excised with an automatic suture device in the minor axis direction of the esophagus. A cricopharyngeal myotomy was conducted, because this muscle was fibrotic and stiffened. The patient's symptoms disappeared after the operation. Diverticulectomy and cricopharyngeal myotomy through an open-neck approach is a safe and reliable method that follows, direct access to the diverticulum and recurrent laryngeal nerve.
キーワード Zenker憩室(Zenker’s diverticulum) 輪状咽頭筋切開術(cricopharyngeal myotomy) 頚部アプローチ(open-neck approach)
出版物タイトル 岡山医学会雑誌
発行日 2015-04-01
127巻
1号
開始ページ 19
終了ページ 23
ISSN 0030-1558
言語 Japanese
著作権者 Copyright (c) 2015 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.127.19
NAID 130005068344
タイトル(別表記) A case of colon lipoma presenting with intussusception
フルテキストURL 126_35.pdf
著者 二宮 卓之| 小島 康知| 原野 雅生| 大野 聡| 塩崎 滋弘| 二宮 基樹|
抄録  An 84-year-old man, who had been found to have a submucosal tumor in the ascending colon two years before, was admitted to our hospital for right lower quadrant abdominal pain and melena. An abdominal computed tomography (CT) scan showed intussusception in the ascending colon, resulting from a fat-density tumor. The intussusception was located by colonoscopy. Since the colonic tumor was enlarged in comparison with two years ago and had an ulcer at the top of the tumor, there was the possibility of malignancy and recurrence of intussusception. He underwent a laparoscopy-assisted right colectomy with lymph node dissection. Pathologically, the tumor of the ascending colon was a benign lipoma.
キーワード 結腸脂肪腫(lipoma of the colon) 腸重積(intussusception) 腹腔鏡下手術(laparoscopic surgery)
出版物タイトル 岡山医学会雑誌
発行日 2014-04-01
126巻
1号
開始ページ 35
終了ページ 38
ISSN 0030-1558
関連URL http://www.okayama-u.ac.jp/user/oma/
言語 Japanese
著作権者 Copyright (c) 2014 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.126.35
著者 二宮 卓之| 小島 康知| 原野 雅生| 大野 聡| 塩崎 滋弘| 二宮 基樹|
発行日 2013-12-02
出版物タイトル 岡山医学会雑誌
125巻
3号
資料タイプ 学術雑誌論文