A Comparison Between Plastic and Metallic Biliary Stent Placement in Patients Receiving Preoperative Neoadjuvant Chemoradiotherapy for Resectable Pancreatic Cancer.

• 資料種別: 博士論文
• ISSN: 0364-2313
• タイトル: A Comparison Between Plastic and Metallic Biliary Stent Placement in Patients Receiving Preoperative Neoadjuvant Chemoradiotherapy for Resectable Pancreatic Cancer.
• 巻次・部編番号: 43 2
• 著者・編者: Nakamura, Kota; Sho, Masayuki; Akahori, Takahiro; Nagai, Minako; Nishiwada, Satoshi; Nakagawa, Kenji; Tanaka, Toshihiro; Kichikawa, Kimihiko; Tamamoto, Tetsuro; Hasegawa, Masatoshi; Mitoro, Akira; Yoshiji, Hitoshi; Ikeda, Naoya
• 著者標目: Nakamura, Kota; Sho, Masayuki; Akahori, Takahiro; Nagai, Minako; Nishiwada, Satoshi; Nakagawa, Kenji; Tanaka, Toshihiro; Kichikawa, Kimihiko; Tamamoto, Tetsuro; Hasegawa, Masatoshi; Mitoro, Akira; Yoshiji, Hitoshi; Ikeda, Naoya
• 出版事項: Springer Nature
• 出版年月日等: 2019-02; 43 2
• 出版年（W3CDTF）: 2019-02
• 並列タイトル等: 切除可能膵癌に対する術前化学放射線療法における胆道プラスチックステント及びメタルステントの比較
• タイトル（掲載誌）: World journal of surgery
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2020-09-30
• 授与年月日（W3CDTF）: 2020-09-30
• 報告番号: 乙第1467号
• 学位: 博士（医学）
• 博論授与番号: 乙第1467号
• 本文の言語コード: eng
• 対象利用者: 一般
• 一般注記: type:Thesis; Background: The optimal stent type in patients receiving preoperative neoadjuvant chemoradiotherapy (NACRT) is uncertain. The present study aimed to compare the clinical effectiveness of biliary metallic stent (MS) and plastic stent (PS) in patients undergoing preoperative NACRT for resectable pancreatic cancer. Methods: This retrospective study included 43 patients who required either biliary MS or PS before initiating NACRT for resectable or borderline resectable pancreatic head cancer. Seventeen patients had MS (MS group), while 23 patients had PS (PS group). All patients received preoperative NACRT, including gemcitabine and concomitant three-dimensional radiation of 54 Gy, and underwent pancreatectomy. Stent patency, surgery postponement, postoperative outcomes, and cost-effectiveness were compared between these groups. Results: There were no significant differences in baseline demographic or tumor characteristics between the groups. Stent patency was significantly longer in the MS group than in the PS group (p = 0.042). There were no differences in time to surgery, intraoperative characteristics, surgical complications, margin positivity, and pathological response between the groups. Furthermore, the medical cost of maintenance of biliary drainage during NACRT was similar between the groups. Conclusions: MS placement compared to PS in patients receiving preoperative NACRT provided no significant benefits during the postoperative course of pancreatectomy. However, MS placement was associated with long stent patency while showing no economic disadvantage. Therefore, MS placement may be recommended in patients receiving preoperative NACRT for resectable pancreatic cancer.; 博士（医学）・乙第1467号・令和2年9月30日; © Société Internationale de Chirurgie 2018; This is a post-peer-review, pre-copyedit version of an article published in World journal of surgery. The final authenticated version is available online at: https://doi.org/10.1007/s00268-018-4820-6.; identifier:World journal of surgery Vol.43 No.2 p.642-648 (2019 Feb); identifier:03642313; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3783; identifier:World journal of surgery, 43(2): 642-648
• DOI: info:doi/10.1007/s00268-018-4820-6; https://doi.org/info:doi/10.1007/s00268-018-4820-6
• 国立国会図書館永続的識別子: info:ndljp/pid/11583350; https://dl.ndl.go.jp/pid/11583350
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2020-12-08T06:37:43+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10564/3783
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

目次

2024-05-04 再収集

2024-05-04 再収集

2024-05-04 再収集