A New Surgical Technique of Pancreaticoduodenectomy with Splenic Artery Resection for Ductal Adrenocarcinoma of the Pancreatic Head and/or Body Invading Splenic Artery: Impact of the Balance between Surgical Radicality and QOL to Avoid Total Pancreatectomy.

• Material Type: 博士論文
• Title: A New Surgical Technique of Pancreaticoduodenectomy with Splenic Artery Resection for Ductal Adrenocarcinoma of the Pancreatic Head and/or Body Invading Splenic Artery: Impact of the Balance between Surgical Radicality and QOL to Avoid Total Pancreatectomy.
• Author/Editor: Desaki, Ryosuke
• Author Heading: Desaki, Ryosuke
• Publication, Distribution, etc.: 三重大学
• Publication Date: 2014-01-01
• Publication Date (W3CDTF): 2014-01-01
• Degree grantor/type: 三重大学
• Date Granted: 2014-12-17
• Date Granted (W3CDTF): 2014-12-17
• Dissertation Number: 甲医学第1694号
• Degree Type: 博士(医学)
• Conferring No. (Dissertation): 甲医学第1694号
• Text Language Code: eng
• Alias of Author: デサキ, リョウスケ; 出﨑, 良輔
• Target Audience: 一般
• Note (General): application/pdf; For pancreatic ductal adenocarcinoma (PDAC) of the head and/or body invading the splenic artery (SA), we developed a new surgical technique of proximal subtotal pancreatectomy with splenic artery and vein resection, so-called pancreaticoduodenecto my with splenic artery resection (PD-SAR). We retrospectively reviewed a total of 84 patients with curative intent pancreaticoduodenectomy (PD) for PDAC of the head and/or body. These 84 patients were classified into the two groups: conventional PD (n = 66) and PD-SAR (n = 18). Most patients were treated by preoperative chemoradiotherapy (CRT). Postoperative MDCT clearly demonstrated enhancement of the remnant pancreas at 1 and 6 months in all patients examined. Overall survival rates were very similar between PD and PD-SAR (3-year OS: 23.7% versus 23.1%, P = 0.538), despite the fact that the tumor size and the percentages of UICC-T4 determined before treatment were higher in PD-SAR. Total daily insulin dose was significantly higher in PD-SAR than in PD at 1 month, while showing no significant differences between the two groups thereafter. PD-SAR with preoperative CRT seems to be promising surgical strategy for PDAC of head and/or body with invasion of the splenic artery, in regard to the balance between operative radicality and postoperative QOL.; 本文 / Department of Hepatobiliary Pancreatic and Transplant Surgery, School of Medicine, Mie University; 16p; http://www.hindawi.com/journals/bmri/2014/219038/
• DOI: info:doi/10.1155/2014/219038; https://doi.org/info:doi/10.1155/2014/219038
• Persistent ID (NDL): info:ndljp/pid/9529699; https://dl.ndl.go.jp/pid/9529699
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 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
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2015-11-01T14:53:18+09:00
• Date Created (W3CDTF): 2017-02-18
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Related Material (URI): http://www.hindawi.com/journals/bmri/2014/219038/
• Periodical Title (URI): http://hdl.handle.net/10076/14718; https://mie-u.repo.nii.ac.jp/records/7827
• Data Provider (Database): 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

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