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		<h1 class="catchCopy">外科手術の第一線で活躍する執筆陣の経験と叡知を，サイエンスに裏づけられたアートとして伝達するシリーズ！</h1>
		

		<h2 class="series">Knack & Pitfalls&nbsp;&nbsp;</h2>
		
		<h1 class="title">膵脾外科の要点と盲点（電子版のみ）<span class="version">第2版</span></h1>
		

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					監修：幕内雅敏（東京大学教授）
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					編集：木村　理（山形大学教授）
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				<ul class="property"><li class="disc">B5判・382頁・4色刷</li><li class="disc">ISBN&nbsp;978-4-8306-2325-7</li><li class="disc">2009年10月10日発行</li></ul>

				
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">「外科医が100人いれば100通りの膵手術がある」を前提とした上で，現時点においてもっとも標準的と考えられる膵疾患の手術適応とテクニックをまとめた外科医必読の1冊．<br>☆図版282点，表組37点，写真338点<br><br>【シリーズの特色】<br>外科手術の際に知っておきたいコツ，陥りやすい落とし穴を，的確なカラー写真と美しいシェーマで解説．執筆者の経験に基づく教訓を大胆に編集．手術手技に限らず，診断から術後管理に至るまで，手術に役立つ実際的知識を満載．簡潔で分りやすい記述と全頁カラーのvisualな誌面．レジデントも手術のベテランも，自分の興味とレベルにあわせて，読みたい項目を選んで読める．</section><section class="indexes">I　膵解剖把握のKnack &amp; Pitfalls<br>　１．膵手術に必要な局所解剖<br>　２．膵臓の外科解剖<br>　３．発生からみた膵区域の考え方<br>　４．膵鉤部の概念<br>　５．膵頭十二指腸の血管の解剖<br>II　膵腫瘍診断・手術適応決定のKnack &amp; Pitfalls<br>　１．臨床検査と腫瘍マーカー<br>　２．膵腫瘍に関する外科医のための病理知識<br>　３．画像診断の手順<br>　４．膵癌の進展度診断<br>　５．通常型膵癌と腫瘤形成膵炎との鑑別<br>　６．通常型膵癌におけるClinical Index<br>　７．IPMTとMCT（疾患概念）<br>　８．IPMTをめぐる概念の変遷<br>　９．IPMN国際診療ガイドラインからみた診断<br>　10．病理からみたIPMNの疾患概念<br>　11．嚢胞性膵腫瘍の画像診断<br>　12．内科からみたIPMNの診断<br>　13．IPMNの膵外浸潤の画像診断<br>　14．IPMNの問題点と悪性度<br>　15．IPMNの治療指針<br>　16．IPMNに対する手術：縮小手術に対する考え方<br>　17．膵嚢胞性疾患の手術適応<br>III　通常型膵癌に対する手術のKnack &amp; Pitfalls<br>　１．膵頭部癌に対する標準的幽門輪温存膵頭十二指腸切除術<br>　２．膵頭十二指腸切除術の標準術式<br>　３．膵頭部癌に対する拡大膵頭十二指腸切除術<br>　４．二期分割膵頭十二指腸切除術<br>　５．膵全摘術<br>　６．血管合弁切除<br>　７．幽門輪温存膵頭十二指腸切除術─ビルトーロI法方式膵腸吻合─　<br>　８．幽門輪温存膵頭十二指腸切除術<br>　９．膵体尾部癌に対する膵体尾部切除術<br>　10．膵体部癌に対するApplebyの手術<br>　11．局所進行膵体部癌に対する腹腔動脈合併膵尾側切除（DP-CAR）<br>IV　膵癌におけるリンパ節郭清のKnack &amp; Pitfalls<br>　１．膵頭部癌に対する拡大リンパ節郭清<br>　２．膵頭部癌に対するD2+αリンパ節郭清<br>　３．リンパ節・神経叢の解剖に基づいた膵頭部癌に対する上腸間膜動脈周囲郭清術<br>　４．左No.16リンパ節郭清を先行する膵体尾部切除術<br>　５．膵頭部癌に対するmesenteric approachによる上腸間膜動脈周囲リンパ節・神経叢郭清<br>　６．膵頭部癌に対する上腸間膜動脈周囲神経叢右半周切除術<br>　７．膵頭十二指腸切除術における膵頭神経叢切除の意義─病理学的R0を目指した手術─<br>V　機能温存膵手術のKnack &amp; Pitfalls<br>　１．膵鉤部切除術<br>　２．膵頭部区域切除術<br>　３．下膵頭切除術<br>　４．胃十二指腸動脈を温存した幽門輪温存膵頭十二指腸切除術<br>　５．十二指腸温存膵頭亜全摘術<br>　６．十二指腸胆管温存膵頭全切除術<br>　７．十二指腸温存膵頭全切除術<br>　８．膵頭十二指腸第II部切除術<br>　９．膵体部の良性病変に対する膵中央切除術<br>　10．膵体部の良性病変に対する膵横断切除術<br>　11．脾動静脈および脾臓を温存した膵体尾部切除術（the Kimura’s method）<br>VI　膵・消化管吻合のKnack &amp; Pitfalls<br>　１．膵空腸端々吻合<br>　２．膵管空腸吻合<br>　３．膵管空腸粘膜吻合<br>　４．嵌入法による膵胃吻合<br>　５．嵌入法と粘膜吻合を合体させた膵胃吻合<br>　６．膵頭十二指腸切除術における膵胃吻合<br>　７．膵十二指腸吻合術<br>　８．膵頭十二指腸切除時のドレーン<br>　９．膵切除後のドレナージ<br>VII　膵内分泌腫瘍のKnack &amp; Pitfalls<br>　１．膵内分泌腫瘍の発生論<br>　２．膵内分泌腫瘍の診断<br>　３．SASIテストによる膵内分泌腫瘍の局在診断<br>　４．膵内分泌腫瘍に対する手術<br>　５．膵内分泌腫瘍に対する治療<br>VIII　急性膵炎の診断と治療のKnack &amp; Pitfalls<br>　１．ガイドラインからみた疫学，診断および重症度診断<br>　２．ガイドラインからみた治療方針<br>　３．重症急性膵炎に対する動注療法<br>　４．動注療法における血液解剖<br>　５．感染症膵懐死に対する手術<br>　６．急性壊死性膵炎に対するネクロセクトミー，オープンドレナージ<br>　７．急性壊死性膵炎に対する膵切除術<br>　８．重症急性膵炎後・膵壊死物質に対する晩期ネクロセクトミー<br>　９．膵床ドレナージ手術<br>　10．急性膵炎に対するドレナージ<br>IX　慢性膵炎の診断と治療のKnack &amp; Pitfalls<br>　１．慢性膵炎の診断基準<br>　２．慢性膵炎の疼痛発生の病態と治療<br>　３．慢性膵炎の診断─高齢者における膵石症および膵管拡張の考え方─<br>　４．慢性膵炎の外科治療の考え方<br>　５．Frey手術（膵頭部芯抜きを伴う膵管空腸側々吻合術）<br>　６．慢性膵炎に対する膵仮性嚢胞消化管吻合術<br>　７．膵仮性嚢胞に対する嚢胞消化管（空腸・胃）吻合術<br>　８．慢性膵炎に対するBeger手術<br>　９．胸腔鏡下大内臓神経切除離術<br>　10．膵神経叢全切除術<br>脾臓<br>　１．脾臓の解剖<br>　２．外科対象となる脾疾患<br>　３．脾摘出術<br>　４．鏡視下脾摘出術のコツ<br>　５．Hassab手術のポイント<br>索引</section></article>
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