| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2010-03-24 |
| タイトル |
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|
タイトル |
狭心症と進行胃癌に対する同時手術の１例 |
| タイトル |
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タイトル |
Simultaneous Operation for Ischemic Heart Disease and Advanced Gastric Cancer : A Case Report |
| 言語 |
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言語 |
jpn |
| キーワード |
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主題 |
minimally invasive direct coronary artery bypas, advanced gastric cancer, simultaneous operation, angina pectoris, MIDCAB
進行胃癌, 同時手術, 狭心症 |
| 資源タイプ |
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資源 |
http://purl.org/coar/resource_type/c_6501 |
|
タイプ |
journal article |
| 著者 |
野原, 秀公
恒元, 秀夫
長谷川, 朗
山崎, 恭平
鈴木, 順
伊藤, 篤
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| 出版者 |
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出版者 |
信州医学会 |
| 引用 |
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内容記述 |
信州医学雑誌 48(6): 427-430(2000) |
| 書誌情報 |
信州医学雑誌
巻 48,
号 6,
p. 427-430,
発行日 2000-12-10
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| 抄録 |
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内容記述 |
A 72-year-old man was successfully treated with simultaneous minimally invasive direct coronary artery bypass grafting (MIDCAB)and total gastrectomy.The patient was admitted to our hospital due to chest pain with anemia (Hb 11.3g/dl).A coronary angiogram showed a 90% occlusion of the right coronary artery and a 75% occlusion of the left anterior descending coronary artery. Endoscopic examination revealed gastric cancer (Borrmann type Ⅲ). Therefore, we carried out MIDCAB and total gastrectomy with lymph node dissection simultaneously.First,the left internal thoracic artery(LITA)was anastomosed to the left anterior descending artery through the left anterior small thoracotomy. After closing the left thoracic wall, total gastrectomy with lymphnode dissection was done. During surgery the patient’s hemodynamic condition remained stable with no electrocardiographic changes. Postoperative coronary angiography was done one week after the operation;the LITA was patent and catheter intervention was performed in the right coronary atery. Off-pump CABG is advantageous for patients who have significant coronary artery disease with malignant neoplasm. |
| 資源タイプ（コンテンツの種類） |
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| ISSN |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
0037-3826 |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AN00120815 |
| 出版タイプ |
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|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
Shinshu_Med48-6-03.pdf (295.0 kB)
