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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

隣接臓器合併切除を伴う肺癌手術

http://hdl.handle.net/2237/10982
http://hdl.handle.net/2237/10982
e9293632-ee5b-4a5e-9de8-54d74a13b826
名前 / ファイル ライセンス アクション
yokoi_229.pdf yokoi_229.pdf (955.4 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2009-01-29
タイトル
タイトル 隣接臓器合併切除を伴う肺癌手術
言語 ja
その他のタイトル
その他のタイトル Surgical Treatment of Lung Cancer Involving the Neighboring Structures
言語 en
著者 横井, 香平

× 横井, 香平

WEKO 26065

ja 横井, 香平

Search repository
Yokoi, Kohei

× Yokoi, Kohei

WEKO 26066

en Yokoi, Kohei

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 ja
権利情報 日本肺癌学会
権利
言語 ja
権利情報 本文データは学協会の許諾に基づきCiNiiから複製したものである
キーワード
主題Scheme Other
主題 肺癌
キーワード
主題Scheme Other
主題 局所進行肺癌
キーワード
主題Scheme Other
主題 隣接臓器浸潤
キーワード
主題Scheme Other
主題 合併切除
キーワード
主題Scheme Other
主題 拡大手術
キーワード
主題Scheme Other
主題 Lung cancer
キーワード
主題Scheme Other
主題 Locally advanced lung cancer
キーワード
主題Scheme Other
主題 Extrapulmonary extension
キーワード
主題Scheme Other
主題 Combined resection
キーワード
主題Scheme Other
主題 Advanced surgical techniques
抄録
内容記述 今日でもなお発見される多くが進行肺癌であり,化学療法や放射線療法を主体とした治療がなされているが,その予後は一般に不良である.一方外科切除は肺癌治療において現在もなお唯一信頼性の高い根治療法であり,局所進行肺癌例に対して日常臨床として隣接臓器合併切除が行われている.隣接臓器浸潤はTNM分類上T3またはT4に区分され,一般的に切除可能と思われる臓器への浸潤を示す腫瘍はT3とされ,切除不能と考えられる臓器浸潤を伴う腫瘍がT4とされている.T3病変に対する外科治療は一般化してはいるが,その治療成績は満足できる結果とは言いがたい.一方近年の外科学および麻酔学の進歩や合併療法の発展により,今まで切除不能と考えられていたT4症例にまで根治を目的とした外科治療が行われ始めている.本稿では,これら隣接臓器浸潤例に対する外科治療成績を,胸壁,肺尖部胸壁,横隔膜,気管分岐部,左心房,上大静脈,大動脈,椎体の各臓器毎に,さらにT4に分類される癌性胸膜炎についての外科治療についてもレビューし,局所進行肺癌における外科治療の役割と今後の方向性を考察する.
言語 ja
内容記述タイプ Abstract
抄録
内容記述 In the majority of patients lung cancer are only detected at advanced stages, they are mostly treated with chemotherapy or radiotherapy, or both, and the prognoses are usually poor. At present surgical resection is the only reliable curative method for the treatment of patients with lung cancer, and combined resection of the primary tumor and involved neighboring structures is performed when possible in patients with locally advanced disease. Tumors with direct extrapulmonary extension have been subdivided on the basis of the anatomic extent of disease and its potential for surgical treatment in the TNM classification for lung cancer: T3 lesions with limited, circumscribed extrapulmonary extension are considered potentially surgically resectable, whereas T4 tumors with extensive extrapulmonary extension are considered unresectable. Although surgical treatment for T3 lesions is generally accepted, the outcome is frequently not satisfactory. On the other hand, advanced surgical techniques are now being applied for T4 lesions due to the improvement of surgery and anesthesiology and progress in combined treatment modalities. This article reviews the results of surgical therapy for patients with lung cancer invading neighboring structures, including chest wall, superior sulcus, diaphragm, tracheal carina, left atrium, superior vena cava, aorta, and vertebrae. Furthermore, the surgical treatment of carcinomatous pleuritis is also assessed, and the role and future direction of surgical resection for locally advanced lung cancer is discussed.
言語 en
内容記述タイプ Abstract
出版者
言語 ja
出版者 日本肺癌学会
言語
言語 jpn
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://ci.nii.ac.jp/naid/110004731615/
ISSN
収録物識別子タイプ PISSN
収録物識別子 03869628
書誌情報 ja : 肺癌

巻 46, 号 2, p. 91-99, 発行日 2006-04
フォーマット
application/pdf
著者版フラグ
値 publisher
URI
識別子 http://hdl.handle.net/2237/10982
識別子タイプ HDL
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