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	<section class="book">

		<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">胆道外科の要点と盲点<span class="version">第2版</span></h1>
		

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					監修：幕内雅敏（日本赤十字社医療センター院長）
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					編集：二村雄次（愛知県がんセンター総長）
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				<ul class="property"><li class="disc">B5判・466頁・4色刷</li><li class="disc">ISBN&nbsp;978-4-8306-2324-0</li><li class="disc">2009年1月7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">胆道外科医には緊急処置・緊急手術に対応できる判断能力とフットワークの良さが必須であり，さらに胆道癌に対しては長時間の手術に順応できる粘り強さも必要となる．胆道外科に必要な手術および周手術の基本とコツを，多数の写真とシェーマで解説した実践書．今回は6年ぶりとなる大改訂．随所に初版以降の知見・新しいテクニックを加え，内視鏡的胆管ドレナージについては新たに1章を設けた．<br>☆図版406点，表組29点，写真501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．簡潔でわ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　胆道の外科解剖把握のKnack &amp; Pitfalls<br>　1．肝内区域胆管枝の外科解剖<br>　2．胆道造影からみた肝区域<br>　3．肝門部の外科解剖<br>　4．中下部胆管の外科解剖，胆嚢のリンパ流<br>II　経皮経肝胆道ドレナージ（PTBD）のKnack &amp; Pitfalls<br>　1．超音波ガイド下穿刺法の実際<br>　2．影像下直達法の実際<br>　3．multiple PTBDのコツ<br>　4．胆管炎への対策のコツ<br>　5．PTBDの合併症とその対策<br>　6．経皮的胆嚢ドレナージ術・胆嚢穿刺吸引術の実際<br>III　内視鏡的胆道ドレナージのKnack &amp; Pitfalls<br>　1．ENBD・ERBDの実際<br>　2．multiple EBS・ENBDのコツ<br>　3．ERBD・ENBDの合併症とその対策<br>　4．ENGBDのコツ<br>IV　胆道鏡検査のKnack &amp; Pitfalls<br>　1．PTCSによる診断手枝のコツ<br>　2．PTCSによる治療手枝のコツ<br>　3．PTCSによる合併症対策のコツ<br>　4．経口胆道鏡の適応と実際<br>　5．術中胆道鏡検査<br>V　胆嚢結石・総胆管結石の手術のKnack &amp; Pitfalls<br>　1．胆嚢摘出術のコツ<br>　2．総胆管切開術のコツ<br>　3．Mirizzi症候群に対する手術のポイント<br>　4．遺残・再発結石への対応<br>　5．重症胆管炎への対応<br>　6．内視鏡的乳頭切開術のコツ<br>　7．内視鏡的乳頭バルーン拡張術<br>VI　腹腔鏡的胆嚢摘出術（LC）のKnack &amp; Pitfalls<br>　1．術前検査のポイント<br>　2．LCに必要な器具一式<br>　3．気腹法と吊り上げ法の実際<br>　4．総胆管結石へのアプローチのコツ<br>　5．急性胆嚢炎手術のコツ<br>　6．合併症への対応<br>　7．重症合併症の治療<br>VII　肝内結石症治療のKnack &amp; Pitfalls<br>　1．治療方針決定法の実際<br>　2．コレステロール結石の取り扱い<br>　3．選択的胆管造影法のコツ<br>　4．経皮経肝胆道鏡による切石術<br>　5．経口胆道鏡的切石術<br>　6．胆道再建法のコツ<br>　7．肝切除手技の特徴とポイント<br>　8．再発結石への対応<br>VIII　胆道癌の術前診断のKnack &amp; Pitfalls<br>　1．臨床検査と腫瘍マーカー<br>　2．進展度診断の進め方<br>　3．MDCTによる進展度診断の実際<br>　4．超音波による外科的進展度診断のコツ─肝門部胆管癌の局所進展度診断<br>　5．中下部胆管癌の進展度診断<br>　6．肝門部胆管癌の進展度診断<br>　7．尾状葉胆管枝浸潤の診断<br>　8．粘液産生胆管癌診断のポイント<br>　9．比較的早期の胆嚢癌の進展度診断<br>　10．進行した胆嚢癌の進展度診断<br>　11．内視鏡的診断と生検診断の意義と限界<br>IX　悪性胆道閉塞患者の周術期管理のKnack &amp; Pitfalls<br>　1．経皮経肝胆道ドレナージ（PTBD）後の術前管理の実際<br>　2．障害肝症例への対応<br>　3．抗生物質の使用法のコツ<br>　4．synbioticsを用いた周術期管理<br>　5．ICG検査による肝予備能の評価<br>　6．各種肝予備能評価法の意義と限界<br>X　門脈枝塞栓術のKnack &amp; Pitfalls<br>　1．経皮経肝的アプローチの実際（健側穿刺法）<br>　2．経皮経肝的アプローチの実際（同側穿刺法）<br>　3．塞栓術後の肝再生評価法<br>　4．塞栓術後のDoppler US検査の意義<br>　5．門脈枝塞栓術の合併症<br>XI　中・下部胆管癌に対する膵頭十二指腸切除術のKnack &amp; Pitfalls<br>　1．肝十二指腸間膜郭清のコツ<br>　2．上部胆管の露出と切離のコツ<br>　3，膵切離のコツ<br>　4．上腸間膜動脈周囲神経叢郭清のコツ<br>　5．門脈合併切除再建の適応とコツ<br>　6．膵胃吻合のコツ<br>　7．膵空腸吻合のコツ<br>　8．各種再建法の長所・短所<br>XII　肝門部胆管癌手術のKnack &amp; Pitfalls<br>　1．肝十二指腸間膜郭清のコツ<br>　2．右葉切除＋尾状葉切除のコツ<br>　3．右三区域切除＋尾状葉切除のコツ<br>　4．左葉切除＋尾状葉切除のコツ<br>　5．拡大左葉切除＋尾状葉切除のコツ<br>　6．左三区域切除＋尾状葉切除のコツ<br>　7．中央二区域切除＋尾状葉切除のコツ<br>　8．前区域切除＋尾状葉切除のコツ<br>　9．尾状葉単独切除のコツ<br>　10．門脈合併切除再建のコツ<br>　11．肝動脈合併切除の意義<br>　12．肝動脈再建のコツ<br>　13．肝門部胆管切除のコツ<br>　14．胆道再建のコツ<br>XIII　胆嚢癌手術のKnack &amp; Pitfalls<br>　1．拡大胆嚢摘出術の適応とコツ<br>　2．S<sub>4a, 5, 6</sub>切除の適応とコツ<br>　3．中央二区域切除の適応とコツ<br>　4．拡大右葉切除─肝外胆管合併切除の適応とコツ─<br>　5．拡大右葉切除─肝外胆管温存の適応とコツ─<br>　6．膵頭十二指腸切除の適応とコツ<br>　7．肝膵十二指腸切除の適応とコツ<br>XIV　先天性胆道拡張症の診断と手術のKnack &amp; Pitfalls<br>　1．病型分類のポイント<br>　2．成人における肝内結石症治療のコツ<br>　3．結石合併例に対する治療のポイント<br>　4．手術のコツ<br>XV　術後管理のKnack &amp; Pitfalls<br>　1．術後一般検査と呼吸循環管理のポイント<br>　2．輸液管理のポイント<br>　3．経腸栄養法の実際と意義<br>　4．Doppler US検査の意義<br>　5．胆汁ドレナージカテーテル管理のポイント<br>　6．腹腔ドレーン管理のポイント<br>　7．胃排出障害の管理<br>　8．標本整理の実際<br>XVI　術後合併症対策のKnack &amp; Pitfalls<br>　1．胆汁漏<br>　2．腹腔内膿瘍<br>　3．縫合不正<br>　4．腹腔内出血<br>　5．消化管出血<br>　6．肝不全<br>索引</section></article>
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