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<meta name="description" content="食道癌および食道良性疾患の手術手技のみならず，診断から治療方針決定，術前・術後管理まで，一般的な手術書にないコツと注意点を満載したシリーズ最終巻．　　【シリーズの特色】　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">

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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">食道外科の要点と盲点<span class="version"></span></h1>
		

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					監修：幕内雅敏（東京大学教授）
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					編集：幕内博康（東海大学教授）
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				<ul class="property"><li class="disc">B5判・396頁・4色刷</li><li class="disc">ISBN&nbsp;978-4-8306-2315-8</li><li class="disc">2003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">食道癌および食道良性疾患の手術手技のみならず，診断から治療方針決定，術前・術後管理まで，一般的な手術書にないコツと注意点を満載したシリーズ最終巻．<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　食道解剖把握の Knack &amp; Pitfalls<br>　１．正常食道の解剖<br>　２．食道・胃接合部の病理学的特徴<br>　３．血管系の解剖<br>　４．神経系の解剖<br>　５．リンパ管とリンパ流の解剖<br>II　食道癌診断の Knack &amp; Pitfalls<br>　１．食道表在癌のスクリーニング<br>　２．頭頸部癌患者に対する食道癌のスクリーニング<br>　３．アルコール依存症患者に対する食道癌のスクリーニング<br>　４．食道表在癌の X 線造影<br>　５．食道進行癌の X 線造影<br>　６．食道表在癌の内視鏡診断<br>　７．食道表在癌の内視鏡による深達度診断<br>　８．食道癌の EUS による診断<br>　９．食道癌の CT，MRI による診断<br>　10．遠隔臓器転移診断<br>　11．食道癌の生検診断<br>　12．食道 dysplasia をめぐって<br>　13．PET による食道癌診断<br>III　食道良性疾患診断の Knack &amp; Pitfalls<br>　１．食道アカラシアの食道 X 線造影<br>　２．食道アカラシアの内視鏡診断<br>　３．食道アカラシアの食道内圧測定<br>　４．逆流性食道炎・食道裂孔ヘルニアの X 線診断<br>　５．逆流性食道炎の内視鏡診断<br>　６．逆流性食道炎の食道内圧測定<br>　７．逆流性食道炎の24 時間 pH 測定<br>　８．食道憩室の X 線造影診断<br>　９．Barrett 食道の内視鏡診断<br>IV　治療方針決定の Knack &amp; Pitfalls<br>　１．特発性食道破裂の治療方針<br>　２．食道表在癌の治療方針の決定<br>　３．進行食道癌の治療方針の決定<br>　４．高齢者食道癌（75 歳以上）の治療方針<br>　５．食道アカラシアの治療方針決定<br>　６．逆流性食道炎の治療方針決定<br>V　術前管理の Knack &amp; Pitfalls<br>　１．食道癌の術前検査および処置の原則<br>　２．合併症疾患を有する食道癌症例の術前管理<br>　３．術前禁止薬剤と術中・術後管理<br>VI　食道癌手術の Knack &amp; Pitfalls<br>　１．麻酔および術中管理<br>　２．体位と皮膚切開・開胸操作<br>　３．上縦隔・頸部リンパ節郭清（1）<br>　４．上縦隔・頸部リンパ節郭清（2）<br>　　－左右反回神経リンパ節を中心に－<br>　５．食道癌中縦隔リンパ節郭清<br>　６．下縦隔腹部リンパ節郭清<br>　７．頸部食道癌のリンパ節郭清<br>　８．食道癌の SNNS<br>　９．非開胸食道抜去術<br>　10．胃管による食道再建術（1）（胸壁前再建）<br>　11．胃管による食道再建術（2）（胸骨後経路）<br>　12．胃管による食道再建術（3）（後縦隔経路）<br>　13．右側結腸による食道再建術<br>　14．左有茎結腸再建<br>　15．遊離空腸による頸部食道再建術<br>　16．頸部食道癌の手術（1）（French window open 法）<br>　17．頸部食道癌の手術（2）（音声再建法）<br>　18．左開胸開腹連続切開による下部食道癌切除術<br>　19．右開胸開腹連続切開による下部食道癌切除術<br>　20．経食道裂孔的下部食道癌切除術<br>VII　食道良性疾患手術の Knack &amp; Pitfalls<br>　１．食道アカラシア手術（1）（三富法）<br>　２．食道アカラシア手術（2）（Girard 変法）<br>　３．逆流性食道炎手術（Nissen 法）<br>　４．短食道を伴う逆流性食道炎の手術<br>　５．食道静脈瘤に対する直達手術<br>　　－左胸腹連続切開法（胴切り法）による経胸食道離断術－<br>　６．食道胃静脈瘤に対する distal splenorenal shunt（DSRS）変法<br>　７．Zenker 憩室に対する手術<br>VIII　食道の内視鏡手術の Knack &amp; Pitfalls<br>　１．EEMR-tube 法による内視鏡的粘膜切除術<br>　２．strip biospy 法による内視鏡的粘膜切除術<br>　３．EMRC 法による内視鏡的粘膜切除術<br>　４．胸腔鏡下食道切除術（1）－特に縦隔リンパ節郭清について－<br>　５．胸腔鏡下食道切除術（2）<br>　６．胸腔鏡・腹腔鏡による食道癌の手術<br>　７．胸腔鏡下食道良性腫瘍摘出術<br>　８．腹腔鏡下アカラシア手術<br>　９．腹腔鏡下食道裂孔ヘルニア手術<br>　10．食道静脈瘤に対する内視鏡的硬化療法<br>　11．食道静脈瘤に対する内視鏡的静脈瘤結紮術（EVL）<br>　12．胃静脈瘤に対する cyanoacrylate を用いた硬化療法－Histoacryl による止血の実際－<br>　13．胃静脈瘤に対する B-RTO<br>　14．食道狭窄に対するステンティング－人工食道チューブ，expandable metallic stent－<br>IX　術中・術後管理の Knack &amp; Pitfalls<br>　１．食道癌手術，術中・術後輸液メニュー<br>　２．食道癌手術，必須検査とその読み方<br>　３．胸部食道癌術後の呼吸管理とドレーン管理<br>　４．高齢者食道癌手術の術中・術後管理<br>X　術後合併症対処の Knack &amp; Pitfalls<br>　１．反回神経麻痺への対応<br>　２．呼吸器合併症への対応<br>　３．縫合不全への対応<br>　４．乳び胸への対応<br>　５．術後出血への対処<br>XI　食道癌，放射線・化学療法の Knack &amp; Pitfalls<br>　１．食道表在癌に対する根治的放射線治療<br>　２．食道表在癌の放射線化学療法<br>　３．A3 症例に対する放射線化学療法<br>　４．広範なリンパ節転移を伴う食道癌症例に対する術前化学療法<br>　５．術後の補助療法<br>　６．再発例に対する放射線療法<br>　７．再発例に対する化学療法<br>XII　食道癌術後経過観察の Knack &amp; Pitfalls<br>XIII　食道癌切除標本整理の Knack &amp; Pitfalls<br>XIV　食道癌手術と分子生物学<br>XV　食道癌取扱い規約における注意点<br>索引</section></article>
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