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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">胃外科の要点と盲点<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：荒井邦佳（東京都保健医療公社豊島病院副院長）
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				<ul class="property"><li class="disc">B5判・416頁・4色刷</li><li class="disc">ISBN&nbsp;978-4-8306-2326-4</li><li class="disc">2009年7月17日発行</li></ul>

				
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			<article id="description" class="description">
				
		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">好評書の最新版．初版発刊以来6年の間の胃外科の変化─(1)拡大手術至上主義から化学療法併用への転換，(2)腹腔鏡手術の普及─の2点を取り入れアップデートした．<br>☆図版65点，表組73点，写真331点，イラスト244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　胃解剖把握のKnack &amp; Pitfalls<br>　1．胃の解剖<br>　2．胃の膜構造<br>　3．胃の血管分布とリンパ流 <br>　4．胃の神経支配<br>　5．胃粘膜の構造と機能<br>　6．食道・胃接合部の外科解剖 <br>II　胃腫瘍診断のKnack &amp; Pitfalls<br>　1．胃癌<br>　　1）消化管造影による深達度診断のポイント <br>　　2）内視鏡による深達度診断のポイント<br>　　3）超音波内視鏡による深達度診断のポイント <br>　　4）審査腹腔鏡検査のポイント<br>　　5）消化管造影による食道進展診断のポイント 	<br>　　6）内視鏡による食道進展診断のポイント 	<br>　　7）CT検査・MRI検査による転移・進展の診断 	 <br>　　8）PET-CT検査による再発・転移の診断 	 <br>　2．その他の腫瘍<br>　　1）胃悪性リンパ腫診断のポイント <br>　　2）GIST診断のポイント <br>　　3）神経内分泌腫瘍診断のポイント 	<br>III　手術術式の選択決定のKnack &amp; Pitfalls<br>　1．幽門側胃切除術の適応 <br>　2．幽門保存胃切除術の適応 	<br>　3．分節胃切除術の適応 <br>　4．噴門側胃切除術の適応 	<br>　5．胃全摘術の適応 <br>　6．左上腹部内臓全摘術の適応 <br>　7．膵頭十二指腸切除術（PD）の適応 	<br>　8．食道浸潤胃癌に対する術式選択 <br>　9．拡大手術の適応<br>　　1）他臓器合併切除術の適応 <br>　　2）拡大リンパ節郭清の適応 <br>IV　術前・術後管理のKnack &amp; Pitfalls<br>　1．術前管理のコツ 	<br>　2．術後管理のコツ 	 <br>　3．胃癌手術後合併症の種類と頻度 	<br>　4．周術期合併症の予防策と発生時の対処法<br>　　1）縫合不全 <br>　　2）腹腔内膿瘍<br>　　3）膵液漏出と膵液瘻 <br>　　4）リンパ液漏出 	<br>　　5）麻痺性イレウス <br>　　6）吻合部狭窄 <br>　　7）術後胆炎<br>　5.胃癌手術のクリニカル・パス <br>V　胃癌手術のKnack &amp; Pitfalls<br>　1．幽門側胃切除術（D2）<br>　2．幽門保存胃切除術 <br>　3．噴門側胃切除術 <br>　4．分節胃切除術<br>　5．胃全摘・膵脾合併切除術 <br>　6．胃全摘・脾摘術（膵温存術式） <br>　7．左上腹部内臓器全摘術 	<br>　8．脾動脈幹リンパ節の郭清 	<br>　9．大動脈周囲リンパ節（No.16）の郭清（D3郭清） <br>　10．自律神経温存のコツ <br>　11．左開胸法 	<br>　12．横隔膜切開法（経腹的縦隔アプローチ法） <br>　13．バイパス手術 <br>　14．残胃の癌手術<br>　　1）手術適応 <br>　　2）残胃全摘術のコツ <br>　15．ドレナージのコツ <br>VI　腹腔鏡下手術のKnack &amp; Pitfalls<br>　1．基本操作 	<br>　2．腹腔鏡補助下幽門側胃切除術 <br>　3．腹腔鏡補助下幽門保存胃切除術 	<br>　4．腹腔鏡下噴門側胃切除術 	<br>　5．腹腔鏡下胃全摘術 	 <br>VII　その他の胃疾患治療のKnack &amp; Pitfalls<br>　1．胃悪性リンパ腫治療のコツ 	<br>　2．GIST治療のコツ 	<br>　3．難治性胃・十二指腸潰瘍治療のコツ <br>　4．PEGとその管理 	<br>VIII　胃切除術後再建法のKnack &amp; Pitfalls<br>　1．胃全摘術後の再建法<br>　　1）Roux en Y法 <br>　　2）空腸間置法 <br>　　3）パウチ法 <br>　2．噴門側胃切除術後の再建法<br>　　1）食道胃吻合法 	<br>　　2）空腸間置法	 <br>　　3）空腸パウチ間置法 	 <br>　3．幽門側胃切除術後の再建法<br>　　1）Billroth I法 <br>　　2）Billroth II法 <br>　　3）Roux en Y法 <br>　　4）空腸パウチ間置法 <br>索引</section></article>
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