ID 84164
Title Transcription
ゲカ ニオケル イノベーション
Title Alternative
Innovation in surgery
Author
Tangoku, Akira Department of Oncological and Regenerative Surgery, Institute of Health Bioscience, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
less invasive surgery
breast conserving therapy
mediastinoscope assited esophagectomy
sentinel lymph node biopsy
CT lymphography
Content Type
Journal Article
Description
Patients have been relieved from pain by general anesthesia and postoperative mortality has also improved by sterilization in 19th century. Progress in surgical technology improved the patient’ s quality of life. Transthoracic en bloc esophagectomy(TTE)with three-field lymph node dissection is a radical strategy for treatment of esophageal cancer, but the morbidity and mortality are still substantial. With the mediastinoscope, esophagectomy was performed safely under direct vision. There was only a small amount of bleeding, and surgical time was short. Little morbidity and no deaths were recorded.
Total mastectomy and pectoral muscle resection with en bloc axillar lymphadenectomy(Halsted operation)has been the gold standard of breast cancer treatment. Now breast conserving operation with sentinel lymph node biopsy(SLNB)has been becoming the new standard.
We developed a three-dimensional computed tomography lymphography(3D CT-LG)technique with commercially available iopamidol. Preoperative 3D CT-LG performed in patients with breast cancer and superficial esophageal cancer accurately depicted the lymph vessels and the SLNs in all patients. CT-LG allowed accurate direction of the lymph flow and SLN localization by quickly and adequately visualizing the direct connection between the SLN and its afferent lymphatic vessels on detailed cross-sectional images of lymphatic anatomy during the routine CT scan to evaluate distant metastases, thus resulting in successful SLN navigation with saving time and cost.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Volume
63
Issue
1-2
Start Page
32
End Page
39
Sort Key
32
Published Date
2007-04-25
Remark
FullText File
language
jpn
departments
Medical Sciences