雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

How to Determine Resection Area for Gastric Cancer Based on Endoscopic Findings Kunio Takagi 1 , Hirotoshi Ohta 1 1Department of Surgery, Cancer Institute Hospital Keyword: 胃癌の切除範囲 , 胃内視鏡診断 , 粘膜内浸潤 , 点墨法 , 口側浸潤範囲 , 右側臥位 pp.281-290
Published Date 1990/3/25
DOI https://doi.org/10.11477/mf.1403110409
  • Abstract
  • Look Inside
  • Cited by

 Validity of endoscopic findings was examined with respect to determining resection area for gastric cancer.

 In patients with intramucosal invasion, dye-spraying method and black ink injection method with application of biopsy were useful in determining resection area.

 It was mandatory to preoperatively define the area of mucosal invasion on the oral side in order to obtain an adequate margin in patients with early cancer in the parts of middle and the lower body of the stomach in particular.

 When there is an invasion below the submucosa, right decubitus view, which expands upper portion of the stomach, should be combined with left decubitus view because defining endoscopically invasion on the oral side is occasionally difficult in patients with Borrmann 4 cancer (including linitis plastica type) occupying the lower body through the antrum.

 Discussion was also made regarding esophageal invasion and multiple lesion in the stomach.

 Localized reddish mucosal lesion was a particularly useful finding in endoscopic examination of the upper portion of the stomach.


Copyright © 1990, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有