| Item type |
[ELS]学術雑誌論文 / Journal Article(1) |
| 公開日 |
2017-01-23 |
| タイトル |
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|
タイトル |
Resection of Hepatic Metastasis from Colorectal Cancer : Survival, Factors Influencing Prognosis, and Follow-up |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
YAMASHITA, Kazuki
MIKAMI, Yoshiko
IKEDA, Masaharu
YAMAMURA, Masahiro
KUBOZOE, Tadahiko
YOSHIDA, Kazuhiro
URAKAMI, Atsushi
KIMOTO, Masatoshi
TSUNODA, Tsukasa
ETO, Toshifumi
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| 著者所属(英) |
|
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en |
|
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Department of Surgery, Division of Gastroenterology, Kawasaki Medical School |
| 著者所属(英) |
|
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en |
|
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Department of Surgery, Division of Gastroenterology, Kawasaki Medical School |
| 著者所属(英) |
|
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en |
|
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Department of Surgery, Division of Gastroenterology, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
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Department of Surgery, Division of Gastroenterology, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
|
Department of Surgery, Division of Gastroenterology, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
|
Department of Surgery, Division of Gastroenterology, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
|
Department of Surgery, Division of Gastroenterology, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
|
Department of Surgery, Division of Gastroenterology, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
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Department of Surgery, Division of Gastroenterology, Kawasaki Medical School |
| 著者所属(英) |
|
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|
en |
|
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Department of Surgery, Eto Hospital |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Colorectal cancer |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Follow-up |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Hepatic resection |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Liver metastasis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Prognostic factors |
| 抄録(英) |
|
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|
en |
|
|
The purpose of this retrospective study was to analyze the surgical results of hepatic resection in our patients with colorectal hepatic metastasis. During a 26-year period, 223 patients among 1,484 patients with colorectal cancer suffered liver metastasis. In 44 curatively resected patients, the one-, three- and five-year cumulative survival rates were 85.9%, 44.9% and 23.0%, respectively. The prognostic importance of seven factors was evaluated. Synchronous or metachronous resection, the type of liver resection, and histologic differentiation did not influence the prognosis, whereas the number and size of metastases, and lymph node involvement did significantly affect prognosis as single factors. The mean diameter of metastatic lesions in the liver was 2.5 cm in the synchronous group and 4.5 cm in the metachronous group, the difference being significant (p = 0.0005). The presence of tumors with large diameters in the metachronous group might mean our failure of early detection of the recurrence of hepatic metastases. It is necessary to make steady efforts such as introducing regular follow-up imaging of colorectal cancer. The median interval between the primary operation and liver metastasis resection was 15.7 months in the lymph node involvement group and 37.7 months in the no lymph node involvement group. In 19 patients among 21 metachronously resected patients, the hepatic resection was done within three years. In conclusion, it was considered that hepatectomy could be done safely, that detection of an earlier lesion could improve the surgical results, and that follow-up for liver metastasis should be done intensively between 12 and 36 months after colorectal cancer surgery. |
| 書誌情報 |
en : Kawasaki medical journal
巻 27,
号 3･4,
p. 99-112,
発行日 2001
|
| URL |
|
|
識別子 |
http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2001en/27(3.4)99-112.2001.pdf |
|
識別子タイプ |
URI |
| DOI |
|
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|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.11482/KMJ27(3.4)99-112.2001.pdf |
| ISSN |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
0385-0234 |
| ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
2434-3404 |
| 雑誌書誌ID |
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|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA00710169 |
| 雑誌書誌ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12029005 |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
KJ00001983887.pdf (865.3 kB)
