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Superchargeを付加した腹直筋皮弁を用いた乳房再建
https://doi.org/10.14999/1521.00013124
https://doi.org/10.14999/1521.000131249c564d31-3776-47fb-8a5c-b39d54e3b36d
名前 / ファイル | ライセンス | アクション |
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jsums3501p001 (1.0 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2021-11-16 | |||||
タイトル | ||||||
タイトル | Superchargeを付加した腹直筋皮弁を用いた乳房再建 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Supercharging Abdominal Rectus Musculocutaneous Flap in Breast Reconstruction | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 乳房再建 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 人工乳房 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 腹直筋皮弁 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | TRAM | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | VRAM | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | supercharge | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | DIEP | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Supercharge | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | TRAM flap | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | VRAM flap | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | breast reconstruction | |||||
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 | departmental bulletin paper | |||||
ID登録 | ||||||
ID登録 | 10.14999/1521.00013124 | |||||
ID登録タイプ | JaLC | |||||
タイトル(ヨミ) | ||||||
その他のタイトル | Supercharging オ フカシタ フクチョクキン ヒベン オ モチイタ ニュウボウ サイケン | |||||
著者 |
岡野, 純子
× 岡野, 純子× 鈴木, 義久× 荒川, 篤宏× 荻野, 秀一× 河合, 由紀× 冨田, 香× 北村, 美奈× 山口, 剛× 谷, 眞至 |
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著者別名 |
OKANO, Junko
× OKANO, Junko× SUZUKI, Yoshihisa× ARAKAWA, Atsuhiro× OGINO, Shuichi× KAWAI, Yuki× TOMIDA, Kaori× KITAMURA, Mina× YAMAGUCHI, Tsuyoshi× TANI, Masaji |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 2013年以降、乳がん全摘後に保険適応となった人工ゲル充填乳房を用いた乳房再建術のまれな合併症として、T細胞型非ホジキンリンパ腫が報告され、同タイプの人工ゲル充填乳房は使用できなくなった。これを受けて、当院では自家組織を用いた乳房再建の症例が増加している。ボリュームのある乳房の場合、腹部を用いた有茎腹直筋皮弁、遊離皮弁が選択されることが多い。有茎皮弁では上腹壁動静脈を血管茎とするが、腹直筋の血行は深下腹壁動静脈優位のため血行が不十分と考えられる硬結が術後に生じることがある。これを改善するため、当科では可能な限り深下腹壁動静脈を胸部のレシピエント血管に吻合してsuperchargeを行い、血行の増強に努めている。遊離皮弁と異なり、皮弁の自由度が制限されるため血管吻合がやや困難であるが、術後は柔らかい乳房が再現されることが期待できる。 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | With the onset of insurance coverage in 2013, implant-based techniques had been popular for breast reconstruction in Japan until fairly recently. However, possible complications of non-Hodgkin’s lymphoma caused by implant materials led a recall of textured-typed implants for breast reconstruction. Such situation led patients head for breast reconstruction using autologous tissue. In case of well-developed breasts, either rectus abdominal musculocutaneous flap or deep inferior epigastric perforator flap is frequently selected for breast reconstruction. The former flap is well-vascularized but rectus abdominal muscle is used to transpose the flap, which could cause the herniation of the abdominal wall as a complication at late-stage. In the latter flap, since abdominal fat tissue is used, reconstructed breasts are similar to original breasts, while operation periods are relatively long in order to anastomose vessels under microscopy. Besides, thrombosis in anastomosed vessels could cause the total necrosis of reconstructed breasts. To overcome the disadvantages of the both methods, rectus abdominal musculocutaneous flaps anastomosed with vessels in the recipient region (i.e., Supercharged flap) have been developed. Here, we will describe seven cases with supercharged flaps to reconstruct breasts performed in our hospital. |
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書誌情報 |
滋賀医科大学雑誌 巻 35, 号 1, p. 1-6, 発行日 2021-11-10 |
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出版者 | ||||||
出版者 | 滋賀医科大学雑誌編集委員会 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | http://doi.org/10.14999/1521.00013124 | |||||
関連名称 | http://doi.org/10.14999/1521.00013124 | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | ||||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | Departmental Bulletin Paper |