type: misc

label: url

en: 膵・胆管合流異常と胆道癌(特集 慢性炎症から肝胆膵癌にいたるランドスケープ)

ja: 膵・胆管合流異常と胆道癌(特集 慢性炎症から肝胆膵癌にいたるランドスケープ)

en: KAN TAN SUI

ja: 肝·胆·膵


en: 【技術認定取得医が解説する高難度内視鏡外科手術】先天性横隔膜ヘルニア手術(胸腔鏡)

en: Japanese Journal of Pediatric Surgery

ja: 小児外科


en: 【先天性胆道拡張症の最前線】 先天性胆道拡張症における胆道癌の発癌機序

ja: 【先天性胆道拡張症の最前線】 先天性胆道拡張症における胆道癌の発癌機序

en: Journal of Biliary Tract & Pancreas

ja: 胆と膵


en: 【先天性胆道拡張症の最前線】 先天性胆道拡張症の診療ガイドライン

ja: 【先天性胆道拡張症の最前線】 先天性胆道拡張症の診療ガイドライン


en: 【小児外科 ディベート対決(日常よくみる疾患)】 鼠径ヘルニアの手術 LPEC

ja: 【小児外科 ディベート対決(日常よくみる疾患)】 鼠径ヘルニアの手術 LPEC


en: 【膵・胆管合流異常の診断基準の改訂をめぐって】 膵・胆管合流異常の診断の最前線 胆汁中アミラーゼ値


en: 嵌頓にて発症し術後縦隔膿瘍を来したcentral tendon defectの1例

en: Journal of the Japanese Society of Pediatric Surgeons

ja: 日本小児外科学会雑誌


en: 【肝胆膵・術後病態を學ぶ】 膵胆管合流異常・先天性胆道閉鎖症術後 膵胆管合流異常術後発癌の特徴


en: 【膵・胆管合流異常の最前線】 全国集計からみた膵・胆管合流異常

ja: 【膵・胆管合流異常の最前線】 全国集計からみた膵・胆管合流異常

en: 日本消化器病学会雑誌

ja: 日本消化器病学会雑誌


en: One-stop shop for 3-dimensional anatomy of hepatic vasculature and bile duct with special reference to biliary image reconstruction.

en: Three-dimensional CT has become an essential tool for successful hepatic surgery. Up to now, efforts have been made to simultaneously visualize hepatic vasculature and bile ducts. Herein, we introduce a new one-stop shop approach to hepatic 3D-anatomy, using a standard enhanced MDCT alone. A 3D-reconstruction of hepatic vasculature was made using data from contrast enhanced MDCT and SYNAPSE VINCENT software. We identified bile ducts from axial 2D image, and then reconstructed the 3D image. Both hepatic vasculature and bile duct images were integrated into a single image and it was compared with the 3D image, utilized with MRCP or DIC-CT. The first branches of both the right and left hepatic ducts were hand-traced and visualized for all 100 cases. The second branches of these ducts were visualized in 69 cases, and only the right second branch was recognized in 52 cases. Anomalous variations of bile ducts, such as posterior branch joining into common hepatic duct, were recognized in 12 cases. These biliary tract variations were all confirmed by MRCP or DIC-CT. Our new one-stop shop approach using the 3D imaging technique might contribute to successful hepatectomy as well as reduce medical costs and radiation exposure by omission of MRCP and DIC-CT.

en: Hepato-Gastroenterology

ja: Hepato-Gastroenterology


en: A challenge to ECFMG certification : An experience and difficulties of Japanese examinee

ja: 若手小児外科医のECFMG certificate取得への挑戦∼米国小児外科臨床留学を目指して∼

en: Recently, many Japanese pediatric surgeons undertake clinical training abroad, especially in the United States of America (USA) which is one of the most attractive country for advanced clinical training. Since the Japanese government introduced a 2-year mandatory residency program in 2004, it has become more and more important for busy Japanese residents to spent time efficiently in order to achieve ECFMG (Educational Commission For Foreign Medical Graduates) certification. ECFMG certification requires residents to pass both Step 1 and 2 of the United States Medical License Examination (USMLE). It is especially difficult to pass step2 CS (Clinical Skills) for many Japanese who are unfamiliar with the English language. For example, one of authors started to study for the USMLE in the 6th grade of the Japanese Medical School (MS4), passed step1 and step2 CK (Clinical Knowledge) during the 2-year mandatory intensive rotating residency program, and passed Step2 CS on the 3rd attempt during the general surgery residency program. This shows that a Japanese examinee can pass the ECFMG certificate even during a busy rotating residency program.

en: Shikoku Acta Medica

ja: 四国医学雑誌


en: 【膵・胆管合流異常アップデート】膵・胆管合流異常の全国集計 成人の特徴

ja: 【膵・胆管合流異常アップデート】膵・胆管合流異常の全国集計 成人の特徴


en: 【プロが見せる手術シリーズ(2):難易度の高い消化管手術】胃食道分離術

ja: 【プロが見せる手術シリーズ(2):難易度の高い消化管手術】胃食道分離術


en: Clinical features of pancreaticobiliary maljunction: update analysis of 2nd Japan-nationwide survey.

en: Pancreaticobiliary maljunction (PBM) is a congenital anomaly, which can be defined as a union of the pancreatic and biliary ducts located outside off the duodenal wall. We herein investigate clinical features of PBM including as the 2nd report of a Japanese nationwide survey. During a period of 18 years (from 1990 to 2007), 2,561 patients with PBM were registered at 141 medical institutions in Japan. Among them, eligible patients (n = 2,529) were divided into two groups: adult (n = 1,511) and pediatric patients (n = 1,018). Comparisons of clinical features including associated biliary cancers were performed according to the biliary dilatation (BD), age factor, and time era. Only one case in pediatric patients with BD combined with a bile duct cancer (0.1 %). In adult patients, the bile duct cancer and the gallbladder cancer was seen in 6.9 and 13.4 % patients with BD and in 3.1 and 37.4 % patients without BD, respectively. In adult patients with BD, the occurrence rates of biliary cancers were increased in latter period (00'-07') compared with former period (90'-99'). The ratio of biliary cancer localization was changed between former and latter period, and the bile duct cancer was increased in latter period (from 5.5 to 9.3 %). The largest series of PBM were evaluated to clarify the clinical features including the associated biliary cancer in this Japan-nationwide survey. This report could be widely used in the future as a reference data for diagnosis and treatment of PBM.

en: Journal of Hepato-Biliary-Pancreatic Sciences


en: 【膵・胆管合流異常アップデート】膵・胆管合流異常と胆道癌

ja: 【膵・胆管合流異常アップデート】膵・胆管合流異常と胆道癌


en: 鼠径ヘルニア (特集 小児腹部疾患における開腹手術と鏡視下手術の現状)

ja: 鼠径ヘルニア (特集 小児腹部疾患における開腹手術と鏡視下手術の現状)

en: Pediatrics of Japan

ja: 小児科


en: 【膵・胆管合流異常診療ガイドラインを巡る残された問題点】 非拡張型膵・胆管合流異常の胆管癌発生頻度を巡る問題点


en: Hepatic epithelioid angiomyolipoma with arterioportal venous shunting mimicking hepatocellular carcinoma : report of a case.

en: A patient with hepatic epithelioid angiomyolipoma (Epi-AML) with arterioportal venous shunting, who was successfully treated by a laparoscopic left lateral sectionectomy, is presented herein. AML is an uncommon benign neoplasm of the liver. Tumors composed predominantly of epithelioid cells have been subcategorized into Epi-AML, and the treatment strategy for Epi-AML is currently undetermined. There are no reports describing Epi-AML with arterioportal venous shunting to date. An arterioportal venous shunting of the liver tumor was suggested to be one of the malignant signs of the liver tumor. It would be important to differentiate Epi-AML with arterioportal venous shunting from hepatocellular carcinoma and hypervascular metastatic tumors. Minimally invasive resection, such as laparoscopic hepatectomy, for patients having Epi-AML with arterioportal venous shunting may be recommended.

en: The Journal of Medical Investigation : JMI


en: Hilar cholangiocarcinoma accompanied by pancreaticobiliary maljunction without bile duct dilatation 20 years after cholecystectomy: report of a case

en: Pancreaticobiliary maljunction (PBM) is associated with the occurrence of biliary cancer due to pancreatobiliary reflux. From the perspective of carcinogenesis, the treatment for PBM is controversial. We herein report a case of hilar cholangiocarcinoma 20 years after the occurrence of gallbladder cancer. A 75-year-old man was referred to our hospital regarding an obstructive jaundice and bile duct tumor. A cholecystectomy was performed for cholelithiasis on this patient 20 years ago, and cancer in situ was detected. Computed tomography (CT) and endoscopic retrograde cholangiopancreatography (ERCP) revealed a tumor of the portal hepatic region and PBM without dilatation of the bile duct. Adenocarcinoma was detected from bile cytology, and we diagnosed hilar cholangiocarcinoma. Despite the biliary decompression, jaundice was prolonged and the patient passed away. Our case suggests that not only cholecystectomy but also biliary diversion is needed for PBM regardless of the existence of bile duct dilatation.

ja: The Journal of Medical Investigation : JMI


en: クリニカルパスで示す私たちの標準治療 鼠径ヘルニア(腹腔鏡手術)

ja: クリニカルパスで示す私たちの標準治療 鼠径ヘルニア(腹腔鏡手術)