下部胆道癌（下部胆管癌・十二指腸乳頭部癌）に対する腹腔鏡下手術
下部胆道癌に対する腹腔鏡（補助）下手術としては膵頭十二指腸切除術やバイパス手術，経十二指腸的乳頭切除術等が行われている．国内外の文献を参考にこれらの手術の現況をまとめた．近年次第に普及しつつある腹腔鏡下膵頭十二指腸切除術については，多数の症例での比較的良好な成績が海外から報告されており，少なくとも低侵襲性の面では患者に利益をもたらす術式として今後普及する可能性がある．しかし，これらの報告では2群リンパ節郭清や胆管切除範囲など本邦でしばしば議論される根治性に関わる面でのfeasibilityの検討が十分ではない．一方，腹腔鏡下手術は開腹下手術と比較して難易度が高く手術時間も超過しやすいことから手...
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| Published in | 胆道 Vol. 28; no. 1; pp. 66 - 72 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本胆道学会
2014
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0914-0077 1883-6879 |
| DOI | 10.11210/tando.28.66 |
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| Abstract | 下部胆道癌に対する腹腔鏡（補助）下手術としては膵頭十二指腸切除術やバイパス手術，経十二指腸的乳頭切除術等が行われている．国内外の文献を参考にこれらの手術の現況をまとめた．近年次第に普及しつつある腹腔鏡下膵頭十二指腸切除術については，多数の症例での比較的良好な成績が海外から報告されており，少なくとも低侵襲性の面では患者に利益をもたらす術式として今後普及する可能性がある．しかし，これらの報告では2群リンパ節郭清や胆管切除範囲など本邦でしばしば議論される根治性に関わる面でのfeasibilityの検討が十分ではない．一方，腹腔鏡下手術は開腹下手術と比較して難易度が高く手術時間も超過しやすいことから手技面でのfeasibilityは単純化によって高くなるため，腹腔鏡下膵頭十二指腸切除術が安全に普及するにはこれら2つのfeasibilityがバランス良く両立する範囲を明確にする必要がある． |
|---|---|
| AbstractList | 下部胆道癌に対する腹腔鏡（補助）下手術としては膵頭十二指腸切除術やバイパス手術，経十二指腸的乳頭切除術等が行われている．国内外の文献を参考にこれらの手術の現況をまとめた．近年次第に普及しつつある腹腔鏡下膵頭十二指腸切除術については，多数の症例での比較的良好な成績が海外から報告されており，少なくとも低侵襲性の面では患者に利益をもたらす術式として今後普及する可能性がある．しかし，これらの報告では2群リンパ節郭清や胆管切除範囲など本邦でしばしば議論される根治性に関わる面でのfeasibilityの検討が十分ではない．一方，腹腔鏡下手術は開腹下手術と比較して難易度が高く手術時間も超過しやすいことから手技面でのfeasibilityは単純化によって高くなるため，腹腔鏡下膵頭十二指腸切除術が安全に普及するにはこれら2つのfeasibilityがバランス良く両立する範囲を明確にする必要がある． |
| Author | 小林, 信 坂元, 克考 倉田, 昌直 神澤, 輝実 本田, 五郎 奥田, 雄紀浩 |
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| References | 3) Cho A, Yamamoto H, Nagata M, et al. Laparoscopic major hepato-biliary-pancreatic surgery: formidable challenge to standardization. J Hepatobiliary Pancreat Surg 2009; 16: 705-710 14) Balzano G, Zerbi A, Capretti G, et al. Effect of hospital volume on outcome of pancreaticoduodenectomy in Italy. Br J Surg 2008; 95: 357-362 21) Tang CN, Siu WT, Ha JP, et al. Endo-laparoscopic approach in the management of obstructive jaundice and malignant gastric outflow obstruction. Hepatogastroenterology 2005; 52: 128-134 24) Shaw JM, Bornman PC, Krige JE, et al. Self-expanding metal stents as an alternative to surgical bypass for malignant gastric outlet obstruction. Br J Surg 2010; 97: 872-876 29) Rosen M, Zuccaro G, Brody F. Laparoscopic resection of a periampullary villous adenoma. Surg Endosc 2003; 17: 1322-1325 5) Honda G, Kurata M, Okuda Y, et al. A novel device for pancreaticojejunostomy via a pure laparoscopic approach. J Am Coll Surg 2013; 216: e73-76 25) Del Piano M, Ballarè M, Montino F, et al. Endoscopy or surgery for malignant GI outlet obstruction? Gastrointest Endosc 2005; 61: 421-426 20) Pomianowska E, Westgaard A, Mathisen Ø, et al. Prognostic relevance of number and ratio of metastatic lymph nodes in resected pancreatic, ampullary, and distal bile duct carcinomas. Ann Surg Oncol 2013; 20: 233-241 19) Ito K, Ito H, Allen PJ, et al. Adequate lymph node assessment for extrahepatic bile duct adenocarcinoma. Ann Surg 2010; 251: 675-681 17) Kayahara M, Nagakawa T, Ohta T, et al. Role of nodal involvement and the periductal soft-tissue margin in middle and distal bile duct cancer. Ann Surg 1999; 229: 76-83 23) Moss AC, Morris E, Leyden J, et al. Malignant distal biliary obstruction: a systematic review and meta-analysis of endoscopic and surgical bypass results. Cancer Treat Rev 2007; 33: 213-221 12) Horiguchi A, Uyama I, Miyakawa S. Robot-assisted laparoscopic pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci 2011; 18: 287-291 22) Han HS, Yi NJ. Laparoscopic Roux-en-Y choledochojejunostomy for benign biliary disease. Surg Laparosc Endosc Percutan Tech 2004; 14: 80-84 2) Nakamura Y, Uchida E, Nomura T, et al. Laparoscopic pancreatic resection: some benefits of evolving surgical techniques. J Hepatobiliary Pancreat Surg 2009; 16: 741-748 10) Palanivelu C, Rajan PS, Rangarajan M, et al. Evolution in techniques of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center. J Hepatobiliary Pancreat Surg 2009; 16: 731-740 15) Ammori BJ, Ayiomamitis GD. Laparoscopic pancreaticoduodenectomy and distal pancreatectomy: a UK experience and a systematic review of the literature. Surg Endosc 2011; 25: 2084-2099 11) Kim SC, Song KB, Jung YS, et al. Short-term clinical outcomes for 100 consecutive cases of laparoscopic pylorus-preserving pancreatoduodenectomy: improvement with surgical experience. Surg Endosc 2013; 27: 95-103 1) Gagner M, Pomp A. Laparoscopic pulorus-preserving pancreaticoduodenectomy. Surg Endosc 1994; 8: 408-410 4) Kuroki T, Tajima Y, Kitasato A, et al. Pancreas-hanging maneuver in laparoscopic pancreaticoduodenectomy: a new technique for the safe resection of the pancreas head. Surg Endosc 2010; 24: 1781-1783 28) Yamao T, Isomoto H, Kohno S, et al. Endoscopic snare papillectomy with biliary and pancreatic stent placement for tumors of the major duodenal papilla. Surg Endosc 2010; 24: 119-124 6) Lee JS, Han JH, Na GH, et al. Laparoscopic pancreaticoduodenectomy assisted by mini-laparotomy. Surg Laparosc Endosc Percutan Tech 2013; 23: e98-e102 8) Asbun HJ, Stauffer JA. Laparoscopic vs Open Pancreaticoduodenectomy: Overall Outcomes and Severity of Complications Using the Accordion Severity Grading System. J Am Coll Surg 2012; 215: 810-819 16) 日本胆道外科研究会 編. 胆道癌取扱い規約第5版. 東京: 金原出版, 2003: 15-47 30) Honda G, Kurata M, Matsumura H, et al. Laparoscopy-assisted transduodenal papillectomy. Dig Surg 2010; 27: 123-126 18) Mizuno T, Ishizaki Y, Ogura K, et al. Clinical significance of immunohistochemically detectable lymph node metastasis in adenocarcinoma of the ampulla of Vater. Br J Surg 2006; 93: 221-225 7) Corcione F, Pirozzi F, Cuccurullo D, et al. Laparoscopic pancreaticoduodenectomy: experience of 22 cases. Surg Endosc 2013; 27: 2131-2136 26) Kondo S, Takada T, Miyazaki M, et al. Guidelines for the management of biliary tract and ampullary carcinomas: surgical treatment. J Hepatobiliary Pancreat Surg 2008; 15: 41-54 9) Kendrick ML, Cusati D. Total laparoscopic pancreaticoduodenectomy: feasibility and outcome in an early experience. Arch Surg 2010; 145: 19-23 13) Hill JS, Zhou Z, Simons JP, et al. A simple risk score to predict in-hospital mortality after pancreatic resection for cancer. Ann Surg Oncol 2010; 17: 1802-1807 27) 太田岳洋, 樋口亮太, 谷澤武久, ほか. 十二指腸乳頭部癌に対する縮小手術の適応と成績 経十二指腸的乳頭切除術と乳頭部十二指腸部分切除術. 胆と膵 2012; 33: 261-266 |
| References_xml | – reference: 17) Kayahara M, Nagakawa T, Ohta T, et al. Role of nodal involvement and the periductal soft-tissue margin in middle and distal bile duct cancer. Ann Surg 1999; 229: 76-83 – reference: 9) Kendrick ML, Cusati D. Total laparoscopic pancreaticoduodenectomy: feasibility and outcome in an early experience. Arch Surg 2010; 145: 19-23 – reference: 12) Horiguchi A, Uyama I, Miyakawa S. Robot-assisted laparoscopic pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci 2011; 18: 287-291 – reference: 23) Moss AC, Morris E, Leyden J, et al. Malignant distal biliary obstruction: a systematic review and meta-analysis of endoscopic and surgical bypass results. Cancer Treat Rev 2007; 33: 213-221 – reference: 1) Gagner M, Pomp A. Laparoscopic pulorus-preserving pancreaticoduodenectomy. Surg Endosc 1994; 8: 408-410 – reference: 10) Palanivelu C, Rajan PS, Rangarajan M, et al. Evolution in techniques of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center. J Hepatobiliary Pancreat Surg 2009; 16: 731-740 – reference: 7) Corcione F, Pirozzi F, Cuccurullo D, et al. Laparoscopic pancreaticoduodenectomy: experience of 22 cases. Surg Endosc 2013; 27: 2131-2136 – reference: 28) Yamao T, Isomoto H, Kohno S, et al. Endoscopic snare papillectomy with biliary and pancreatic stent placement for tumors of the major duodenal papilla. Surg Endosc 2010; 24: 119-124 – reference: 29) Rosen M, Zuccaro G, Brody F. Laparoscopic resection of a periampullary villous adenoma. Surg Endosc 2003; 17: 1322-1325 – reference: 14) Balzano G, Zerbi A, Capretti G, et al. Effect of hospital volume on outcome of pancreaticoduodenectomy in Italy. Br J Surg 2008; 95: 357-362 – reference: 16) 日本胆道外科研究会 編. 胆道癌取扱い規約第5版. 東京: 金原出版, 2003: 15-47 – reference: 8) Asbun HJ, Stauffer JA. Laparoscopic vs Open Pancreaticoduodenectomy: Overall Outcomes and Severity of Complications Using the Accordion Severity Grading System. J Am Coll Surg 2012; 215: 810-819 – reference: 3) Cho A, Yamamoto H, Nagata M, et al. Laparoscopic major hepato-biliary-pancreatic surgery: formidable challenge to standardization. J Hepatobiliary Pancreat Surg 2009; 16: 705-710 – reference: 27) 太田岳洋, 樋口亮太, 谷澤武久, ほか. 十二指腸乳頭部癌に対する縮小手術の適応と成績 経十二指腸的乳頭切除術と乳頭部十二指腸部分切除術. 胆と膵 2012; 33: 261-266 – reference: 26) Kondo S, Takada T, Miyazaki M, et al. Guidelines for the management of biliary tract and ampullary carcinomas: surgical treatment. J Hepatobiliary Pancreat Surg 2008; 15: 41-54 – reference: 6) Lee JS, Han JH, Na GH, et al. Laparoscopic pancreaticoduodenectomy assisted by mini-laparotomy. Surg Laparosc Endosc Percutan Tech 2013; 23: e98-e102 – reference: 2) Nakamura Y, Uchida E, Nomura T, et al. Laparoscopic pancreatic resection: some benefits of evolving surgical techniques. J Hepatobiliary Pancreat Surg 2009; 16: 741-748 – reference: 15) Ammori BJ, Ayiomamitis GD. Laparoscopic pancreaticoduodenectomy and distal pancreatectomy: a UK experience and a systematic review of the literature. Surg Endosc 2011; 25: 2084-2099 – reference: 4) Kuroki T, Tajima Y, Kitasato A, et al. Pancreas-hanging maneuver in laparoscopic pancreaticoduodenectomy: a new technique for the safe resection of the pancreas head. Surg Endosc 2010; 24: 1781-1783 – reference: 11) Kim SC, Song KB, Jung YS, et al. Short-term clinical outcomes for 100 consecutive cases of laparoscopic pylorus-preserving pancreatoduodenectomy: improvement with surgical experience. Surg Endosc 2013; 27: 95-103 – reference: 5) Honda G, Kurata M, Okuda Y, et al. A novel device for pancreaticojejunostomy via a pure laparoscopic approach. J Am Coll Surg 2013; 216: e73-76 – reference: 22) Han HS, Yi NJ. Laparoscopic Roux-en-Y choledochojejunostomy for benign biliary disease. Surg Laparosc Endosc Percutan Tech 2004; 14: 80-84 – reference: 25) Del Piano M, Ballarè M, Montino F, et al. Endoscopy or surgery for malignant GI outlet obstruction? Gastrointest Endosc 2005; 61: 421-426 – reference: 19) Ito K, Ito H, Allen PJ, et al. Adequate lymph node assessment for extrahepatic bile duct adenocarcinoma. Ann Surg 2010; 251: 675-681 – reference: 18) Mizuno T, Ishizaki Y, Ogura K, et al. Clinical significance of immunohistochemically detectable lymph node metastasis in adenocarcinoma of the ampulla of Vater. Br J Surg 2006; 93: 221-225 – reference: 21) Tang CN, Siu WT, Ha JP, et al. Endo-laparoscopic approach in the management of obstructive jaundice and malignant gastric outflow obstruction. Hepatogastroenterology 2005; 52: 128-134 – reference: 24) Shaw JM, Bornman PC, Krige JE, et al. Self-expanding metal stents as an alternative to surgical bypass for malignant gastric outlet obstruction. Br J Surg 2010; 97: 872-876 – reference: 30) Honda G, Kurata M, Matsumura H, et al. Laparoscopy-assisted transduodenal papillectomy. Dig Surg 2010; 27: 123-126 – reference: 20) Pomianowska E, Westgaard A, Mathisen Ø, et al. Prognostic relevance of number and ratio of metastatic lymph nodes in resected pancreatic, ampullary, and distal bile duct carcinomas. Ann Surg Oncol 2013; 20: 233-241 – reference: 13) Hill JS, Zhou Z, Simons JP, et al. A simple risk score to predict in-hospital mortality after pancreatic resection for cancer. Ann Surg Oncol 2010; 17: 1802-1807 |
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| Snippet | 下部胆道癌に対する腹腔鏡（補助）下手術としては膵頭十二指腸切除術やバイパス手術，経十二指腸的乳頭切除術等が行われている．国内外の文献を参考にこれらの手術の現... |
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| SubjectTerms | PD 内視鏡的乳頭切除術 十二指腸乳頭部癌 胆管癌 腹腔鏡下手術 |
| Title | 下部胆道癌（下部胆管癌・十二指腸乳頭部癌）に対する腹腔鏡下手術 |
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