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- W2320660813 abstract "今回，我々は膵頭十二指腸切除術（pancreaticoduodenectomy；以下，PDと略記）を施行した肝硬変（liver cirrhosis；以下，LCと略記）合併症例2例を報告する．（症例1）74歳の男性（B型肝炎でChild-Pugh 6点（Grade A））で，下部胆管癌症例であった．術後8日目に上腸間膜静脈内血栓を生じ，術後15か月でChild Pugh score 7点（Grade B），肝細胞癌に対しTAIを2回施行した．（症例2）77歳の女性（輸血後C型肝炎でChild-Pugh 5点（Grade A））で，ファーター乳頭部癌にて PD，脾臓摘出術を施行した．術後約2か月間全身管理に難渋，術後12か月で Child Pugh score 8点（Grade B），難治性腹水を生じた．LC合併症例にPDを施行する際，術中出血量増加，門脈血栓，LCの非代償化など重篤な合併症が生じる可能性あり，手術適応に対する慎重な判断と注意深い術後管理が必要と考えられた．" @default.
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- W2320660813 date "2013-01-01" @default.
- W2320660813 modified "2023-10-16" @default.
- W2320660813 title "Two Cases of Pancreaticoduodenectomy in Cirrhotic Patients" @default.
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- W2320660813 doi "https://doi.org/10.5833/jjgs.2012.0272" @default.
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