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- W2321578690 abstract "肝切除後良性胆管狭窄は3～5%に伴い,治療に難渋する.今回,大腸腫瘍肝転移に対する拡大肝右葉切除後の良性胆管狭窄に自己拡張型金属ステント(EMS)留置が有効であった1例を経験した.症例は71歳,女性.直腸癌・回盲部癌・巨大肝転移のため低位前方切除・結腸右半切除・拡大肝右葉切除施行された.術前術後に総量約170gのフッ化ピリミジンを投与された.外来経過観察中,肝機能はしばしば変動していた.術後3年経過時GOT 206 (IU/L), GPT 113 (IU/L), T-bil 5.1 (mg/dl)と肝機能悪化を認めた.腹部CT・US検査で著明な肝内胆管拡張を認めたが肝転移・肝門部リンパ節転移は認めず.経皮的ドレナージ施行時に総胆管左肝内胆管移行部に強度狭窄を認めた.バルーン拡張術では一時的に改善するも再狭窄するため, EMSを留置し奏効した." @default.
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- W2321578690 date "2004-01-01" @default.
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- W2321578690 title "SUCCESSFUL PLACEMENT OF AN EXPANDABLE METALLIC STENT FOR BENIGN BILE DUCT STRICTURES AFTER EXTENDED RIGHT HEPATECTOMY" @default.
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- W2321578690 doi "https://doi.org/10.3919/jjsa.65.1342" @default.
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