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- W2335275327 abstract "症例は65歳，男性．1995年より腎囊胞による腎不全に対して血液透析を導入していた．2006年より膵鉤部に単発の囊胞性病変を指摘され，2010年には30mm大と膵囊胞の増大および囊胞内部に充実性成分を認めた．膵液細胞診はClass 3で膵管内乳頭粘液性腫瘍と診断し，切除を予定したが術前評価にて大動脈弁最大圧較差63mmHgの大動脈弁狭窄症を認めたため，大動脈弁置換術を先行させた．開心術後75日目に，膵頭十二指腸切除術を施行した．病理組織学的検査所見は，分枝型膵管内乳頭粘液性腺癌（非浸潤癌）であった．術後２日目より血液透析を再開し，術後合併症を認めず，術後37日目に軽快退院した．現在，術後約２年２カ月が経過し再発なく日常生活に復している．長期血液透析患者に対して，十分な術前評価，厳重な周術期管理を行うことで，膵頭十二指腸切除術においても安全に施行できると考える．" @default.
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- W2335275327 date "2014-01-01" @default.
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- W2335275327 title "Pancreaticoduodenectomy for Intraductal Papillary Mucinous Neoplasm in Chronic Hemodialysis-Patient Complicated with Severe Aortic Valve Stenosis: A Case Report" @default.
- W2335275327 doi "https://doi.org/10.4030/jjcs.39.125" @default.
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