専門医のための呼吸器外科の要点と盲点【I】

出版社： 文光堂
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発行日： 2010-05-10
分野： 臨床医学：外科  >  胸部外科学
ISBN： 9784830623288
電子書籍版： 2010-05-10 （第1版第2刷）
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呼吸器外科専門医の質的要望に応える待望の新シリーズ。第I巻では，原発性肺癌を中心に取り上げ，解剖から手技，術後管理まで網羅した。肺癌の外科治療のキモをまとめた。

目次

  • 専門医のための呼吸器外科の要点と盲点【I】

    ―目次―

    I．肺と周辺臓器解剖のKnack & Pitfalls
    　1．肺の解剖
    　2．肺の解剖：肺葉，肺区域の分類とそのランドマーク
    　3．胸腔内の神経の解剖
    　4．胸腔内の大血管・リンパ管の解剖
    　5．リンパ節の解剖
    　6．心臓の解剖
    　7．その他の知っておくべき解剖

    II．原発性肺癌のKnack & Pitfalls
    　1．診断のKnack & Pitfalls
    　　1．肺癌の存在を疑う症状・症候
    　　2．臨床検査値と腫瘍マーカー
    　　3．画像診断の進め方
    　　4．手術を前提とした総合画像診断
    　　5．肺癌の病理
    　2．手術適応決定のKnack & Pitfalls
    　　1．組織型と病期に基づいた手術適応の決定
    　　2．病期が決定できない時，どのような方針が成り立つか？
    　　3．確定診断の得られていない場合：
    　　　　画像上肺癌が疑われる時どう対処するか？
    　　4．身体機能からみた手術適応の決定
    　　5．年齢からみた手術適応の決定
    　3．術前管理のKnack & Pitfalls
    　　1．必要な検査項目
    　　2．必須処置一覧
    　　3．呼吸機能低下例の術前管理
    　　4．その他，高リスク患者の術前管理
    　　5．インフォームドコンセント
    　4．肺切除一般手技のKnack & Pitfalls
    　　1．肺切除の必須アイテム
    　　2．麻酔と術中管理
    　　3．開胸方法
    　　4．閉胸方法
    　　5．VATSによるアプローチ─開胸方法として
    　　6．気管支断端の処理
    　　7．血管処理
    　　8．肺の剥離，切離，縫合方法
    　　9．リンパ節郭清
    　5．肺切除術式別のKnack & Pitfalls
    　　1．肺葉切除術
    　　2．肺全摘術
    　　3．区域切除術
    　　4．部分切除術
    　　5．胸腔ドレナージ
    　6．肺切除特殊手技のKnack & Pitfalls
    　　1．気管・気管支形成術
    　　2．肺尖部胸壁浸潤癌（Pancoast腫瘍）
    　　3．胸膜・胸壁合併切除
    　　4．心膜合併切除
    　　5．横隔膜合併切除
    　　6．左房合併切除
    　　7．上大静脈合併切除
    　　8．大動脈合併切除
    　　9．Completion pneumonectomy
    　　10．心嚢ドレナージ

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