著者
Oshiro Yukio Sasaki Ryoko Takeguchi Takaya Ibukuro Kenji Ohkohchi Nobuhiro
出版者
Springer Japan
雑誌
Journal of hepato-biliary-pancreatic sciences (ISSN:18686974)
巻号頁・発行日
vol.20, no.6, pp.639-646, 2013-08
被引用文献数
4

Background/purposeTo date there have been only a few radiological studies of the caudate artery. This study aimed to precisely analyze the caudate artery as well as the relationship between the caudate arteries, the arterial plexus at the hilar plate, and the hilar bile duct.MethodsReconstructed three-dimensional (3D) computed tomography images from 50 patients during hepatic arteriography were analyzed. The caudate arteries were classified as right branches (Irs) or left branches (Ils). The communicating artery (CA) was defined as the artery connecting the right, left, segmental, and common hepatic arteries.ResultsThe caudate artery was divided into 3 types: an independent branch (Type 1); the common tract formed by Ir and Il (Type 2); and an arterial branch from the CA (Type 3). The CA was recognized in 25 of 50 patients. There was a total of 65 arteries to the hilar bile duct observed in 40 patients, and 24 (37 %) of these 65 arteries to the hilar bile duct originated from the caudate artery or CA.ConclusionThe caudate artery plays an important role not only in connecting the blood supply of the right and left livers but in the blood supply to the hilar bile duct.
著者
MURATA Atsuhiko MATSUDA Shinya KUWABARA Kazuaki FUJINO Yoshihisa KUBO Tatsuhiko FUJIMORI Kenji HORIGUCHI Hiromasa
出版者
Japan Society of Health Support Science
雑誌
Journal of hepato-biliary-pancreatic sciences (ISSN:18686974)
巻号頁・発行日
vol.18, no.1, pp.53-59, 2011-01-01
被引用文献数
10

BACKGROUND: Cancer has been the leading cause of death in Japan since 1981 and the number of cancer deaths in 2010 in Japan was about 354,000. In 2002, The Japanese government has introduced the casemix based evaluation system. This made it possible to use the casemix database for the evaluation of clinical process of cancer treatment. We tried to describe the treatment process of uterus cancer among the Japanese acute care hospitals. MATERIAL AND METHOD: We have extracted 36,490 uterus cancer cases from the DPC database (1st July 1 2010 to 31st October 2010). Using this dataset, we have described the cases according to age category, cancer stage and contents of treatment. RESULTS: Among all cases, cervical cancer cases were 14,498, corpus cancer cases were 15,322 and other types (including unknown) were 6,670. Both corpus and cervical cancer, stage 1 is the most frequent for primary cases. For recurrent cases of corpus cancer, stage 3 was the most frequent (34%) and for cervical cancer, stage 2 was the most frequent (29%). In both case of corpus and cervical cancer, the most frequent regimen was "carboplatin + paclitaxel". CONCLUSION: By using DPC data, it is possible to describe the treatment process of uterus cancer among the Japanese acute care hospitals. If it become to be possible to combine DPC database with other large scale clinical data, it will be an important information resource to complement such clinical database.<br>