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今回YCOG2003 試験の結果をAnnals of Surgical Oncologyに掲載していただきました。 JCOG0110試験で大弯に浸潤のない上部胃癌では脾温存群が脾摘群と比較して生存期間の非劣性を示し、合併症発生率と出血量が少なかったことから同症例に対する脾摘は推奨されておりませんでした。 しかしながら大弯浸潤を伴う上部胃癌に対する脾摘はcontroversialで、リンパ節転移頻度の高さから脾摘を推奨する報告も散見されました。 今回私は「術前のCTで脾門リンパ節が腫大していない症例に対する予防的脾摘は必要なのか」というクリニカル・クエスチョンを明らかにするためにYCOG2003 研究を行いました。 Assembly (mota) of the fast flux test facility (fftf) 従来の新JIS(回転球体法)による避雷設備保護範囲は2次元の検討で、設計には経験による専門的知見が必要である。 清水建設は、デジタルゼネコンのトップランナーを目指し本取組の活用範囲の拡大と充実化を図るとともに、世の中の動向を踏まえたうえで、「一般化」に向け、活動の場を広げていきます。 本日は、ご清聴いただきありがとうございました。 Autodesk およびオートデスクのロゴは、米国およびその他の国々におけるAutodesk, Inc. およびその子会社または関連会社の登録商標または商標です。 その他のすべてのブランド名、製品名、または商標は、それぞれの所有者に帰属します。
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