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膵被膜 膵前筋膜

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膵上縁左側. ＳＡ ＳＶ. 膵被膜 膵前筋膜. 大動脈脚. ②. ③. ①. 無漿膜野. 大動脈脚. 膵後筋膜 Told t Gerota. 膵後筋膜 Told t Gerota. 膵上縁左側. 無漿膜野. 膵被膜 膵前筋膜. 大動脈脚. 膵後筋膜 Told t Gerota. ２層目. 1 層 目. ３層目. 膵上縁左側アプローチ. １層目 膵 被膜 脾 動脈前面. １層目 膵 被膜 脾 動脈前面. ２層目 脾 動脈上面. ３層目. ３層目. 左胃動脈左側の剥離は必ずしも必要なし

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膵被膜 膵前筋膜

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  1. 膵上縁左側 ＳＡ ＳＶ 膵被膜 膵前筋膜 大動脈脚 ② ③ ① 無漿膜野 大動脈脚 膵後筋膜 Toldt Gerota 膵後筋膜 Toldt Gerota

  2. 膵上縁左側 無漿膜野 膵被膜 膵前筋膜 大動脈脚 膵後筋膜 Toldt Gerota ２層目 1層目 ３層目

  3. 膵上縁左側アプローチ １層目 膵被膜 脾動脈前面

  4. １層目 膵被膜 脾動脈前面 ２層目 脾動脈上面

  5. ３層目 ３層目

  6. 左胃動脈左側の剥離は必ずしも必要なし 脾動脈背側から連続して大動脈脚に達する

  7. 大動脈脚 膵後筋膜 Toldt Gerota

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