The Journal of the Japan Society for Respiratory Endoscopy

Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137

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Volume 22, Issue 1

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[title in Japanese]

Article type: Cover
2000 Volume 22 Issue 1 Pages Cover1-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_Cover1

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[title in Japanese]

Article type: Cover
2000 Volume 22 Issue 1 Pages Cover2-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_Cover2

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[title in Japanese]

Article type: Appendix
2000 Volume 22 Issue 1 Pages App1-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_App1

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[title in Japanese]

Article type: Appendix
2000 Volume 22 Issue 1 Pages App2-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_App2

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[title in Japanese]

Article type: Index
2000 Volume 22 Issue 1 Pages Toc1-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_Toc1

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[title in Japanese]

Article type: Index
2000 Volume 22 Issue 1 Pages Toc2-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_Toc2

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[title in Japanese]

[in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 2-3
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_2

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[title in Japanese]

[in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 4-5
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_4

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[title in Japanese]

[in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 6-7
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_6

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Hyaluronic Acid in Bronchoalveolar Lavage Fluid in Patients with Acute Lung Injury

Toshiyuki Katoh, Masaru Iwata, Norio Yoshida, Noritaka Yamada

Article type: Article
2000 Volume 22 Issue 1 Pages 8-13
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_8

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We measured hyaluronic acid (HA) levels in bronchoalveolar lavage (BAL) fluid of 9 patients with acute lung injury. The HA concentrations of these patients were significantly higher than those of control subjects (p=0.0225), and showed a correlation with type IV collagen 7S, which was considered to reflect epithelial basement membrane disruption (r=0.91 ; p=0.0001). Moreover, there was a significant correlation with the percentage of neutrophils in the cellular constituents of BAL fluid (r=0.67 ; p=0.0228). These findings suggest that high concentrations of HA in BAL fluid may reflect the magnitude of lung damage, and that HA may play an important role in acute lung injury.

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Bronchopleural Fistula Following the Use of Automatic Stapling Devices

Hiroshi Saito, Hiroshi Yoshino

Article type: Article
2000 Volume 22 Issue 1 Pages 14-17
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_14

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Closure of bronchi in 326 cases was investigated. Only stapling with an automatic stapling device (TA) was performed in 296 cases (90.8%). Hand suturing and/or covering of the bronchial stump were performed in other cases. Hand suturing closure was performed in 12 cases because the bronchial stumps were too short or thick to close with a TA. Additional hand suturing following TA was performed in 7 cases with intraoperative air leakage (2.2% of TA cases) and 4 cases with destroyed bronchial stump. The bronchial stump was covered with a pedicle flap in 11 cases to prevent fistula. Bronchopleural fistulas occurred in 3 cases (1.0% of TA cases). Bronchus closure with a TA is safe, if it can be used appopriately. The bronchial stump should be covered with an intercostal muscular flap in cases at high risk of bronchial fistula.

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Problems with Super Selective Embolization of Bronchial and Pulmonary Artery by Platinum Coil

Takashi Adachi, Takamasa Onuki, Masahiro Mae, Kunihiro Oyama, Susumu S ...

Article type: Article
2000 Volume 22 Issue 1 Pages 18-22
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_18

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We studied complications and optimum coil numbers cases of hemoptysis in placed by the bronchial or pulmonary artery embolization by platinum coils super-selective catheter method. The subjects were 8 patients (14 embolizations) undergoing bronchial artery embolization and 1 (1 embolization) of pulmonary arteriovenous fistula closure. The number of coils used averaged 2.7 in the recanalized group and 6.3 in the nonrecanalized group. In the tornado type group, an average of 3.0 coils was used, with no recanalization. In artery embolization, using 6 or more spiral or tornado coils was effective. Recurrence was higher in inflammatory pulmonary disease, and detachment occurred more frequently with an approach from the left.

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A Case of Adenoid Cystic Carcinoma in which Endobronchial Ultrasonography was Useful for the Evaluation of the Depth of Bronchial Wall Invasion

Yuka Miyazu, Teruomi Miyazawa, Yasuo Iwamoto, Noriaki Kurimoto

Article type: Article
2000 Volume 22 Issue 1 Pages 23-27
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_23

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We performed endobronchial ultrasonography (EBUS) in a patient with adenoid cystic carcinoma, a low grade malignant tumor of the trachea and bronchi, and obtained ultrasound images useful for the evaluation of the depth of bronchial wall invasion. We treated the tumor by Nd-YAG laser coagulation. A 56-year-old woman who presented with dyspnea had a tumor in the right main bronchus. EBUS via bronchoscopy depicted the tumor as a low echoic mass with the cartilage inside the tumor. Since bronchial wall adventitia appeared unbroken; we thought the tumor in the bronchial wall was outside the cartilage, but within the adventitia. Following endobronchial coring out the tumor after a Nd-YAG laser coagulation, radiotherapy was performed. EBUS was useful not only for evaluation of the depth of invasion but also for real time visualization of the tumor.

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Successful Repair of Combined Disruption of the Trachea, Esophagus and Spinal Cord Following Blunt Chest Trauma : Case Report

Shizuka Kaseda, Junichi Inoue, Kimiyasu Satoh, Ryoichi Katoh

Article type: Article
2000 Volume 22 Issue 1 Pages 28-31
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_28

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A 32-year-old man sustained a long longitudinal rupture of the trachea and injury of the lamina muscularis of the esophagus and spinal cord. Emergency operation was begun under naso-tracheal intubation placed at the proximal portion of the ruptured trachea, and a sterile single-lumen flexible endotracheal tube was then intubated through the ruptured site following postero-lateral thoracotomy. The site was closed with eight interrupted sutures with the endotracheal tube in position, and five further sutures were placed during brief periods of apnea while the endotracheal tube was temporarily extubated. Following an uneventful post-operative course, the patient subsequently underwent anterior spinal fusion with a bone graft.

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Three Dimensional CT Imaging of Congenital Anomalies of Bronchi and Pulmonary Vessels

Shuzo Kohno, Ryuta Amemiya, Yuji Asato, Moriyuki Kiyoshima, Ryota Tana ...

Article type: Article
2000 Volume 22 Issue 1 Pages 32-39
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_32

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We compared angiography or axial images with three dimensional (3D) CT images with regard to congenital anomalies of bronchi and pulmonary vessels. All anomalies were demonstrated by axial helical CT and 3D-CT images. Although efforts are necessary to reconstruct 3D images from conventional axial CT images, 3D-CT images made it easy to recognize the real anatomy especially in cases of polysplenia syndrome that have complex anomalies. Surgeons can do preoperative simulation surgery easily not using these 3D-CT images. This deagnostic examination is less invasive so we conclude we should do spiral CT and make 3D-CT images in cases of anomalies of bronchi and pulmonary vessels.

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A Case of Pulmonary Sarcoidosis with Specific Thoracoscopic Findings

Yasunori Ikeda, Takako Hiyama, Yasutugu Fukushima, Hideo Umezu, Satoru ...

Article type: Article
2000 Volume 22 Issue 1 Pages 40-45
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_40

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A 28-year-old man had an abnormal chest shadow 3 years preveously. Detailed check-up failed to give a definite diagnosis but he received tuberculosis treatment. However, the shadows did not disappear, and continuous cough and bloody sputum also appeared. The patient was then referred to our hospital. Chest X-ray and CT revealed multiple nodular and infiltrative shadows in both lung fields. TBLB, repeated 4 times did not yield a definitie diagnosis. Neither the lymphocyte percentage nor CD4/CD8 ratio in BALF was increased. The serum ACE level was normal but tuberculin test was negative. The results of cytology, fungal tests and general bacterial tests were negative. Lung biopsy under thoracoscopy for differentiation from other granulomatous diseases revealed specific pleural lesions and a diagnosis of sarcoidosis was established pathologically. Thoracoscopy appeared useful for diagnosis of sarcoidosis of the lung and to distinguish it from other diffuse lung diseases.

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A Case of Drug-induced Eosinophilic Pneumonia after Radiotherapy for Breast Cancer

Hiroshi Terasaki, Etsuyo Ogoh, Kiminori Fujimoto, Shigenobu Meno, Rei ...

Article type: Article
2000 Volume 22 Issue 1 Pages 46-50
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_46

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A 59-year-old woman had fever, headache and general fatigue 3 months after left breast irradiation following conservative surgery for breast cancer. On admission, a chest radiograph showed bilateral pulmonary infiltrates in the middle lung field. CT scans revealed patchy consolidation with air bronchogram and ground glass attenuation areas surrounding the consolidation in bilateral lower lobes. These findings suggested BOOP. Analysis of bronchoalveolar lavage fluid showed markedly increased number of lymphocytes and eosinophils. On the other hand, drug lymphocyte stimulation test was positive for some nonsteroidal anti-inflammatory drugs, which the patient tended to overuse. Although, possibility of pneumonitis related to radiation therapy could not be denied, these opacities improved completely after stopping all drugs. Thus the final diagnosis of drug-induced eosinophilic pneumonia was made.

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Bronchial Foreign Body Caused by Aspiration of a Green Bristle Grass Head

Takashi Katsura, Masanori Matsuda, Kazumasa Tanaka, Fumihide Yoshida, ...

Article type: Article
2000 Volume 22 Issue 1 Pages 51-54
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_51

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We report a case of a previously healthy 10-year-old girl who had a foreign body in the bronchus consisting of a green bristle grass head. This patient was admitted to our hospital because of high fever and productive cough. We examined her tracheobronchial tree with flexible bronchoscopy after a diagnosis of obstructive pneumonia in the left upper lobe was established by physical examination, laboratory data, and chest radiograph. There was a green bristle grass head in the left main bronchus. We found that the foreign body had caused obstructive pneumonia in the left upper lobe. The grass head was removed with the bronchoscopy. No bronchial foreign body consisting of a green bristle grass head has even been reported. The patient inhaled the grass head when she played with grass heads and a blowpipe. This case indicates the importance of getting a detailed history in the differential diagnosis of respiratory symptoms in children.

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[title in Japanese]

[in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 55-60
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_55

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[title in Japanese]

[in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 61-63
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_61

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 64-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_64_1

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[title in Japanese]

[in Japanese], [in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 64-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_64_2

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 64-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_64_3

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 64-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_64_4

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 64-65
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_64_5

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 65-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_65_1

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 65-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_65_2

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 65-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_65_3

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 65-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_65_4

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 65-66
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_65_5

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 66-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_66_1

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 66-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_66_2

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 66-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_66_3

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 66-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_66_4

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 66-67
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_66_5

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 67-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_67_1

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 67-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_67_2

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 67-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_67_3

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 67-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_67_4

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 67-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_67_5

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 67-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_67_6

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 68-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_68_1

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2000 Volume 22 Issue 1 Pages 68-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_68_2

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Mitchell JD, Mathisen DJ, Grillo HC et al.Clinical experience with carinal resection.J Thorac Cardiovasc Surg 1999; 117: 39-53

[in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 69-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_69_1

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Jorge RG, Ramos ASP, de Guevara, et al.Experimental study of a new porus tracheal prosthesis.Ann Thorac Surg 1990; 50: 281-7 Update in 1998 by Jorge RG, et al.Ann Thorac Cardiovasc Surg 1998; 65: 1830-1

[in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 69-70
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_69_2

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[title in Japanese]

[in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 71-72
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_71

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[title in Japanese]

[in Japanese]

Article type: Article
2000 Volume 22 Issue 1 Pages 73-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_73

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[title in Japanese]

Article type: Appendix
2000 Volume 22 Issue 1 Pages App3-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_App3

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[title in Japanese]

Article type: Appendix
2000 Volume 22 Issue 1 Pages App4-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_App4

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[title in Japanese]

Article type: Appendix
2000 Volume 22 Issue 1 Pages App5-
Published: January 25, 2000
Released on J-STAGE: October 15, 2016

DOIhttps://doi.org/10.18907/jjsre.22.1_App5

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