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・ Hemiclusiosoma
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・ Hemicompact space
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Hemicorporectomy
・ Hemicosmorthoceras
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・ Hemicrambe townsendii
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・ Hemicrepidius amitinus
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・ Hemicrepidius bilobatus
・ Hemicrepidius bivittatus
・ Hemicrepidius brevicollis
・ Hemicrepidius californicus


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Hemicorporectomy : ウィキペディア英語版
Hemicorporectomy
In medicine (surgery), hemicorporectomy (also referred to as translumbar amputation, corporal transection, hemisomato-tmesis, or "halfectomy", ) is a radical surgery in which the body below the waist is amputated, transecting the lumbar spine. This removes the legs, the genitalia (internal and external), urinary system, pelvic bones, anus, and rectum.〔 〕 It is a severely mutilating procedure recommended only as a last resort for patients with severe and potentially fatal illnesses such as osteomyelitis, tumors, severe traumas and intractable decubiti in, or around, the pelvis. It has only been reported a few dozen times in medical literature.〔http://homepages.iol.ie/~rcsiorth/journal/volume2/june/hemicorp.htm〕
The nomenclature is somewhat at odds with generally accepted anatomical terms, as ''hemi'' is generally used to refer to one of two sides (e.g., hemiplegia, which affects the arm and leg on one side of the body). In that sense, ''paracorporectomy'' might more closely reflect the nature of the procedure.
==History==
The development of surgical medicine was vastly accelerated during, and following, the Second World War. Rarely experienced traumas were made more common by new weaponry. This required decisive surgical action as well as the development of new techniques. As B. E. Ferrara stated in his summative article on hemicorporectomy,
Lessons learned from battle field injuries quickened innovative treatment of congenital and acquired conditions... (general surgeon ) devised extensive cancer operations including extended radical mastectomy, radical gastrectomy and pancreatectomy, pelvic exenteration, the 'Commando Operation' (tongue, jaw and neck dissection), bilateral back dissection, hemipelvectomy, and then hemicorporectomy or translumbar amputation, referred to as the most revolutionary of all operative procedures.〔

It was into this environment that Frederick E. Kredel first proposed the operation in February 1951 while discussing a paper on pelvic exenteration.〔 The first hemicorporectomy was attempted by Charles S. Kennedy in 1960, but the patient died eleven days later. J. Bradley Aust and Karel B. Absolon conducted the first successful hemicorporectomy in Minnesota in 1961.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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