シャドーイング練習: Surgical Anatomy 2 (Spleen) - 動画で英語スピーキングを学ぶ

練習モードを選ぶ

各モードは全画面の練習ルームで開きます。

109 文

文が短すぎたり長すぎる場合は、Editをタップして調整してください。

In part 1 of this video, we talk about the spleen, its size and size, the spleenule,

the spleenic vessels, the vascular distribution of these vessels to segments, and so on.

Now we are talking about the spleenic ligaments, which is a really important topic when talking about surgical anatomy,

because these ligaments are all excised or divided in order to perform spleenectomy.

Anatomy box speaks about eight ligaments, the gastrosplenic, the splenophenic, splenorenal,

or the lineorenal, the ancient or the older name, pancreatic splenic, pancreatic colic, splenocolic,

perisplenic fold, and the phrenicocolic ligament.

But here we will just talk about five of these ligaments, which are the cardinal ligaments.

First, the gastrosplenic, the splenophrenic, the splenorenal, also the splenocolic,

and lastly the phrenicocolic ligament.

We will talk first about the gastrosplenic ligament.

Gastrosplenic ligament is a ligament between the spleen and the stomach, from its name.

there's some information about this ligament first of all it's a

triangular ligament you can see in this diagram this is the gastro splenic ligament

and it's apex near the upper pool of the spleen

and space is as a wider base

and near the lower pool this tell us

that says the upper pool of the spleen is really close to the stomach

so when performing the section in this area you may injure either the stomach or the spleen.

So be careful in the section in this area.

Also the section actually is easier in the wider base of the ligament.

This ligament also have two important structures passing in it which is, you can see here,

the short gastric vessels this is the excised

or divided gastrosplenic ligament the short gastric vessels and near the upper pool

and the gastroepiploic the left gastroepiploic vessels near the lower pool

so this is a vascular structure actually it should be excised between clamps

or using a harmonic

or whatever appropriate to ensure hemostasis in this ligament the second

ligament is the splenophenic ligament number two this one this is a splenophenic ligament between the spleen

and the diaphragm it's important to know

that this some authors thought this is not a true ligament

it's just a part we can condense about from the gastrosplenic ligament also it may be containing a fleshy part

or sling of fiber of muscular fibers from the diaphragm

so the section here also must be meticulous

because it may be may need a lot of hemostasis traction

of the spleen downwards may cause a valgian of this area

so take care

when you are tracked performing traction of the spleen not to cause a valgian of the splenic capsule

and this area and cause marked pleading the third ligament

and third important ligament is a splenorenal

or the lino -renal as we said it's between the spleen

and the kidney actually this this diagram can show it more

comprehensively this is the spleen this is the kidney it is a cross -section of course stomach

and this is the gastrosplenic ligament containing the short gastric vessels and this is This brittoneal flexion is the splenorenal ligament.

As we can see here, it's connected to the kidney,

and it contains the splenic artery and vein and the tail of pancreas.

So this is a very vascular port, and actually it covers all the hilum of the spleen, so this section here is important.

You can encounter during splenectomy this ligament from two approaches.

Either if you are dissecting in this direction,

dissecting the gastrosplenic ligament, you will approach the hilum of the spleen from the front side

and you will start your dissection like this.

Or you can approach it from other side

if you are retracting the spleen to the right to deliver

spleen outside the incision you are you are inserting your hand in this space and grabbing the spleen we're moving it

to the right in this direction so you can imagine

if this structures are reflected to the side

so you will encounter this ligament from the posterior side

and you will also encounter the tail of the pancreas

and both the splenic vessels take care this is a vascular ligament you can perform finger dissection

or plant dissection but it contains very important vessels

which is the splenic artery and vein and also the tail of the pancreas

so take care

while performing the section in this area the pancreatic splenic ligament actually is not a true ligament it means

if the tail the pancreas doesn't reach the hilum it will be connected with a small part

which is the pancreatic splenic ligament it may be not found if the pancreas is long enough to reach the hilum

pancreatic colic ligament actually number five this one is a part of the transverse mesocolon

here's a splenocolic ligament which another important ligament we will talk about So,

it may be containing polar vessels, it's number 6, right here,

it's between the spleen and the, I'll remove the picture, yes,

to be more comprehensive, this is the splenocolic ligament,

it connects the lower pole of the spleen to the splenic flexure.

actually it may contain, as we said, a polar vessel so take care while dissecting here and also

when you are performing a left hemicolectomy you are also incising this ligament to mobilize the colon

actually also traction in this direction may cause avulsion of the capsule of the spleen

and may cause a marked bleeding so take care while performing traction in this area Perisplenic ligament,

actually it's not obvious in this diagram It's here, behind the gastrosplenic ligament

Number 1 is gastrosplenic and number 7 is perisplenic fold

And at last the phrenicocolic ligament Actually the phrenicocolic ligament is

not attached to the spleen at all It's between the splenic flexure and the diaphragm

It's the junction between the mid gut

and the hind gut here in this part it's keeping the splenic flexure hanging in this side

but it's important because importance because it our relation to the spleen

because it directs the spleen in this direction when it's

when it is enlarging actually it can be called the splenic floor the spleen is resting on this ligament and

when the spleen is enlarged it will be enlarged this way

not downward the downward enlargement is blocked by the phrenicocolic ligament

so the enlarged spleen can reach up to the amperlichus

and the mid abdomen not to the left paracolic gutter another

importance of this ligament it prevents blood from ruptured spleen

or any cause of bleeding in this area from entering the left paracolic gutter

so a traumatic event in this area and the splenic rupture, the blood will be confined to this space,

the left hypochondrium space and not propagating to the left paracolic gutter.

So this is the most important ligament of the spleen,

we will just remember them,

here the gastrosplenic ligament from here it's like triangular oh

i missed okay it's like this a triangular ligament here it contains a short gastric

and the gastric left gastro pleuric here's the line renal ligament

or the spleen renal ligament containing the hilum or the hyalur vessels

and tail of the pancreas here's a splenocolic ligament in the lower pool

100

and there is a splenophenic in the upper pool

101

and there is a floor of the spleen

102

which is formed by the colophenic or phrenocolic sorry phrenocolic ligament

103

which directs the spleen in this direction this is the most important ligament regarding the spleen.

104

One last information you should remember.

105

that the tail of pancreas lying in this area,

106

so careless division in this part may result in pancreatic fistula and it's really a nasty complication to happen,

107

may take a few weeks to month to close down,

108

so really take care when you are incising or dissecting in this area to make sure that the pancreas is safe.

109

Thank you for listening and see you in another video.

アプリをダウンロード

流暢に話すために必要なすべて

AI発音採点文ごとに採点

IPA練習すべての音をマスター

単語学習自分の単語帳を作る

単語ゲーム遊びながら覚える

QRをスキャン

Download on theApp Store Get it onGoogle Play

FOR YOU

このレッスンの語彙とスピーキングのポイント

このスピーキングレッスンは、動画「Surgical Anatomy 2」を教材にしています。繰り返し出てくる語は次のとおりです：ligament, spleen, splenic, gastrosplenic, vessel。この動画には、シャドーイング用の文が109文、単語が1327語あります。音声の長さは10:41です。話す速さは1分あたり約124語で安定しており、シャドーイングしやすいペースです。英語の頻出3,000語に含まれる単語は72%だけなので、語彙は難しめです。

この動画の重要語彙

動画に出てくる覚えておきたい単語15語を、発音と意味つきで紹介します。

単語	発音	意味
vessel 名詞	/ˈvɛsəl/	船舶
tail 名詞	/ˈteɪ̯l/	尻尾, しっぽ
stomach 名詞	/ˈstʌmək/	胃, 胃袋
connect 動詞	/kəˈnɛkt/	繋げる
encounter 動詞	/ɪnˈkaʊntɚ/	出会う, 遭遇する
kidney 名詞	/ˈkɪdni/	腎臓
diagram 名詞	/ˈdaɪ.ə.ɡɹæm/	ダイヤグラム, 図表
divide 動詞	/dɪˈvaɪd/	分割する, 分ける
fold 動詞	/ˈfəʊld/	折る, 畳む
anatomy 名詞	/əˈnætəmi/	解剖学, 解剖
vein 名詞	/veɪn/	静脈
bleed 動詞	/ˈbliːd/	出血する, 血を流す
capsule 名詞	/ˈkæps(ə)l/	蒴果
artery 名詞	/ˈɑɹ.təɹ.i/	動脈
topic 名詞	/ˈtɑpɪk/	話題, テーマ

動画に出てくる句動詞

単語	発音	意味
close down 動詞	/kləʊzˈdaʊn/	閉鎖

この動画の文法

話し手がよく使っている文型を、動画の実際の表現とともに紹介します。

文型	動画での表現
受動態 be + 過去分詞 — 誰がするかより、何が起きるかに焦点を当てる	should be excised · are tracked · are reflected
関係詞節 who / which + 節 — 人や物について情報を加える	ligaments, which is · ligaments, which are

注意したい発音

話し手はdoesn't, I'll, we'reなど、短縮形や弱形を3回使っています。聞こえたとおりの短い形で発音しましょう。

「sh」と「zh」の音: traction /ˈtɹæk.ʃən/, relation /ɹɪˈleɪʃ(ə)n/, junction /ˈd͡ʒʌŋkʃən/, dissection /dɪˈsɛkʃən/, flexure /ˈflɛkʃə(ɹ)/
長い単語（アクセントの位置に注意）: anatomy /əˈnætəmi/, comprehensive /ˌkɑm.pɹəˈhɛn.sɪv/, pancreatic /ˌpæŋ.kɹɪˈæ.tɪk/, triangular /tɹaɪˈæŋ.ɡjə.lɚ/, gastroenteritis /ˌɡæstɹəʊˌɛntəˈɹaɪtəs/

日本語話者が苦手な音：

/r/ と /l/ の区別 — /l/ は舌先を歯茎につけ、/r/ はどこにもつけない: reflect /ɹɪˈflɛkt/, relation /ɹɪˈleɪʃ(ə)n/, careless /kɛɹ.ləs/, enlarge /ɪnˈlɑɹd͡ʒ/, flexure /ˈflɛkʃə(ɹ)/
/v/ — /b/ にならないように、上の歯を下唇に当てる: vessel /ˈvɛsəl/, vascular /ˈvæskjələ/, divide /dɪˈvaɪd/, vein /veɪn/, comprehensive /ˌkɑm.pɹəˈhɛn.sɪv/
/f/ — 「フ」ではなく、上の歯と下唇で出す: fold /ˈfəʊld/, fiber /ˈfaɪ.bɚ/, finger /ˈfɪŋɡɚ/, reflect /ɹɪˈflɛkt/, diaphragm /ˈdaɪəˌfɹæm/

この動画での練習方法

まず声を出さずに動画を最後まで聞き、知らない単語をメモします。
通常の速度で一文ずつシャドーイングし、話し手のリズムに合うまで繰り返します。
自分の声を録音して元の音声と比べます。vessel, tail, stomachなどの単語に特に注意しましょう。

シャドーイングとは？英語上達に効果的な理由

シャドーイング（Shadowing）は、もともとプロの通訳者養成プログラムで開発された言語学習法で、多言語習得者として知られるDr. Alexander Arguelles によって広く普及されました。方法はシンプルですが非常に効果的：ネイティブスピーカーの英語を聞きながら、1〜2秒の遅延で声に出してすぐに繰り返す——まるで「影（shadow）」のように話者を追いかけます。文法ドリルや受動的なリスニングと異なり、シャドーイングは脳と口の筋肉が同時にリアルタイムで英語を処理・再現することを強制します。研究により、発音精度、抑揚、リズム、連音、リスニング力、そして会話の流暢さが大幅に向上することが確認されています。IELTSスピーキング対策や自然な英語コミュニケーションを目指す方に特におすすめです。

シャドーイングのやり方: ステップ別の完全ガイドを読む →

シャドーイング練習: Surgical Anatomy 2 (Spleen) - 動画で英語スピーキングを学ぶ

練習モードを選ぶ

アプリをダウンロード

おすすめ動画

Splenectomy: step-by-step

Epithelial Tissue

Abdominal Bracing

Lecture 12: Retina, Part 2: Retinal vascular occlusions

FAST Scan (Focused Assessment with Sonography in Trauma) - STEP by STEP

Scoliosis: How to medically classify scoliosis (the Lenke System for AIS)

Introduction to HPLC - Lecture 1: HPLC Basics

Arthroscopic Anatomy of the Shoulder | Orthopaedic Academy

Introduction to ECMO Part 3 - V-A ECMO

Pneumothorax - causes, symptoms, diagnosis, treatment, pathology

SVINutes: Cerebral Venous Sinus Anatomy

Multiple Myeloma - signs and symptoms, pathophysiology, treatment