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開頭 かいとう手術 しゅじゅつじゃない
kaitōshujutsujanai

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Noun
, 
Da Copula
, 
Negation Auxiliary

The negative form of 開頭手術

1. Not a starting surgery.; Not an initial operation.

Negative
, 
Surgery

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開頭手術じゃない

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