{"created":"2021-03-01T06:14:30.596750+00:00","id":10377,"links":{},"metadata":{"_buckets":{"deposit":"ea81bab9-b58c-4549-9d04-9ef8bf5bc3c3"},"_deposit":{"id":"10377","owners":[],"pid":{"revision_id":0,"type":"depid","value":"10377"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00010377","sets":["453:456","471:537:538:966"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Results of Video-Assisted Thoracoscopic Esophagectomy for Thoracic Esophageal Cancer During the Induction Period"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"347","bibliographicPageStart":"341","bibliographicVolumeNumber":"124","bibliographic_titles":[{"bibliographic_title":"新潟医学会雑誌"},{"bibliographic_title":"新潟医学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"胸部食道癌に対する根治手術として胸腔鏡下食道切除術 (VATS-E) を導入した. 導入初期19例 (VATS-E群) の成績と, 同時期に通常開胸にて食道切除を施行した cStage II 胸部食道癌15例 (開胸群) を対象として比較検討した. VATS-E群の初期7例は, 指導医より手術を指導して頂いた. 総手術時間中央値は, 開胸群355分とVATS-E群389分 (p =0.0005), 胸部操作時間中央値は, 開胸群140分とVATS-E群185分 (p <0.0001) であり, 有意にVATS-E群で手術時間が長かった. 総出血量中央値では, 開胸群140mlとVATS-E群290mlでVATS-E群に多い傾向があるが, 有意差は認められなかった (p =0.18). 郭清した縦隔リンパ節個数中央値は, 開胸群20個とVATS-E群17個であり, 有意な差は認めなかった (p =0.72). VATS-E群において, 指導を受けてVATS-Eを施行した7例 (指導あり群) の胸部操作時間中央値は190分, 指導を受けなかった12例 (指導なし群) では184.5分であり, 有意な差は認めなかった. 郭清した縦隔リンパ節個数中央値は, 指導あり群12個と指導なし群23.5個であり, 有意に指導なし群で郭清個数が多かった (p =0.04). 術後在院日数中央値では, 開胸群20日とVATS-E群16日であり, 有意にVATS-E群で短かった (p =0.02). 術後合併症は, 開胸群4例 (27%) とVATS-E群6例 (22%) に認められた. 開胸群では反回神経麻痺を認めなかったが, VATS-E群では6例 (22%) に一過性の反回神経麻痺を認めた. 胸部食道癌に対するVATS-Eは指導医の指導の元に安全に導入することができ, その後も安全に施行できるものと考えられる. 今後更なる技術の向上と術式の定型化を図りながら, 推進していく術式と考えられる.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"71148","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nakagawa, Satoru"}]},{"nameIdentifiers":[{"nameIdentifier":"71149","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yabusaki, Hiroshi"}]},{"nameIdentifiers":[{"nameIdentifier":"71150","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nashimoto, Atsushi"}]},{"nameIdentifiers":[{"nameIdentifier":"71151","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tsuchiya, Yoshiaki"}]},{"nameIdentifiers":[{"nameIdentifier":"71152","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takii, Yasumasa"}]},{"nameIdentifiers":[{"nameIdentifier":"71153","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nomura, Tatsuya"}]},{"nameIdentifiers":[{"nameIdentifier":"71154","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Maruyama, Satoshi"}]},{"nameIdentifiers":[{"nameIdentifier":"71155","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tanaka, Otsuo"}]},{"nameIdentifiers":[{"nameIdentifier":"71156","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kuwabara, Shiro"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟医学会"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00290440","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中川, 悟"}],"nameIdentifiers":[{"nameIdentifier":"71139","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"薮崎, 裕"}],"nameIdentifiers":[{"nameIdentifier":"71140","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"梨本, 篤"}],"nameIdentifiers":[{"nameIdentifier":"71141","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"土屋, 嘉昭"}],"nameIdentifiers":[{"nameIdentifier":"71142","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"瀧井, 康公"}],"nameIdentifiers":[{"nameIdentifier":"71143","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"野村, 達也"}],"nameIdentifiers":[{"nameIdentifier":"71144","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"丸山, 聡"}],"nameIdentifiers":[{"nameIdentifier":"71145","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"田中, 乙雄"}],"nameIdentifiers":[{"nameIdentifier":"71146","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"桑原, 史郎"}],"nameIdentifiers":[{"nameIdentifier":"71147","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-06"}],"displaytype":"detail","filename":"124(6)_341-347.pdf","filesize":[{"value":"936.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"124(6)_341-347.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/10377/files/124(6)_341-347.pdf"},"version_id":"7ece00be-b7a6-44ae-8e13-4f698db9b509"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"胸部食道癌","subitem_subject_scheme":"Other"},{"subitem_subject":"胸腔鏡下食道切除術","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"胸部食道癌に対する胸腔鏡下食道切除術導入初期例の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胸部食道癌に対する胸腔鏡下食道切除術導入初期例の検討"},{"subitem_title":"胸部食道癌に対する胸腔鏡下食道切除術導入初期例の検討","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","966"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-07-24"},"publish_date":"2014-07-24","publish_status":"0","recid":"10377","relation_version_is_last":true,"title":["胸部食道癌に対する胸腔鏡下食道切除術導入初期例の検討"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:44:05.600808+00:00"}