{"created":"2021-03-01T06:16:25.735473+00:00","id":12172,"links":{},"metadata":{"_buckets":{"deposit":"d6962e15-2cf7-4acc-a97e-77a861e24d94"},"_deposit":{"id":"12172","owners":[],"pid":{"revision_id":0,"type":"depid","value":"12172"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00012172","sets":["453:456","471:537:538:1015"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Initial Surgical Outcome of Laparoscopy-Assisted Distal Gastrectomy (LADG) for Early Gastric Cancer : Compared with Conventional Open Distal Gastrectomy"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-05","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5","bibliographicPageEnd":"278","bibliographicPageStart":"270","bibliographicVolumeNumber":"120","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":"当科では2002年4月より術前診断T1N0の胃癌に対して腹腔鏡補助下幽門側胃切除(D1+α/βリンパ節郭清)(LADG)を導入し,現在までに82例に施行した.これらの臨床成績を,当科で施行された開腹幽門側胃切除(D1+α/βリンパ節郭清)(ODG)50例と比較検討しLADGの初期成績を明らかにした.手術時間(中央値)はLADG群:ODG群=214:122分(p<0.05)であり,出血量はLADG群:ODG群=70:145ml(p<0.05)であった.術後在院日数は,LADG群:ODG群=9.5:14.1日(p<0.05)であった.郭清リンパ節個数は,LADG群:ODG群=27:24個で両群に差を認めなかった.LADG群ではBMIの増加とともに手術時間は延長するが,出血量の増加は,認められなかった.また術後1病日の白血球数,有熱期間,術後排ガスまでの日数は,LADG群/ODG群=9200:10300/mm^3, 2:4日, 1.5:4.3日であった(p<0.05).術後合併症はLADG群:ODG群=3例(3.6%):9例(18%)(p<0.05),術後再入院はLADG群:ODG群=2例(2%):7例(14%)(p<0.05)に認められた.現在までに両群とも全例無再発である.以上より,早期胃癌に対するLADGはODGと比し長時間手術となるが,出血量が少なく,術後在院日数も短く低侵襲手術と考えられ,かつODGと同様の根治性があると考えられた.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"81769","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kuwabara, Shirou"}]},{"nameIdentifiers":[{"nameIdentifier":"81770","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Katayanagi, Norio"}]},{"nameIdentifiers":[{"nameIdentifier":"81771","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Matsubara, Hirotaka"}]},{"nameIdentifiers":[{"nameIdentifier":"81772","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yamazaki, Toshiyuki"}]},{"nameIdentifiers":[{"nameIdentifier":"81773","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Otani, Tetsuya"}]},{"nameIdentifiers":[{"nameIdentifier":"81774","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yamamoto, Mutsuo"}]},{"nameIdentifiers":[{"nameIdentifier":"81775","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Saito, Hideki"}]}]},"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":"桑原, 史郎"}],"nameIdentifiers":[{"nameIdentifier":"81762","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"片柳, 憲雄"}],"nameIdentifiers":[{"nameIdentifier":"81763","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"松原, 洋孝"}],"nameIdentifiers":[{"nameIdentifier":"81764","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山崎, 俊幸"}],"nameIdentifiers":[{"nameIdentifier":"81765","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大谷, 哲也"}],"nameIdentifiers":[{"nameIdentifier":"81766","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本, 睦生"}],"nameIdentifiers":[{"nameIdentifier":"81767","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"斎藤, 英樹"}],"nameIdentifiers":[{"nameIdentifier":"81768","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":"2019-08-07"}],"displaytype":"detail","filename":"21_0004.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"21_0004.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/12172/files/21_0004.pdf"},"version_id":"a68f9d45-4152-442c-abf8-0e78b623635a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"腹腔鏡下手術","subitem_subject_scheme":"Other"},{"subitem_subject":"胃切除","subitem_subject_scheme":"Other"},{"subitem_subject":"早期胃癌","subitem_subject_scheme":"Other"},{"subitem_subject":"低侵襲手術","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":"早期胃癌に対する腹腔鏡補助下幽門側胃切除術(LADG)の初期成績 : 開腹幽門側胃切除術と比較して","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"早期胃癌に対する腹腔鏡補助下幽門側胃切除術(LADG)の初期成績 : 開腹幽門側胃切除術と比較して"},{"subitem_title":"早期胃癌に対する腹腔鏡補助下幽門側胃切除術(LADG)の初期成績 : 開腹幽門側胃切除術と比較して","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1015"],"pubdate":{"attribute_name":"公開日","attribute_value":"2008-04-08"},"publish_date":"2008-04-08","publish_status":"0","recid":"12172","relation_version_is_last":true,"title":["早期胃癌に対する腹腔鏡補助下幽門側胃切除術(LADG)の初期成績 : 開腹幽門側胃切除術と比較して"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:45:10.935645+00:00"}