{"_buckets": {"deposit": "468735ff-b948-4d04-a02b-1417d7014efc"}, "_deposit": {"id": "17536", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "17536"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00017536"}, "item_7_alternative_title_1": {"attribute_name": "\u305d\u306e\u4ed6\u306e\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_alternative_title": "QOL after Function-Preserving Operation for Rectal Cancer (The Quality of Life in the Treatment of Cancer)"}]}, "item_7_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1997-03", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "3", "bibliographicPageEnd": "146", "bibliographicPageStart": "142", "bibliographicVolumeNumber": "111", "bibliographic_titles": [{"bibliographic_title": "\u65b0\u6f5f\u533b\u5b66\u4f1a\u96d1\u8a8c"}, {"bibliographic_title": "\u65b0\u6f5f\u533b\u5b66\u4f1a\u96d1\u8a8c", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "Recently, function-preserving surgery has become more widely applied to patients with rectal cancer. Compared with abdomioperineal resection, sphincter-saving procedure generally leads to an improved quality of life\uff08QOL\uff09. However, straight colo-anal anastomsis\uff08St type\uff09for extremely low rectal carcinoma often causes a deterioration. Therefore, we have performed colonic J pouch-anal anastomosis\uff08J type\uff09since 1988. Forty patients who received the J type and 14 who received the St type are discussed. Mean daily stool frequency was 2.4 at 12 months after surgery in the J group, significantly lower than 5.0 in the St group. Frequent bowel movements and urgency placed restrictions on daily life in 29% of the St group, while there were no severe restrictions in the J group. An increased number of patients are undergoing autonomic nerve-preserving procedures, and good functional results have been obtained. The incidence of urinary dysfunction requiring consultation with a urologist was lower in the autonomic nerve-preserving group\uff083.4%\uff09than in the non-preserving group\uff0834.8%\uff09. Some sexual dysfunction was found in 14.3% of the autonomic nerve-preserving group, and in 92.3% of the non-preserving group. These results that the sphincter and autonomic nerve-preserving procedures produce good postoperative QOL.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "\u8457\u8005\u5225\u540d", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "110553", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Shimamura, Kimitoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "110554", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hatakeyama, Katsuyoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "110555", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Suda, Takeyasu"}]}, {"nameIdentifiers": [{"nameIdentifier": "110556", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Sakai, Yasuo"}]}]}, "item_7_publisher_7": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "\u65b0\u6f5f\u533b\u5b66\u4f1a"}]}, "item_7_select_19": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", 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