{"created":"2021-03-01T06:12:08.949585+00:00","id":8146,"links":{},"metadata":{"_buckets":{"deposit":"07816ddc-7362-4481-bfdf-f98ca2672060"},"_deposit":{"id":"8146","owners":[],"pid":{"revision_id":0,"type":"depid","value":"8146"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00008146","sets":["453:456","471:537:538:880"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A Case in which Two Laparoscopic Operations were Performed Simultaneously for a Gastrointestinal Stromal Tumor of the Stomach Accompanied by a Large Hiatal 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Cの逆流性食道炎を認めた．胸腹部CT検査では，長径4.3cm大の造影効果を伴う充実性腫瘤を認め，約1/2の胃が縦隔内に滑脱していた．両病変に対し，腹腔鏡下胃部分切除と，Nissen法による噴門形成，メッシュによるヘルニア門の閉鎖を同時に行った．病理組織，免疫化学所見では，c-kit，CD34が陽性で，胃GISTの診断であった．手術は安全に腹腔鏡のみで施行可能で，術後半年目の上部消化管内視鏡検査では，著名な逆流性食道炎の改善とヘルニアの改善を認めた．胃GISTと食道裂孔ヘルニア併存症例に対して，腹腔鏡で同時手術を行った症例の手術所見を中心に報告する．","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"57300","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Natsume, Soichiro"}]},{"nameIdentifiers":[{"nameIdentifier":"57301","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yajima, Kazuhito"}]},{"nameIdentifiers":[{"nameIdentifier":"57302","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Oohinata, Ryouki"}]},{"nameIdentifiers":[{"nameIdentifier":"57303","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Amaki, Misato"}]},{"nameIdentifiers":[{"nameIdentifier":"57304","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takahashi, 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