{"created":"2021-03-01T06:12:14.113511+00:00","id":8229,"links":{},"metadata":{"_buckets":{"deposit":"80dfeeac-3843-451a-a8fd-a7ecc7db67df"},"_deposit":{"id":"8229","owners":[],"pid":{"revision_id":0,"type":"depid","value":"8229"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00008229","sets":["453:456","471:537:538:884"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Ambulatory Prostate Biopsy under General Anesthesia"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-08","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"8","bibliographicPageEnd":"508","bibliographicPageStart":"501","bibliographicVolumeNumber":"131","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":"前立腺癌疑い患者に対して前立腺生検が行われるが,全身麻酔または腰椎麻酔管理による前立腺生検では通常1~2泊の入院管理で行うことが多い.また日帰り前立腺生検では局所麻酔で行われることが多く,局所麻酔時や穿刺時に患者の苦痛が伴う.我々は2016年1月から全身麻酔管理による日帰り前立腺生検を行っている.全身麻酔管理による日帰り前立腺生検を行うにあたり「全身麻酔管理による日帰り前立腺生検クリニカルパス」を作成し行っている.前日夕食後は禁食とし,生検当日は水分を朝6時まで可とし,午前中に全身麻酔管理による日帰り前立腺生検を行う.前立腺生検はReal-time Virtual Sonography (RVS)を用いたMRI-経直腸的超音波検査同期狙撃生検3-6か所,系統生検左右各5か所の計13~16か所の経会陰的前立腺生検を行う.前立腺生検後3~4時間経過観察し,帰宅時チェックリストを用いてすべての項目で問題がないことを確認後帰宅する.2016年12月までの12ヶ月間に67例に全身麻酔管理による日帰り前立腺生検を施行した.1例で術後膀胱タンポナーデを,1例で術後尿閉を経験したが,再入院を必要とした症例はなく,そのほか周術期に問題となった症例はなかった.全身麻酔管理による日帰り前立腺生検は患者の苦痛が少なく,有用な方法と考えられる.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"57761","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hoshii, Tatsuhiko"}]},{"nameIdentifiers":[{"nameIdentifier":"57762","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kamiya, Yoshinori"}]},{"nameIdentifiers":[{"nameIdentifier":"57763","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kita, Takayuki"}]},{"nameIdentifiers":[{"nameIdentifier":"57764","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yamaguchi, Seigo"}]},{"nameIdentifiers":[{"nameIdentifier":"57765","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ohhashi, Satomi"}]},{"nameIdentifiers":[{"nameIdentifier":"57766","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sekiguchi, Hiroshi"}]},{"nameIdentifiers":[{"nameIdentifier":"57767","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nishiyama, Tsutomu"}]}]},"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":"星井, 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