{"created":"2021-03-01T06:13:50.997595+00:00","id":9755,"links":{},"metadata":{"_buckets":{"deposit":"d0f443db-3d91-40a3-9fc9-b48f228a6d93"},"_deposit":{"id":"9755","owners":[],"pid":{"revision_id":0,"type":"depid","value":"9755"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00009755","sets":["453:456","471:537:538:945"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Triangle Method for Billroth-I Reconstruction Following Laparoscopy-assisted Distal Gastrectomy"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"154","bibliographicPageStart":"149","bibliographicVolumeNumber":"126","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":"【目的】当科では1995年以降, 開腹での幽門側胃切除術Billroth-I法 (B-I) 再建に Linear Stapler を用いた三角吻合を約1,400例に施行したが, 現在ではLADGにおけるB-I再建でも同様の手技を用いている. 手技の簡便性, 確実性, 安全性について検討を行った. 【対象と手術手技】対象は, 2011年8月までに当科においてLADGの再建をB-I法三角吻合で行った31例で, 年齢 (中央値) は36-89 (69) 歳, 男性17例, 女性14例, BMI (中央値) 15.0-28.8 (21.7). 吻合の手術手技は, 先ず残胃と十二指腸の後壁断端に等間隔に3針の全層結節縫合をおき, これを引き上げながら linear stapler を打ち込み, 余剰組織をカートリッジに沿って尖刀で切除する (後壁1/3周内翻縫合). 次に壁吻合線の左右両端に1針ずつ支持糸をおき, さらに前壁中央とそれらの中央に各1針ずつ支持糸をかけ, linear stapler で左右の前壁1/3周ずつの外翻縫合を行う. 小彎縫合線と吻合部の交差部は triple stapling を避け, しかも交差角を直角とする. 吸収糸にて前壁2/3周の漿膜筋層縫合を追加する (前壁2/3周外翻縫合). 縫合ラインを確かめて, 組織の脆弱や緊張がある箇所には用手縫合を追加して吻合終了. 【結果】手術時間 (中央値) は, 145-346 (200) 分. 出血量 (中央値) は10-310 (15) ml. 術後在院日数 (中央値) は7-47 (10) 日であった. 吻合部関連合併症は縫合不全を1例に認めたが保存的に軽快した. 【結語】LADGにおける三角吻合によるB-I再建術は, 腹腔外へ腸管を挙上する必要がなく狭い視野でも吻合可能であり, 視認性に優れ, 安全かつ簡便な術式である.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"67432","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Matsuki, Atsushi"}]},{"nameIdentifiers":[{"nameIdentifier":"67433","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yabusaki, Hiroshi"}]},{"nameIdentifiers":[{"nameIdentifier":"67434","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nashimoto, Atsushi"}]},{"nameIdentifiers":[{"nameIdentifier":"67435","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nakagawa, Satoru"}]},{"nameIdentifiers":[{"nameIdentifier":"67436","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sakamoto, Kaoru"}]},{"nameIdentifiers":[{"nameIdentifier":"67437","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Maruyama, Satoshi"}]},{"nameIdentifiers":[{"nameIdentifier":"67438","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nomura, Tatsuya"}]},{"nameIdentifiers":[{"nameIdentifier":"67439","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takii, Yasumasa"}]},{"nameIdentifiers":[{"nameIdentifier":"67440","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tsutiya, Yoshiaki"}]}]},"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":"松木, 淳"}],"nameIdentifiers":[{"nameIdentifier":"67423","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"藪崎, 裕"}],"nameIdentifiers":[{"nameIdentifier":"67424","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"梨本, 篤"}],"nameIdentifiers":[{"nameIdentifier":"67425","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"中川, 悟"}],"nameIdentifiers":[{"nameIdentifier":"67426","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"坂本, 薫"}],"nameIdentifiers":[{"nameIdentifier":"67427","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"丸山, 聡"}],"nameIdentifiers":[{"nameIdentifier":"67428","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"野村, 達也"}],"nameIdentifiers":[{"nameIdentifier":"67429","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"瀧井, 康公"}],"nameIdentifiers":[{"nameIdentifier":"67430","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"土屋, 嘉昭"}],"nameIdentifiers":[{"nameIdentifier":"67431","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":"126(3)_149-154.pdf","filesize":[{"value":"2.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"126(3)_149-154.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/9755/files/126(3)_149-154.pdf"},"version_id":"edd22ead-7818-468d-99f1-3909847db8f2"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"腹腔鏡補助下幽門側胃切除術","subitem_subject_scheme":"Other"},{"subitem_subject":"LADS","subitem_subject_scheme":"Other"},{"subitem_subject":"Billroth I法","subitem_subject_scheme":"Other"},{"subitem_subject":"三角吻合","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":"腹腔鏡補助下幽門側胃切除後の三角吻合によるBillroth－I再建術","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腹腔鏡補助下幽門側胃切除後の三角吻合によるBillroth－I再建術"},{"subitem_title":"腹腔鏡補助下幽門側胃切除後の三角吻合によるBillroth－I再建術","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","945"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-01-09"},"publish_date":"2015-01-09","publish_status":"0","recid":"9755","relation_version_is_last":true,"title":["腹腔鏡補助下幽門側胃切除後の三角吻合によるBillroth－I再建術"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:43:42.795629+00:00"}