WEKO3
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RootNode
アイテム
当院における潰瘍性大腸炎に対する外科治療
http://hdl.handle.net/10422/171
http://hdl.handle.net/10422/1713b096615-5cd0-447e-9a00-ec90a3ae2186
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
jsums2301p008.pdf (4.5 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||||||||
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| 公開日 | 2016-04-12 | |||||||||||
| タイトル | ||||||||||||
| タイトル | 当院における潰瘍性大腸炎に対する外科治療 | |||||||||||
| 言語 | ja | |||||||||||
| タイトル | ||||||||||||
| タイトル | Surgical treatment for ulcerative colitis in our institute | |||||||||||
| 言語 | en | |||||||||||
| タイトル | ||||||||||||
| タイトル | トウイン ニ オケル カイヨウセイ ダイチョウエン ニ タイスル ゲカ チリョウ | |||||||||||
| 言語 | ja-Kana | |||||||||||
| 言語 | ||||||||||||
| 言語 | jpn | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
| 資源タイプ | departmental bulletin paper | |||||||||||
| アクセス権 | ||||||||||||
| アクセス権 | open access | |||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||
| 著者 |
清水, 智治
× 清水, 智治
WEKO
268
× 目片, 英治× 龍田, 健× 山口, 智弘× 山本, 寛× 仲, 成幸× 村田, 聡× 塩見, 尚礼× 来見, 良誠× 遠藤, 善裕× 谷, 徹 |
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| 抄録 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | Ulcerative Colitis (UC) is a chronic inflammatory disease treated surgically with proctocolectomy and analreconstruction for intestinal continuity. Fifty-three patients of ulcerative colitis have been received surgical treatment in ourinstitute since 1992. Our institute has utilized hand assisted laparoscopic surgery (HALS) since 2002 over traditional opensurgery for proctocolectomy. We have also performed total laparoscopic proctocolectomy since 2008. We have performedanal reconstructions using ileal pouch anal canal anastomosis (IACA) since 1994. Due to recurrence of colitis in the analcanal in cases of IACA reconstruction, we began performing ileal pouch anal anastomosis (IPAA) in 2004. We comparedtraditional open surgery, HALS and total laparoscopic surgery in 20 patients with UC who underwent elective proctocolectomywith IPAA at our institution. Duration of surgery was significantly longer in total laparoscopic surgery. Blood loss,post-operative hospital stay and complications in HALS and total laparoscopic surgery were less than those in open surgery.Body mass index had a significant positive correlation with surgery duration in total laparoscopic procedures. Our findingssuggested that HALS for proctocolectomy with IPAA was not inferior to open surgery, and thus should be considered forelective proctocolectomy procedures in UC patients. Total laparoscopic surgery for elective proctocolectomy with IPAA maybe performed in select patients, although it may be superior in cosmetic aspects. | |||||||||||
| 言語 | en | |||||||||||
| 書誌情報 |
ja : 滋賀医科大学雑誌 巻 23, 号 1, p. 8-12, 発行日 2010 |
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| 出版者 | ||||||||||||
| 出版者 | 滋賀医科大学雑誌刊行会 | |||||||||||
| 言語 | ja | |||||||||||
| 著者版フラグ | ||||||||||||
| 出版タイプ | VoR | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
