{"created":"2023-06-19T10:43:33.221006+00:00","id":3789,"links":{},"metadata":{"_buckets":{"deposit":"c629b94e-d114-4eda-9607-eb9ed6bd76a5"},"_deposit":{"created_by":11,"id":"3789","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"3789"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00003789","sets":["6:7:371:372"]},"author_link":["210","696","8222","268","6759","8220","844","8221","811","887","3245","8218","6906","812","627","629","3247","6933"],"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"トウイン ニオケル キョウクウ キョウカ ショクドウ セツジョ ノ ドウニュウ ト タンキ チリョウ セイセキ ノ ケントウ"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-01-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"22","bibliographicPageStart":"18","bibliographicVolumeNumber":"34","bibliographic_titles":[{"bibliographic_title":"滋賀医科大学雑誌"}]}]},"item_3_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"TAKEBAYASHI, Katsushi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KAIDA, Sachiko"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"YAMAGUCHI, Tsuyoshi"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"ISHIKAWA, Ken"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MIYAKE, Toru"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"IIDA, Hiroya"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"KOJIMA, Masatsugu"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"UEKI, Tomoyuki"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"MAEHIRA, Hiromitsu"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"KODAMA, Hirokazu"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"TOKUDA, Aya"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"SHIOMI, Motonori"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MAEKAWA, Takeru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MURAMOTO, Keiji"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUKUO, Asuka"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIMIZU, Tomoharu"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"MURATA, Satoshi"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"TANI, Masaji"}],"nameIdentifiers":[{},{},{}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【背景】\n食道癌に対する胸腔鏡手術は本邦で広く行われており、施設ごとに手術手技の定型化がなされている.胸腔鏡下手術の利点として拡大視効果や緻密な手術操作が可能となることが挙げられるが、当院でも2016年より腹臥位胸腔鏡下食道手術を導入し、出血の少ない安全かつ確実な郭清を目指し、定型化に向けてその手技を刷新している.\n【対象と方法】】\n2016年4月から2019年4月までに当院で施行した胸腔鏡下食道切除38例につき、その短期成績を検討した.\n【結果】\n男:女＝32:6、年齢中央値 66歳(41-76)、cStage I / II / III / IVa: 17 / 6 / 13 / 2であった.胸腔内出血量中央値は10ml(0-53)、胸部操作時間中央値は192分(97-478)、胸腔内郭清リンパ節個数中央値は17個(1-42)であった.術後合併症は、縫合不全3例(7.9％)、反回神経麻痺7例(18.4％)、肺炎12例(31.6％)であった.術後在院日数中央値は19日(11-38)であった.導入期からの前半19例では反回神経麻痺を6例(31.6％)に認めたが、後半19例では１例(5.2％)であった(p=0.036).\n【結語】\n当院における胸腔鏡下食道切除術は安全に導入、施行可能であった.手術手技が定型化されることで反回神経麻痺を少なくする郭清が可能になると考えられた.","subitem_description_type":"Abstract"},{"subitem_description":"Background: \nThoracoscopic esophagectomy (TE) is increasingly being used worldwide in patients with esophageal cancer. In this study, we investigated the clinical short-term outcomes of TE performed in patients placed in the prone position.\n Method: \nWe investigated the surgical and clinical outcomes in 38 patients with esophageal cancer who underwent TE at our hospital between April 2016 and April 2019.\n Results: \nOf the 39 patients investigated, 32 were men. Median patient age was 66 (range 41–76) years, the median intraoperative blood loss was 10 (0–53) mL, and the median operation time for thoracoscopy was 192 (97–478) min. The mean operation time for thoracoscopy in the latter group was significantly shorter than that in the former group (188 min vs. 232 min, p=0.013). The following postoperative complications were observed: 7 (18.4%) cases of recurrent nerve palsy, 3 (7.9%) cases of anastomotic leakage, 12 (31.6%) cases of pneumonia, and 0 (0%) cases of chylothorax. The incidence of recurrent nerve palsy was lower in the latter group than in the former group (5.2% vs. 31.6%, p=0.036). \nConclusions: \nTE in the prone position is safe and feasible. As experience performing the procedure increases, the performance of the procedure stabilizes.","subitem_description_type":"Abstract"}]},"item_3_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Departmental Bulletin Paper","subitem_description_type":"Other"}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.14999/1521.00012899","subitem_identifier_reg_type":"JaLC"}]},"item_3_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"滋賀医科大学雑誌編集委員会"}]},"item_3_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"http://doi.org/10.14999/1521.00012899"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://doi.org/10.14999/1521.00012899","subitem_relation_type_select":"DOI"}}]},"item_3_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"竹林, 克士"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"貝田, 佐知子"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"山口, 剛"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"石川, 健"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"三宅, 亨"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"飯田, 洋也"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"小島, 正継"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"植木, 智之"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"前平, 博充"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"児玉, 泰一"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"徳田, 彩"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"塩見, 一徳"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"前川, 毅"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村本, 圭史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福尾, 飛翔"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"清水, 智治"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"村田, 聡"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"谷, 眞至"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-01-25"}],"displaytype":"detail","filename":"jsums3401p018.pdf","filesize":[{"value":"377.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsums3401p018","url":"https://shiga-med.repo.nii.ac.jp/record/3789/files/jsums3401p018.pdf"},"version_id":"0ac21e84-9c0b-40f7-a918-13af6fea42c8"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"胸腔鏡手術","subitem_subject_scheme":"Other"},{"subitem_subject":"食道癌","subitem_subject_scheme":"Other"},{"subitem_subject":"縫合不全","subitem_subject_scheme":"Other"},{"subitem_subject":"反回神経麻痺","subitem_subject_scheme":"Other"},{"subitem_subject":"肺炎","subitem_subject_scheme":"Other"},{"subitem_subject":"thoracoscopic esophagectomy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"esophageal cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pneumonia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"anastomotic leakage","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"recurrent nerve palsy","subitem_subject_language":"en","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":"当院における胸腔鏡下食道切除の導入と短期治療成績の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院における胸腔鏡下食道切除の導入と短期治療成績の検討"},{"subitem_title":"Clinical short-term outcomes of thoracoscopic esophagectomy for esophageal cancer.","subitem_title_language":"en"}]},"item_type_id":"3","owner":"11","path":["372"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-01-25"},"publish_date":"2021-01-25","publish_status":"0","recid":"3789","relation_version_is_last":true,"title":["当院における胸腔鏡下食道切除の導入と短期治療成績の検討"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:14:25.414094+00:00"}