{"created":"2023-06-19T10:43:46.810004+00:00","id":4092,"links":{},"metadata":{"_buckets":{"deposit":"fb614ed5-7c71-41ee-b1a6-e6bf8ed2e767"},"_deposit":{"created_by":11,"id":"4092","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4092"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00004092","sets":["6:7:418:419"]},"author_link":["210","7859","6959","696","268","6759","844","724","6906","811","3245","435","812","627","629","8807","3247","6933"],"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"ショクドウガン コンチジュツ ニ オケル イカン サイケン コンナン ショウレイ ニ タイスル ニキ ブンカツ ショクドウ セツジョ カイケッチョウ サイケン ノ チリョウ セイセキ "}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-01-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"11","bibliographicPageStart":"7","bibliographicVolumeNumber":"35","bibliographic_titles":[{},{"bibliographic_title":"滋賀医科大学雑誌","bibliographic_titleLang":"en"}]}]},"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":"MURAMOTO, Keiji"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OHTAKE, Reiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MATSUNAGA, Takashi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"IIDA, Hiroya"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"MIYAKE, Toru"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"UEKI, Tomoyuki"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"KOJIMA, Masatsugu"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"MAEHIRA, Hiromitsu"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"HIGASHIGUCHI, Takayuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TOKUDA, Aya"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"MORI, Haruki"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"NAGAI, Nozomi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIMIZU, Tomoharu"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"MURATA, Satoshi"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"TANI, Masaji"}],"nameIdentifiers":[{},{},{}]}]},"item_3_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"pdf","subitem_description_type":"Other"}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【背景】\n食道切除術では胃管再建が第一選択とされることが多いが、胃管再建が困難な場合は小腸、結腸などを用いる．食道切除回結腸再建は侵襲が高く、ハイリスク症例においては二期分割手術が選択されることがある．【対象と方法】2017年1月から2021年8月に施行した二期分割食道切除回結腸再建例8例の短期治療成績を検証した．","subitem_description_type":"Abstract"},{"subitem_description":"【結果】\n男性 7 例、女性 1例、年齢中央値69（58-79）歳．臨床病期はI :3例、II:1例、III 期: 4例．胃管再建困難の理由は、胃癌合併4例、胃切除既往1例、食道胃接合部癌3例．一期目手術から二期目手術までの期間は中央値で33日（28-49）．手術時間、出血量の中央値は、一期目で390分（269-613）、184ml（72-584）、二期目で270分（233-401）、324 ml（50-1648）であった．術後合併症として、一期目手術で反回神経麻痺、二期目手術で肺炎をそれぞれ1例（12.5%）に認めた．縫合不全は認めなかった．再建術後経口摂取開始日中央値は7日（5-10）で、術後在院日数中央値は再建術後23日(16-39)であった．","subitem_description_type":"Abstract"},{"subitem_description":"【結語】二期分割手術は手術侵襲の軽減を図ることが可能であり、回結腸再建におけるハイリスク症例に対して術後合併症の減少に寄与する可能性があり、手術適応拡大にもつながる可能性があると考えられた．","subitem_description_type":"Abstract"},{"subitem_description":"Background:\nEsophageal reconstruction by ileocolic interposition for esophageal cancer is highly invasive. We evaluated the two-stage operation by ileocolic reconstruction for high-risk esophageal cancer patients.","subitem_description_type":"Abstract"},{"subitem_description":"Method:\nWe investigated the clinical outcomes in 8 patients who underwent the two-stage operation by ileocolic reconstruction at our hospital between January 2017 and August 2021. Results: Of the 8 patients investigated, 7 were men. Median patient age was 69 (range 58–79) years, the median intraoperative blood loss was 184 (72-584) ml at first and 324 (50-1648) ml at second operation. The median operation time was 390 (269-613) min at first and 270 (233-401) min at second operation. The following postoperative complications were observed: 1 (12.5%) case of recurrent nerve palsy at first operation; 1 (12.5%) case of pneumonia, 1 (12.5%) case of wound infection, and 0 (0%) cases of anastomotic leakage at second operation. ","subitem_description_type":"Abstract"},{"subitem_description":"Conclusions:\nThe two-stage operation by ileocolic reconstruction is safe and feasible. The two-stage operation would lead to expand the indication of operation for high-risk esophageal cancer patients.","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":"10.14999/1521.00013188","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/10.14999/1521.00013188"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://doi.org/10.14999/1521.00013188","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":"村本, 圭史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大竹, 玲子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松永, 隆志"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"飯田, 洋也"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"三宅, 亨"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"植木, 智之"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"小島, 正継"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"前平, 博充"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"東口, 貴之"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"徳田, 彩"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"森, 治樹"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"永井, 望"}],"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":"2022-01-21"}],"displaytype":"detail","filename":"jsums3501p007.pdf","filesize":[{"value":"685.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsums3501p007","url":"https://shiga-med.repo.nii.ac.jp/record/4092/files/jsums3501p007.pdf"},"version_id":"5fe3f076-c880-4fdf-9a6e-99a155ae1132"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"食道癌","subitem_subject_scheme":"Other"},{"subitem_subject":"二期分割手術","subitem_subject_scheme":"Other"},{"subitem_subject":"回結腸再建","subitem_subject_scheme":"Other"},{"subitem_subject":"縫合不全","subitem_subject_scheme":"Other"},{"subitem_subject":"食道切除","subitem_subject_scheme":"Other"},{"subitem_subject":"esophageal cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"two-stage operation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ileocolic reconstruction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"anastomotic leakage","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"esophagectomy","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":"食道癌根治術における胃管再建困難症例に対する二期分割食道切除回結腸再建の治療成績","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"食道癌根治術における胃管再建困難症例に対する二期分割食道切除回結腸再建の治療成績"},{"subitem_title":"Clinical short-term outcomes of two stage operation of esophagectomy with ileocolic reconstruction for esophageal cancer","subitem_title_language":"en"}]},"item_type_id":"3","owner":"11","path":["419"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-01-21"},"publish_date":"2022-01-21","publish_status":"0","recid":"4092","relation_version_is_last":true,"title":["食道癌根治術における胃管再建困難症例に対する二期分割食道切除回結腸再建の治療成績"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:18:46.154548+00:00"}