{"created":"2023-06-20T15:55:37.291466+00:00","id":12206,"links":{},"metadata":{"_buckets":{"deposit":"1a24a9f9-8af8-4ef1-a6b4-a3ceebaa0145"},"_deposit":{"created_by":39,"id":"12206","owners":[39],"pid":{"revision_id":0,"type":"depid","value":"12206"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00012206","sets":["98:61:420"]},"author_link":["7284","7283","23559","34060","27665","27660","20471"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-03-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"8","bibliographicPageStart":"3","bibliographicVolumeNumber":"40","bibliographic_titles":[{"bibliographic_title":"高山赤十字病院紀要"},{"bibliographic_title":"Japanese Red Cross Takayama Hospital","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【症例】76歳、女性。５年前から近医にて胃体上部後壁の粘膜腫瘍を経過観察されていた。腫瘍の軽度増大を認め、当院内科へ紹介となる。生検施行し、低リスクGISTの診断となり、手術目的に当院外科へ紹介となった。【既往歴】高血圧、糖尿病、高脂血症、子宮筋腫にて開腹手術の既往【身体所見】身長152.0㎝、体重53.0㎏、体温：35.6℃、脈拍：75回/分、血圧：119/62mmHg。下腹部正中創以外特記すべき異常は認めなかった。【検査所見】胃カメラ：胃体上部後壁に大きさ10×25mmの粘膜腫瘍を認めた。超音波内視鏡では第3層に病変を認め、生検施行。病理結果はGIST low risk（c-kit:3+ CD34:3+ S-100:- desmin:- SMA:- Ki-67index 5%）であった。【治療経過】腹腔鏡・内視鏡合同胃局所切除（Laparoscopy endoscopy cooperative surgery：\nLECS）を施行した。術後経過は大きな問題なく、術後10日目に退院。術後２年経過しているが、無再発生存中である。\n　近年、内視鏡的治療や腹腔鏡下手術などの低侵襲治療の進歩は著しく、技術の工夫、デバイスの進歩、手技の融合により新たな治療戦略が可能となってきている。\n　胃粘膜下腫瘍、GISTはリンパ節郭清を必要とせず、胃局所切除が許容される事から腹腔鏡下手術が行われてきた。比企らによって報告された腹腔鏡・内視鏡合同胃局所切除（Laparoscopy endoscopy cooperative surgery：LECS）も行われるようになっている9）。今回、我々は腹腔鏡\n下での切除が比較的切除が難しいとされる胃体上部後壁のGISTに対して安全にLECSを完遂出来たので報告する。","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"高山赤十字病院"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0387-7027","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"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":"沖, 一匡"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"坂野, 慎哉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"末次, 智成"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加納, 寛悠"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"井川, 愛子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐野, 文"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"白子, 隆志"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-08-14"}],"displaytype":"simple","filename":"02沖　　一匡.pdf","filesize":[{"value":"23.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"takayama40_002","url":"https://redcross.repo.nii.ac.jp/record/12206/files/02沖　　一匡.pdf"},"version_id":"143871d6-d14d-4943-acc0-801ffcb260b6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"GIST","subitem_subject_scheme":"Other"},{"subitem_subject":"腹腔鏡・内視鏡合同胃局所切除（LECS）","subitem_subject_scheme":"Other"},{"subitem_subject":"GIST","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"LECS","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":"胃体上部後壁のGISTに対して腹腔鏡・内視鏡合同胃局所切除 （Laparoscopy endoscopy cooperative surgery：LECS）を施行した経験","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胃体上部後壁のGISTに対して腹腔鏡・内視鏡合同胃局所切除 （Laparoscopy endoscopy cooperative surgery：LECS）を施行した経験"},{"subitem_title":"-A CASE REPORT -","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"39","path":["420"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-08-14"},"publish_date":"2017-08-14","publish_status":"0","recid":"12206","relation_version_is_last":true,"title":["胃体上部後壁のGISTに対して腹腔鏡・内視鏡合同胃局所切除 （Laparoscopy endoscopy cooperative surgery：LECS）を施行した経験"],"weko_creator_id":"39","weko_shared_id":-1},"updated":"2023-06-20T19:05:13.835572+00:00"}