{"created":"2023-06-20T15:59:43.308152+00:00","id":17737,"links":{},"metadata":{"_buckets":{"deposit":"1adc5c3e-9a0b-4084-a127-e0638886b7b2"},"_deposit":{"created_by":28,"id":"17737","owners":[28],"pid":{"revision_id":0,"type":"depid","value":"17737"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00017737","sets":["172:173:642"]},"author_link":["67345","67346","16197","16191","33775","67344"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"108","bibliographicPageStart":"103","bibliographicVolumeNumber":"38","bibliographic_titles":[{"bibliographic_title":"日本赤十字社和歌山医療センター医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Wakayama Medical Center","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"術中、副腎周囲の止血に使用したソフト凝固が原因と考えられる異常高血圧を認めた2例を経験したので報告する。1例目は53歳女性で、右腎癌に対して腹腔鏡下腎および副腎部分切除術が、2例目は77歳女性で、左腎癌の疑いに対して腹腔鏡下腎部分切除が行われた。2例とも術中のバイタルは安定し、麻酔深度も十分と思われていた。しかし,2症例とも、副腎近傍をソフト凝固で止血した際、急激な一過性の血圧上昇を認め、その後、凝固操作の中止に伴い血圧は正常化した。従来の電気凝固と異なり、ソフト凝固は放電を行わず、ジュール熱のみで止血を行う。今回使用したソフト凝固の添付文書には、副腎に出力した際のカテコラミンの増加とそれに伴う血圧上昇が記載されている。今回の2症例から、副腎近傍にソフト凝固を使用する際は、各スタッフの注意が必要であると思われた。","subitem_description_type":"Abstract"},{"subitem_description":"We report two cases of intraoperative abnormal hypertension which occurred during hemostasis around the adrenal glands using a soft coagulation system. The one was a 53 year old woman who underwent laparoscopic renal malignant tumor resection for renal cancer. The other was a 77 year old woman who underwent laparoscopic renal malignant tumor resection for suspected renal cancer. In both cases, vital signs during the operation had been stable under sufficient depth of anesthesia. In these cases, transient and rapid rise in blood pressure occurred during peri-adrenal hemostasis with a Soft Coagulation System, which was subsequently normalized by the end of soft coagulation.","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"TANGE, Kazuaki"}]},{"nameIdentifiers":[{}],"names":[{"name":"IWAHASHI, Shizue"}]},{"nameIdentifiers":[{}],"names":[{"name":"Iranami, Hiroshi"}]}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本赤十字社和歌山医療センター"}]},"item_10001_relation_16":{"attribute_name":"情報源","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"日本赤十字社和歌山医療センター"}]}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本赤十字社和歌山医療センター"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN1051395X","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1341-9927","subitem_source_identifier_type":"ISSN"}]},"item_10001_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":"丹下, 和晃"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岩橋, 静江"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊良波, 浩"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-05-24"}],"displaytype":"detail","filename":"15丹下.pdf","filesize":[{"value":"2.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Wakayama38_15","url":"https://redcross.repo.nii.ac.jp/record/17737/files/15丹下.pdf"},"version_id":"565f24ae-7705-4573-8b9e-d5118af38844"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"ソフト凝固","subitem_subject_scheme":"Other"},{"subitem_subject":"副腎近傍","subitem_subject_scheme":"Other"},{"subitem_subject":"異常高血圧","subitem_subject_scheme":"Other"},{"subitem_subject":"Soft Coagulation System","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"peri-adrenal glands","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"abnormal hypertension","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"副腎近傍でのソフト凝固使用によると考えられた予期せぬ異常高血圧を認めた2 例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"副腎近傍でのソフト凝固使用によると考えられた予期せぬ異常高血圧を認めた2 例"},{"subitem_title":"Two cases of unpredictable hypertension presumably induced by soft coagulation at the part adjacent to adrenal gland","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"28","path":["642"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-05-24"},"publish_date":"2021-05-24","publish_status":"0","recid":"17737","relation_version_is_last":true,"title":["副腎近傍でのソフト凝固使用によると考えられた予期せぬ異常高血圧を認めた2 例"],"weko_creator_id":"28","weko_shared_id":-1},"updated":"2023-06-20T17:54:42.320713+00:00"}