{"created":"2023-06-20T15:52:42.817626+00:00","id":6977,"links":{},"metadata":{"_buckets":{"deposit":"7cb80da5-5e23-479b-a38b-d5dc26b1b961"},"_deposit":{"created_by":8,"id":"6977","owners":[8],"pid":{"revision_id":0,"type":"depid","value":"6977"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00006977","sets":["153:154:247"]},"author_link":["25256","25255","25252","25254","25253","25257","25251"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-05","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"29","bibliographicPageStart":"25","bibliographicVolumeNumber":"23","bibliographic_titles":[{"bibliographic_title":"仙台赤十字病院医学雑誌"},{"bibliographic_title":"Medical Journal of Sendai Red Cross Hospital","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"胃切除既往歴を有する総胆管結石症例35例に対して、腹腔鏡下総胆管切石術を施行した。胃切除の原疾患は、胃癌24例および胃・十二指腸潰瘍11例であった。再建術式は胃全摘5例では全例がRoux-en Y、幽門側胃切除30例ではBillroth I法8例およびBillroth II法22例であった。胃切除から腹腔鏡下総胆管切石術までの期間は、平均17年5ヵ月であった。術中偶発症はとくになかったが、癒着剥離困難6例、総胆管結石摘出困難2例および術中胆嚢癌判明1例の計9例(25.7%)で開腹移行した。腹腔鏡下手術完遂症例26例の平均手術時間121.8分、出血量80mlであった。術後偶発症は腹腔内膿瘍1例で、保存的に治癒した。また遺残結石を認めた3例では、胆道鏡を用いて摘出した。腹腔鏡下手術完遂例では手術翌日から経口摂取を始め、早期の退院や社会復帰が可能であった。胃切除後の総胆管結石例に対しても、手術侵襲の少ない腹腔鏡下総胆管切石術を積極的に試みる意義があると思われた。","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"FUKAMACHI, Shin"}]}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"仙台赤十字病院"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0917-8724","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":"深町, 伸"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中川, 国利"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴木, 秀幸"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高舘, 達之"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小林, 照忠"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大越, 崇彦"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2014-08-19"}],"displaytype":"simple","filename":"p025-029.pdf","filesize":[{"value":"349.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf025-029","url":"https://redcross.repo.nii.ac.jp/record/6977/files/p025-029.pdf"},"version_id":"4cf685c3-8fb3-4788-b8a8-c75e0dc63faf"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"腹腔鏡下総胆管切除術","subitem_subject_scheme":"Other"},{"subitem_subject":"胃切除既往","subitem_subject_scheme":"Other"},{"subitem_subject":"胆石症","subitem_subject_scheme":"Other"},{"subitem_subject":"胃潰瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"胃腫瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"胃切除","subitem_subject_scheme":"Other"},{"subitem_subject":"開腹術","subitem_subject_scheme":"Other"},{"subitem_subject":"十二指腸潰瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"術後合併症","subitem_subject_scheme":"Other"},{"subitem_subject":"総胆管結石症","subitem_subject_scheme":"Other"},{"subitem_subject":"胆道外科","subitem_subject_scheme":"Other"},{"subitem_subject":"腹腔鏡法","subitem_subject_scheme":"Other"},{"subitem_subject":"胃形成術","subitem_subject_scheme":"Other"},{"subitem_subject":"失血","subitem_subject_scheme":"Other"},{"subitem_subject":"治療成績","subitem_subject_scheme":"Other"},{"subitem_subject":"手術時間","subitem_subject_scheme":"Other"},{"subitem_subject":"総胆管切開術","subitem_subject_scheme":"Other"},{"subitem_subject":"トロカール","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 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