{"created":"2023-06-20T15:52:42.902026+00:00","id":6979,"links":{},"metadata":{"_buckets":{"deposit":"b4758f14-bb4a-4ce4-bbbd-d5b9563eb6dc"},"_deposit":{"created_by":8,"id":"6979","owners":[8],"pid":{"revision_id":0,"type":"depid","value":"6979"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00006979","sets":["153:154:247"]},"author_link":["24862","24860","25265","25267","25266","24861"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-05","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"41","bibliographicPageStart":"37","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_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"憩室部分切除後に嚢胞を形成したAlonso-Lej II型先天性胆管拡張症の1例を経験したので報告する。症例は75歳の男性で、腹腔鏡下胆嚢摘出術の既往があった。胆嚢摘出術から2年5ヵ月後に、憩室に結石を伴う先天性胆管拡張症に対して腹腔鏡下に憩室を部分切除した。憩室部分切除術から5年2ヵ月後に黄疸を主訴として来院し、MRCP検査では憩室と同じ部位に径3.5cm大の嚢胞が存在し、総胆管を著明に圧迫していた。そこで腹腔鏡下に嚢胞を可及的に切除した。病理学的には嚢胞壁に上皮や筋層はなく、線維性結合組織であった。手術1年後のDIC-CT検査では、嚢胞と同じ部位に径2.5cm大の嚢胞が再発しており、総胆管を圧迫していた。しかし、嚢胞は増大せず無症状で肝機能も正常であるため、嚢胞切除後5年11ヵ月現在経過観察中である。Alonso-Lej II型先天性胆管拡張症では、遺残した憩室粘膜からの分泌物により嚢胞を形成する危険性があるため憩室を完全に摘出することが望ましい。","subitem_description_type":"Abstract"}]},"item_5_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"仙台赤十字病院"}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0917-8724","subitem_source_identifier_type":"ISSN"}]},"item_5_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":"鈴木, 秀幸"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中川, 国利"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"高舘, 達之"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"深町, 伸"}],"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":"p037-041.pdf","filesize":[{"value":"734.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf037-041","url":"https://redcross.repo.nii.ac.jp/record/6979/files/p037-041.pdf"},"version_id":"fb408362-ab65-4b2d-9534-88f250ed6b84"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Alonso-LejⅡ型先天性胆管拡張症","subitem_subject_scheme":"Other"},{"subitem_subject":"総胆管憩室症","subitem_subject_scheme":"Other"},{"subitem_subject":"腹腔鏡下総胆管憩室切除術","subitem_subject_scheme":"Other"},{"subitem_subject":"腹腔鏡下胆嚢切除術","subitem_subject_scheme":"Other"},{"subitem_subject":"憩室","subitem_subject_scheme":"Other"},{"subitem_subject":"再発","subitem_subject_scheme":"Other"},{"subitem_subject":"術後合併症","subitem_subject_scheme":"Other"},{"subitem_subject":"X線CT","subitem_subject_scheme":"Other"},{"subitem_subject":"嚢胞","subitem_subject_scheme":"Other"},{"subitem_subject":"腹腔鏡法","subitem_subject_scheme":"Other"},{"subitem_subject":"磁気共鳴胆道膵管造影","subitem_subject_scheme":"Other"},{"subitem_subject":"胆道拡張症","subitem_subject_scheme":"Other"},{"subitem_subject":"腹部CT","subitem_subject_scheme":"Other"},{"subitem_subject":"高齢者","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":"technical report"}]},"item_title":"憩室部分切除後に嚢胞を形成したAlonso-Lej II型先天性胆管拡張症の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"憩室部分切除後に嚢胞を形成したAlonso-Lej II型先天性胆管拡張症の1例"},{"subitem_title":"A Case of Congenital Choledochal Dilation of Type Ⅱ in Alonso-Lej's Classification which Formed Cyst after Partial Resection of the Diverticulum","subitem_title_language":"en"}]},"item_type_id":"5","owner":"8","path":["247"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-08-19"},"publish_date":"2014-08-19","publish_status":"0","recid":"6979","relation_version_is_last":true,"title":["憩室部分切除後に嚢胞を形成したAlonso-Lej II型先天性胆管拡張症の1例"],"weko_creator_id":"8","weko_shared_id":-1},"updated":"2023-06-20T20:18:40.319347+00:00"}