{"_buckets": {"deposit": "06201d19-986e-4f13-a35b-a70f64d04fd7"}, "_deposit": {"created_by": 3, "id": "14591", "owners": [3], "pid": {"revision_id": 0, "type": "depid", "value": "14591"}, "status": "published"}, "_oai": {"id": "oai:kanazawa-u.repo.nii.ac.jp:00014591", "sets": ["1134"]}, "author_link": ["25814", "186", "25812", "25813", "25816", "25815"], "item_4_biblio_info_8": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1989-06-15", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "3", "bibliographicPageEnd": "333", "bibliographicPageStart": "329", "bibliographicVolumeNumber": "3", "bibliographic_titles": [{"bibliographic_title": "日本呼吸器外科学会 = The Japanese Association for Chest Surgery"}]}]}, "item_4_description_21": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "1973～1988年2月までの約15年間に経験した33例の高齢者(75歳以上)肺癌切除症例につき,その切除根治度と手術成績および術後合併症について検討した.手術例の1生率は58.6%,3生率37.7%であり,I期例では1生率83.3%,3生率66.7%と良好であるが,III期例では1生率38.4%,3生率19.2%と不良であった.17例が生存中で,I期12例,III期4例,IV期1例であり,その術式は,肺葉切除が22例中14例,肺区域切除が7例中3例で,葉切例に生存例が多く,切除根治度では,絶治13例中10例,相治2例中1例,相非9例中4例,絶非7例中2例が生存中で,絶治例に生存例が多い.術後合併症は,33例中18例(54.5%)と高頻度に認め,切除根治度の上昇と共にその発生率も上昇したが,致死的合併症はなかった.よって当科では,手術成績の向上に主眼をおき,高齢者といえども,できる限り広範囲リンパ節廓清を含めた治癒切除をめざす方針を取るべきであると考えている. Sixty patients with lung cancer over the age of 75 years were admitted from 1973 to February, 1988, and 33 of them were treated surgically. The operative procedures were lobectomy (22 patients), segmentectomy (five patients), pneumonectomy (one patient), sleeve pneumonectomy (one patient) and partial resection (two patients). Absolute curative resection was done in 13 patients (39.4%), relative curative resection in two (6.1%), relative non-curative resection in nine (27.3%), absolute non-curative resection in seven (21.2%) and exploratory thoracotomy in two (6.1%). The three-year survival rate after operation for all 33 patients was 37.7% (66.7% for stage I-16 patients and 19.2% for stage III-14 patients). Seventeen patients are alive; ten had absolute curative resection (58.8%), one had relative curative resection (5.9%), four had relative non-curative resection (23.5%) and two had absolute noncurative resection (11.8%). Postoperative complication developed in 18 patients (54.5%). The incidence was 84.6% in the absolute curative group, 50.0% in the relative curative group, 33.3% in the relative non-curative group and 28.6% in the absolute non-curative group. Patients who had absolute curative resection with mediastinal lymph node dissection had a high incidence of postoperative complications. There was no operative mortality in any of the groups. It is concluded that aggressive surgical treatment should be performed regardless of the age of the patient if radical operation is at all fesible.", "subitem_description_type": "Abstract"}]}, "item_4_description_5": {"attribute_name": "提供者所属", "attribute_value_mlt": [{"subitem_description": "金沢大学医薬保健研究域医学系", "subitem_description_type": "Other"}]}, "item_4_publisher_17": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "The Journal of the Japanese Association for Chest Surgery = 日本呼吸器外科学会雑誌"}]}, "item_4_relation_28": {"attribute_name": "関連URI", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "http://www.jacsurg.gr.jp/", "subitem_relation_type_select": "URI"}}, {"subitem_relation_type_id": {"subitem_relation_type_id_text": "http://ci.nii.ac.jp/naid/110007153970/en/", "subitem_relation_type_select": "URI"}}]}, "item_4_rights_23": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "Copyright (c) 1989 日本呼吸器外科学会"}]}, "item_4_source_id_11": {"attribute_name": "NCID", "attribute_value_mlt": [{"subitem_source_identifier": "AN10467885", "subitem_source_identifier_type": "NCID"}]}, "item_4_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0919-0945", "subitem_source_identifier_type": "ISSN"}]}, "item_4_version_type_25": {"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": "清水, 淳三"}], "nameIdentifiers": [{"nameIdentifier": "25812", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "渡辺, 洋宇"}], "nameIdentifiers": [{"nameIdentifier": "25813", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "吉田, 政之"}], "nameIdentifiers": [{"nameIdentifier": "25814", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "小田, 誠"}], "nameIdentifiers": [{"nameIdentifier": "186", "nameIdentifierScheme": "WEKO"}, {"nameIdentifier": "50224241", "nameIdentifierScheme": "e-Rad", "nameIdentifierURI": "https://kaken.nii.ac.jp/ja/search/?qm=50224241"}, {"nameIdentifier": "50224241", "nameIdentifierScheme": "研究者番号", "nameIdentifierURI": "https://nrid.nii.ac.jp/nrid/1000050224241"}]}, {"creatorNames": [{"creatorName": "村上, 真也"}], "nameIdentifiers": [{"nameIdentifier": "25815", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "岩, 喬"}], "nameIdentifiers": [{"nameIdentifier": "25816", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2017-10-03"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "ME-PR-ODA-M-329.pdf", "filesize": [{"value": "436.2 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 436200.0, "url": {"label": "ME-PR-ODA-M-329.pdf", "url": "https://kanazawa-u.repo.nii.ac.jp/record/14591/files/ME-PR-ODA-M-329.pdf"}, "version_id": "a8f6377e-903d-46a8-bcac-5ac7bc5c3e10"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "advanced age patients with lung cancer", "subitem_subject_scheme": "Other"}, {"subitem_subject": "operative radicality", "subitem_subject_scheme": "Other"}, {"subitem_subject": "results of surgical treatment", "subitem_subject_scheme": "Other"}, {"subitem_subject": "postoperative complication", "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": "高齢者(75歳以上)肺癌に対する肺癌切除症例の検討 : 切除根治度と手術成績からみた検討", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "高齢者(75歳以上)肺癌に対する肺癌切除症例の検討 : 切除根治度と手術成績からみた検討"}, {"subitem_title": "Evaluation of Surgical Treatment of Patients over 75 years of Age with Lung Cancer", "subitem_title_language": "en"}]}, "item_type_id": "4", "owner": "3", "path": ["1134"], "permalink_uri": "http://hdl.handle.net/2297/24834", "pubdate": {"attribute_name": "公開日", "attribute_value": "2017-10-03"}, "publish_date": "2017-10-03", "publish_status": "0", "recid": "14591", "relation": {}, "relation_version_is_last": true, "title": ["高齢者(75歳以上)肺癌に対する肺癌切除症例の検討 : 切除根治度と手術成績からみた検討"], "weko_shared_id": 3}