{"created":"2023-07-27T06:38:42.994951+00:00","id":26879,"links":{},"metadata":{"_buckets":{"deposit":"04a00343-eab6-4f57-9591-c0674195185e"},"_deposit":{"created_by":3,"id":"26879","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"26879"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00026879","sets":["1761:1762:1763"]},"author_link":["21302","68","45312","21576"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1990-01-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"61","bibliographicPageStart":"57","bibliographicVolumeNumber":"3","bibliographic_titles":[{"bibliographic_title":"老年消化器病 = Journal of geriatric gastroenterology"}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"教室では, 手術手技の向上と術前後の管理能力の習熟により, 高齢者の膵頭部領域癌に対してもその根治性を目指して積極的に拡大あるいは準拡大郭清膵切除術を適応してきている. この際の術前後の管理の要点は以下のごとくである. (1)術前の減黄期間を利用して高カロリー輸液を行い, 栄養状態の改善に努める. (2)術後早期よりみられる下痢や腹腔内ドレーンからの大量の体液喪失に対処するため, 現時点では術後早期の適切な水分補給による体内浸透圧環境の正常化を目的に, 水と電解質バランスに重点をおいた管理を最優先させ, 投与カロリー量は最少限にとどめる. (3)術後1～2週過ぎからは高カロリー輸液や経腸栄養の組合せによる十分な栄養投与へと漸次移行し, 消化吸収障害をはじめとする術後の晩期合併症に対処する. 以上, 高齢者といえども術中の慎重な操作に加え, その病態に応じた術前後のきめ細かな管理がうまく行えれば, 十分に耐術し得るものと考えている. 教室では, 1973年末以降, 膵頭部領域癌に対し郭清範囲を次第に拡大し, 1977年にはtranslateral retroperitoneal approachによる拡大郭清膵切除術を開発1)して切除率はもとより予後の向上を目指して現在に至っている.","subitem_description_type":"Abstract"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"老年消化器病研究討論会編 / 医学図書出版"}]},"item_4_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.igakutosho.co.jp/","subitem_relation_type_select":"URI"}}]},"item_4_rights_23":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Copyright © 医学図書出版 | 許可を得て登録"}]},"item_4_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN10131385","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0914-8590","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":"太田, 哲生"}],"nameIdentifiers":[{},{},{},{}]},{"creatorNames":[{"creatorName":"永川, 宅和"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"上野, 桂一"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"宮崎, 逸夫"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-10-05"}],"displaytype":"detail","filename":"ME-PR-OHTA-T-57.pdf","filesize":[{"value":"2.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ME-PR-OHTA-T-57.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/26879/files/ME-PR-OHTA-T-57.pdf"},"version_id":"aa81cf50-7409-43c1-b032-ab87edda78ee"}]},"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":"高齢者膵頭部領域癌手術の術前後栄養管理について","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"高齢者膵頭部領域癌手術の術前後栄養管理について"},{"subitem_title":"Perioperative nutritional management of the eldery patients with carcinorna in the region of the pancreatic head","subitem_title_language":"en"}]},"item_type_id":"4","owner":"3","path":["1763"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-10-05"},"publish_date":"2017-10-05","publish_status":"0","recid":"26879","relation_version_is_last":true,"title":["高齢者膵頭部領域癌手術の術前後栄養管理について"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-27T21:17:13.134880+00:00"}