{"created":"2023-07-27T06:38:44.031888+00:00","id":26903,"links":{},"metadata":{"_buckets":{"deposit":"a50b52ff-93d7-45a7-b830-134310077d83"},"_deposit":{"created_by":3,"id":"26903","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"26903"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00026903","sets":["1761:1762:1763"]},"author_link":["21576","21577"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"12","bibliographicPageEnd":"865","bibliographicPageStart":"859","bibliographicVolumeNumber":"24","bibliographic_titles":[{"bibliographic_title":"胆と膵 = The Biliary tract & pancreas"}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"この度, 本邦の膵癌取扱い規約が簡略化, 国際化を目指してかなり大幅に改訂された. このような状況のもと, 今後の膵癌拡大手術が如何にあるべきかを, 自験例の成績をもとに検討, 考察し, とくに膵癌後方浸潤の評価方法と適正な手術法について論じた. 第5版による拡大手術の影響は, とくに膵後方浸潤(rp)の完全な切除に問題が出てくる. この完全除去とは, 従来より著者らが, 主張しているTRA法による膵後方のretropancreatic fusion fascia(rff)の合併切除を意味し, 今後規約のなかでも取り上げるべきfasciaと考えられた. また, 第5版の膵癌取扱い規約にみるew(-)と(+)だけの分類では不十分で, 断端より5mm以内の癌陽性もその対象症例が多い現状では第4版のew1は残すべきと考えられた. リンパ節転移に対して拡大手術の効果は出たとはいえないが, TRA法によるrffを含む合併切除のためには当然16a2とb1の郭清が必要であるといえる.","subitem_description_type":"Abstract"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"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":"AN00333226","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0388-9408","subitem_source_identifier_type":"ISSN"}]},"item_4_text_2":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_text_value":"[特集]膵臓癌の手術は新規約(第5版)でどう変わるか"},{"subitem_text_value":"Extended Operation for Pacreatic Cancer Based on the New Classification of Pancreatic Cacer: Assment of Retropancreatic Invasion and It's Operation"}]},"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":"永川, 宅和"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"萱原, 正都"}],"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-NAGAKAWA-T-859.pdf","filesize":[{"value":"3.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ME-PR-NAGAKAWA-T-859.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/26903/files/ME-PR-NAGAKAWA-T-859.pdf"},"version_id":"25e86cde-6600-4357-a830-b425a3484b76"}]},"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":"新規約と今後の膵癌拡大手術のあり方:とくに膵後方浸潤の評価方法とその手術","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"新規約と今後の膵癌拡大手術のあり方:とくに膵後方浸潤の評価方法とその手術"}]},"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":"26903","relation_version_is_last":true,"title":["新規約と今後の膵癌拡大手術のあり方:とくに膵後方浸潤の評価方法とその手術"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-27T21:16:49.617086+00:00"}