{"created":"2023-07-27T06:38:52.809999+00:00","id":27109,"links":{},"metadata":{"_buckets":{"deposit":"a7e02add-2918-4706-b23c-e30be1a0ec04"},"_deposit":{"created_by":3,"id":"27109","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"27109"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00027109","sets":["1761:1762:1763"]},"author_link":["21577","68","46117","21576","21810","45312"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2001-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"157","bibliographicPageStart":"153","bibliographicVolumeNumber":"13","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":"著者らは, 1973年以降癌に対し手術郭清範囲を次第に拡大し, その結果, 3年以上生存例が18例得られ, 膵頭部癌の5年生存率は肉眼的治癒切除で21.0%, 組織学的治癒切除で30.6%となった. そこで, 本稿では過去25年間に経験した膵頭部癌肉眼的治癒切除症例64例のうち, 3年以上生存し得た18例および3年未満に死亡が確認された41例を対象とし, 病理組織学的進展状況からみた膵頭部癌長期生存の条件について考察を加え検討した. それをみると, 現時点での膵頭部癌長期生存の条件としては, (1)腫瘍径が3cm以下であること, (2)リンパ節転移はないか, あってもn1群までであること, (3)soであること, (4)rpoまたはrpeであってもew(-)であること, の4条件が必須と考えられた. ただし, 組織型によっては腫瘍径が3cmを越えた場合でも他の3条件を満たせば十分長期生存が期待できるものもあると思われた. 著者らは, 1973年以降癌に対し手術郭清範囲を次第に拡大し, 1977年にはtranslateral retroperitoneal approach(以下, TRA)による広範囲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努力してきた.","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_text_2":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_text_value":"[特集]老年者の消化器進行癌の長期生存例"},{"subitem_text_value":"Clinicopathological study on long term survivals of surgical resection for carcinoma of the head of the pancreas"}]},"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":[{},{},{}]},{"creatorNames":[{"creatorName":"北川, 裕久"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"上野, 桂一"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"小西, 一朗"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"太田, 哲生"}],"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-153.pdf","filesize":[{"value":"2.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ME-PR-OHTA-T-153.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/27109/files/ME-PR-OHTA-T-153.pdf"},"version_id":"176b4026-b5cc-4273-848e-1a30140108b2"}]},"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":"膵頭部癌長期生存例の臨床病理学的検討:拡大手術はどこまで治し得たか","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"膵頭部癌長期生存例の臨床病理学的検討:拡大手術はどこまで治し得たか"}]},"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":"27109","relation_version_is_last":true,"title":["膵頭部癌長期生存例の臨床病理学的検討:拡大手術はどこまで治し得たか"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-27T21:13:01.113441+00:00"}