{"created":"2023-07-27T06:51:33.203125+00:00","id":45019,"links":{},"metadata":{"_buckets":{"deposit":"26ace50d-f265-4457-a1a8-03a47ce33ff3"},"_deposit":{"created_by":18,"id":"45019","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"45019"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00045019","sets":["1132:1133:1134"]},"author_link":["78237","78247","78246","78239","78244","20129","20664","78240","78242","78243","78245","78238","78235","78236"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1994","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5","bibliographicPageEnd":"333","bibliographicPageStart":"328","bibliographicVolumeNumber":"23","bibliographic_titles":[{"bibliographic_title":"日本心臓血管外科学会雑誌"},{"bibliographic_title":"Japanese Journal of Cardiovascular Surgery","bibliographic_titleLang":"en"}]}]},"item_4_creator_33":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Sakakibara, Naoki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kawasuji, Michio"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tedoriya, Takeo"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ueyama, Keishi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takahashi, Masao"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yasuda, Tamotsu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Watanabe, Yoh"}],"nameIdentifiers":[{},{}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"積極的胸膜切開下での内胸動脈 (ITA) グラフト剥離が胸膜温存した場合と比べて胸部合併症が多いか検討した. 対象はITA剥離を積極的胸膜切開下で行った50例 (I群) と胸膜を可及的温存した50例 (II群) とした. I群には左開胸例40例 (Ia群) と両側開胸例10例 (Ib群) があり, 胸膜は開窓のまま閉胸した. II群には胸膜を完全温存した22例 (IIa群) と胸膜穿孔を修復した28例 (IIb群) があった. I群はII群よりITA剥離時間が短く, 術後1週間以内の呼吸管理に関する因子では胸腔ドレーン排液量のみがIa群およびIb群でII群より有意に多かった. 術後1か月までの胸部合併症はIIa群以外で胸膜肥厚をわずかに認めたが, それ以外はIIb群に横隔膜神経麻痺に起因する胸水貯留を1例のみ認めた. 積極的胸膜切開法はITA剥離時間の短縮, ITA中枢側剥離の容易化, In-situ グラフト走行の最短化が得られる優れた術式で胸部合併症はほとんどなかった.","subitem_description_type":"Abstract"},{"subitem_description":"A recent study evaluated the effect of pleurotomy for harvesting internal thoracic arteries (ITAs) on pulmonary complications after coronary artery bypass grafting (CABG). Fifty consecutive patients with pleurotomy (group I) were studied retrospectively and compared with a control group of fifty patients undergoing CABG without pleurotomy during ITA harvest (group II). Group I was divided into two groups; forty patients using left ITAs with left open pleurotomy (group Ia), and ten patients using bilateral ITAs with bilateral open pleurotomy (group Ib). On the other hand, group II includes 22 patients without pleurotomy (group IIa) and 28 patients with closed pleurotomy (group IIb). In group I, ITAs were dissected from the chest wall with mediastinal pleura and then isolated from the pleura by pleurotomy. Before sternal closure, an L-shaped pleural tube was inserted into the deep costophrenic sinus and the pleurotomy remained open. In group II, ITAs were simultaneously dissected from the chest wall and mediastinal pleura, and if the pleura was damaged, the pleurotomy was approximated before sternal closure. There was no significance in the number of bypass grafts, aortic crossclamp time, cardiopulmonary bypass time and temperature. ITA harvest time with open pleurotomy was shorter than that of closed pleura (15min versus 25min). Postoperatively, the ventilation time and duration of chest drainage also showed no significance, however group Ia and Ib showed significantly more fluid accumulation removed by chest drainage (Ia, 288±193ml; Ib, 285±198ml, versus IIb, 169±98ml). On postoperative day 30 no pleural effusion was observed in group I but it was seen in one case in group IIb which had diaphragm paralysis. In conclusion, open pleurotomy results in minimal pulmonary complications with optimal chest drainage and offers significant advantages for harvesting ITAs.","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_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00051358","subitem_identifier_reg_type":"JaLC"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本心臓血管外科学会 = The Japanese Society for Cardiovascular Surgery"}]},"item_4_relation_12":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.4326/jjcvs.23.328","subitem_relation_type_select":"DOI"}}]},"item_4_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"https://www.jstage.jst.go.jp/browse/jjcvs/-char/ja/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.jstage.jst.go.jp/browse/jjcvs/-char/ja/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"http://jscvs.umin.ac.jp/index.html"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://jscvs.umin.ac.jp/index.html","subitem_relation_type_select":"URI"}}]},"item_4_rights_23":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Copyright © 日本心臓血管外科学会 The Japanese Society for Cardiovascular Surgery"}]},"item_4_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN00193284","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0285-1474","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":"榊原, 直樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"川筋, 道雄"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"手取屋, 岳夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"上山, 圭史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高橋, 政夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"安田, 保"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡辺, 洋宇"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-05"}],"displaytype":"detail","filename":"ME-PR-WATANABE-Y-328.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"ME-PR-WATANABE-Y-328.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/45019/files/ME-PR-WATANABE-Y-328.pdf"},"version_id":"aba68618-2045-4763-96a1-9816426ed20a"}]},"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":"冠動脈バイパス術における積極的胸膜切開下内胸動脈剥離法の術後胸部合併症への影響","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"冠動脈バイパス術における積極的胸膜切開下内胸動脈剥離法の術後胸部合併症への影響"},{"subitem_title":"Pulmonary Complications Following Myocardial Revascularization Using Internal Thoracic Artery Harvested under Pleurotomy","subitem_title_language":"en"}]},"item_type_id":"4","owner":"18","path":["1134"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-07-05"},"publish_date":"2018-07-05","publish_status":"0","recid":"45019","relation_version_is_last":true,"title":["冠動脈バイパス術における積極的胸膜切開下内胸動脈剥離法の術後胸部合併症への影響"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T17:00:18.662405+00:00"}