{"created":"2023-07-27T06:54:17.349556+00:00","id":49546,"links":{},"metadata":{"_buckets":{"deposit":"7480cbcd-b464-4740-84f8-a01b0f596ac6"},"_deposit":{"created_by":18,"id":"49546","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"49546"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00049546","sets":["2812:2813:2816"]},"author_link":["1769","71048"],"item_9_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-05-20","bibliographicIssueDateType":"Issued"},"bibliographicPageStart":"5p.","bibliographicVolumeNumber":"2014-04-01 - 2018-03-31","bibliographic_titles":[{"bibliographic_title":"平成29(2017)年度 科学研究費補助金 基盤研究(C) 研究成果報告書"},{"bibliographic_title":"2017 Fiscal Year Final Research Report","bibliographic_titleLang":"en"}]}]},"item_9_creator_33":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{}],"nameIdentifiers":[{},{}]}]},"item_9_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"膵頭十二指腸切除術後のドレーン早期抜去後に、ドレーン再挿入や再手術が必要となる症例は他の合併症併発リスクも高く長期入院となる。術前に臨床的に問題となる膵液瘻（CR-POPF）高危険群を客観的に予測することを目的とし、手術関連因子、CT・MRIから得られる因子、更に組織学的な膵線維化面積率、脂肪化面積率も検討した。その結果、有意な術前判定可能な高危険因子は、「CT値比（膵実質/脊柱起立筋）・後期相＜1.295」（オッズ比4.23倍）、「膵実質径/主膵管径（CT axial）≧6.70」（3.77倍）であった。CR-POPD高危険群を慎重に扱うことで、早期抜去をより安全に行いうる。","subitem_description_type":"Abstract"},{"subitem_description":"Reposition of drains or reoperation after early removal of drains in patients with pancrearic head resection is harmful and stressful for both patients and surgeons. The aim of this study is to clarify objective predictive parameters of clinical relevant postoperative pancreatic fistula (CR-POPF) preoperatively. We investigated high risk factors for CR-POPF in surgical factors, morphologic and imaging factors from CT or MRI and proportion of fibrous tissue and adipose tissue at cut margin of the pancreas. Histological fibrous ratio of pancreas, morphologic ratio of [width of the pancreas] / [diameter of main pancreatic duct] by CT axial imaging and CT value ratio of [pancreatic parenchyma] / [erector spinae muscles] in late phase are statistically significant factors. Latter two factors are preoperative predictive factors. Careful management of drain for high risk group makes early removal of drains safer.","subitem_description_type":"Abstract"}]},"item_9_description_22":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"研究課題/領域番号:26462057, 研究期間(年度):2014-04-01 - 2018-03-31","subitem_description_type":"Other"},{"subitem_description":"出典：研究課題「新規MDCT撮像法、MRIによる、膵手術後膵液瘻発生高リスク群予測に関する研究」課題番号26462057\n（KAKEN：科学研究費助成事業データベース（国立情報学研究所）） \n（https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-26462057/26462057seika/）を加工して作成","subitem_description_type":"Other"}]},"item_9_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_9_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00055858","subitem_identifier_reg_type":"JaLC"}]},"item_9_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/search/?qm=80272970"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/search/?qm=80272970","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-26462057/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-26462057/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-26462057/26462057seika/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-26462057/26462057seika/","subitem_relation_type_select":"URI"}}]},"item_9_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-10-18"}],"displaytype":"detail","filename":"ME-PR-KITAGAWA-H-kaken 2018-5p.pdf","filesize":[{"value":"517.5 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"ME-PR-KITAGAWA-H-kaken 2018-5p.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/49546/files/ME-PR-KITAGAWA-H-kaken 2018-5p.pdf"},"version_id":"1710d1f0-e8e5-4904-9c6f-f1309e86fb6c"}]},"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":"research report","resourceuri":"http://purl.org/coar/resource_type/c_18ws"}]},"item_title":"新規MDCT撮像法、MRIによる、膵手術後膵液瘻発生高リスク群予測に関する研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"新規MDCT撮像法、MRIによる、膵手術後膵液瘻発生高リスク群予測に関する研究"},{"subitem_title":"Study for preoperative prediction of clinical relevant postoperative pancreatic fistula for safty early removal of drains","subitem_title_language":"en"}]},"item_type_id":"9","owner":"18","path":["2816"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-10-18"},"publish_date":"2019-10-18","publish_status":"0","recid":"49546","relation_version_is_last":true,"title":["新規MDCT撮像法、MRIによる、膵手術後膵液瘻発生高リスク群予測に関する研究"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T12:49:36.117710+00:00"}