{"created":"2023-07-27T06:54:17.395536+00:00","id":49547,"links":{},"metadata":{"_buckets":{"deposit":"8b83f555-fede-49d1-a834-475a2bc35b1b"},"_deposit":{"created_by":18,"id":"49547","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"49547"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00049547","sets":["2812:2813:2820"]},"author_link":["1769","71048"],"item_9_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-06-03","bibliographicIssueDateType":"Issued"},"bibliographicPageStart":"6p.","bibliographicVolumeNumber":"2011-2013","bibliographic_titles":[{"bibliographic_title":"平成25(2013)年度 科学研究費補助金 基盤研究(C) 研究成果報告書"},{"bibliographic_title":"2013 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":"膵癌の手術でも、①直接浸潤の範囲と②所属リンパ流域をen blocに切除すべきである。\n①後方組織への浸潤RPに対して腎筋膜前葉は防護策の役割を果たしていた。膵頭部癌では、術前CTで「癌巣が広くIVCに接して且つ一部が突出している」場合に、腎筋膜前葉を越えてIVCに浸潤していた。\n②膵頭部、特に腹側膵領域の所属リンパ流域をmeso-pancreatoduodenumと名付けたが、IPDAを幹とし、発生の腸回転のためSMAの5時方向付近から膵鈎部へと巻くように存在するため、SMAの背側を中心として切除すべきであり、従来言われていたSMA右半周の郭清では取り残しが生じる。","subitem_description_type":"Abstract"},{"subitem_description":"Resection of lymphatic basin and clearance of direct invasion are required for curative resection of pancreatic carcinoma. The anterior renal fascia acts as a barrier against retropancreatic invasion. The principle underlying our surgical strategy for resectable pancreatic head carcinoma is total excision of the lymphatic basin of the pancreatic head, which is termed meso-pancreatoduodenum (meso-pd). Our meso-pd concept refers to the mesentery of the pancreatic head and the duodenum, which is a firm and well-vascularized perineural lymphatic layer located dorsal to the pancreas that reaches behind the mesenteric vessels. The meso-pd is fan-shaped and its trunk is the inferior pancreatoduodenal artery, which is a tributary of the SMA. Therefore, a total meso-pd resection was performed with respect to the PLX surrounding the SMA and including the anterior renal fascia.","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:23592005, 研究期間(年度):2011-2013","subitem_description_type":"Other"},{"subitem_description":"出典：「膵癌のMesopancerasへの進展に対する臓器発生と筋膜の構造からみた戦略」研究成果報告書　課題番号23592005\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-23592005/23592005seika/）を加工して作成","subitem_description_type":"Other"}]},"item_9_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00055859","subitem_identifier_reg_type":"JaLC"}]},"item_9_publisher_17":{"attribute_name":"公開者","attribute_value_mlt":[{"subitem_publisher":"金沢大学医薬保健研究域医学系"}]},"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-23592005/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-23592005/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-23592005/23592005seika/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-23592005/23592005seika/","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 2014-6p.pdf","filesize":[{"value":"95.6 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"ME-PR-KITAGAWA-H-kaken 2014-6p.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/49547/files/ME-PR-KITAGAWA-H-kaken 2014-6p.pdf"},"version_id":"3e8a7184-e33c-481f-89f6-1b6e615b40e7"}]},"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":"膵癌のMesopancerasへの進展に対する臓器発生と筋膜の構造からみた戦略","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"膵癌のMesopancerasへの進展に対する臓器発生と筋膜の構造からみた戦略"},{"subitem_title":"Significance of meso-pancreatoduodenum for en bloc resection of pancreatic head carcinoma","subitem_title_language":"en"}]},"item_type_id":"9","owner":"18","path":["2820"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-10-18"},"publish_date":"2019-10-18","publish_status":"0","recid":"49547","relation_version_is_last":true,"title":["膵癌のMesopancerasへの進展に対する臓器発生と筋膜の構造からみた戦略"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T09:11:04.935372+00:00"}