{"created":"2023-07-27T06:57:58.812023+00:00","id":55470,"links":{},"metadata":{"_buckets":{"deposit":"76aade22-340c-4342-824a-857291b72115"},"_deposit":{"created_by":18,"id":"55470","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"55470"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00055470","sets":["1132:1133:1134"]},"author_link":["1871","76074","100846","186","1195","75505","21737","519","91292","97393","292","86423"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-05-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"423","bibliographicPageStart":"418","bibliographicVolumeNumber":"25","bibliographic_titles":[{"bibliographic_title":"日本呼吸器外科学会雑誌"},{"bibliographic_title":"The journal of the Japanese association for chest surgery","bibliographic_titleLang":"en"}]}]},"item_4_creator_33":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Nishida, Saki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Oda, Makoto"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Matsumoto, Isao"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Tamura, Masaya"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Waseda, Ryuichi"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Watanabe, Go"}],"nameIdentifiers":[{},{}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は59歳，女性．3年前に子宮体癌を疑われ準広汎子宮全摘術，S状結腸切除術を施行された．病理診断および精査の結果，原発性肺腺癌の腹腔内転移と診断された．その後の経過で，計6レジメンの化学療法と計100Gyの放射線治療が施行された．転移巣の制御は良好であったが，原発巣の増大傾向を認めたため，手術目的に当科紹介となった．手術は，肺門部において，肺動脈および上葉気管支と周囲組織との強固な癒着を認めたため，これらを一括して鉗子にてクランプした後に切離し，断端を3-0vicryl糸にて縫合して閉鎖した．断端は有茎傍心膜脂肪織にて被覆した．術後の病理診断で，低分化肺腺癌と診断された．術後さらに補助化学療法を追加し，術後9ヵ月間再発転移は認めていない．高容量化学放射線療法による炎症にて肺門部の処理が困難な症例に対しては，肺門部一括処理および有茎傍心膜脂肪織による気管支・肺動脈切離断端の被覆が有用であると考える．","subitem_description_type":"Abstract"},{"subitem_description":"A 59-year-old female was referred to our hospital for stage IV (cT3N2M1b) adenocarcinoma of the right lung. At the age of 56, at another hospital, she had undergone extended hysterectomy and resection of the sigmoid colon for suspected endometrial carcinoma and had received a diagnosis of lung adenocarcinoma based on pathological findings, a CT scan, and other examinations. A total of six regimens of chemotherapy and radiotherapy with a total dose of 100 Gy had been performed over 3 years, but it was resistant. Therefore, she was referred to our hospital to consider surgical treatment. We performed a right upper lobectomy because the tumor was localized and no other metastatic lesion was found. We ablated the tumor from the chest wall because it grew to the apical chest wall. In the hilum of the lung, individual ligation and closure of the pulmonary vessels and bronchus was found to be impossible because they tightly adhered to the peripheral tissue. Therefore, the hilar vessels and bronchus were clamped and cut in one mass. Their stumps were oversewn with 3-0 vicryl and covered with a pedicled pericardial flap. The post operative course was favorable, and the patient underwent adjuvant chemotherapy at the hospital that had originally referred her to us. She was free of clinically evident recurrence 9 months after treatment. We suggest that the mass closure of the hilar vessels and bronchus and covering the stumps with a pedicled pericardial flap are useful for cases in which it is difficult to individually close the vessels and bronchus due to ligneous scarring caused by radiation.","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":"10.24517/00061745","subitem_identifier_reg_type":"JaLC"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本呼吸器外科学会 Japanese Association for Chest Surgery"}]},"item_4_relation_12":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.2995/jacsurg.25.418","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/jacsurg/-char/ja"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.jstage.jst.go.jp/browse/jacsurg/-char/ja","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"http://jacsurg.gr.jp/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://jacsurg.gr.jp/","subitem_relation_type_select":"URI"}}]},"item_4_rights_23":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Copyright © 日本呼吸器外科学会 Japanese Association for Chest Surgery"}]},"item_4_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA11694530","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0919-0945","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":"西田, 沙貴"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小田, 誠"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"松本, 勲"}],"nameIdentifiers":[{},{},{},{}]},{"creatorNames":[{"creatorName":"田村, 昌也"}],"nameIdentifiers":[{},{},{},{}]},{"creatorNames":[{"creatorName":"早稲田, 龍一"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"渡邊, 剛"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-09-06"}],"displaytype":"detail","filename":"ME-PR-WATANABE-G-25_418.pdf","filesize":[{"value":"560.2 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"ME-PR-WATANABE-G-25_418.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/55470/files/ME-PR-WATANABE-G-25_418.pdf"},"version_id":"30e7927e-3128-4b82-8b89-19139e72da2f"}]},"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":"100Gyの化学放射線療法後に右上葉サルベージ切除術を施行した1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"100Gyの化学放射線療法後に右上葉サルベージ切除術を施行した1例"},{"subitem_title":"Right upper lobectomy after chemotherapy and high-dose radiation - A mass closure technique for hilar vessels and the bronchus and wrapping with a pedicled pericardial fat pad: A case report","subitem_title_language":"en"}]},"item_type_id":"4","owner":"18","path":["1134"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-09-06"},"publish_date":"2021-09-06","publish_status":"0","recid":"55470","relation_version_is_last":true,"title":["100Gyの化学放射線療法後に右上葉サルベージ切除術を施行した1例"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T15:00:13.259378+00:00"}