{"created":"2023-06-19T08:46:11.949831+00:00","id":1667,"links":{},"metadata":{"_buckets":{"deposit":"e8839fac-ab19-4fa0-98b7-dee99434de3a"},"_deposit":{"created_by":25,"id":"1667","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"1667"},"status":"published"},"_oai":{"id":"oai:ycu.repo.nii.ac.jp:00001667","sets":["4:71:361:389"]},"author_link":["3142","572","2782","2904","2905","2225","283","590","588","2728","3141","589","230"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-10-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"532","bibliographicPageStart":"527","bibliographicVolumeNumber":"69","bibliographic_titles":[{"bibliographic_title":"横浜医学"},{"bibliographic_title":"Yokohama Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【はじめに】当科では2015年7月から胃癌に対するロボット支援手術を導入しており，その手術成績について報告する．\n【対象】2015年7月から2018年3月までの期間に当科でDaVinci Si を用いた内視鏡手術支援ロボット胃癌手術を施行した20例を対象とした．適応は，内視鏡切除の対象とならないT1-2N0M0で，他癌の合併や既往歴がなく，重要臓器の合併症がない症例とした．20例の内訳は男性15例，女性5例，年齢中央値67歳（42－82歳），胃切除術15例，胃全摘術5 例だった．\n【結果】手術時間および出血量は，術式に関わらず時系列での減少傾向はなかった．術後入院期間の中央値は7 日（ 6 －32日）だった．Clavien-Dindo 分類Grade Ⅲ以上の合併症は2 例で，内訳は腹腔内膿瘍，ポートサイトへルニアが各1 例ずつだった．\n【考察】ロボット支援手術では，より低侵襲な操作による合併症の低減と，それによる術後入院期間の短縮が期待される．当科での術後入院期間は諸家の報告よりも短く，収益面でのロボット支援手術のデメリットを低減できると考える．一方，術後合併症は20例中2 例に生じており，各合併症例での原因を考察し，その対策を講じている．今後も症例を重ね，さらなる手術成績の向上に努めたい．","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"横浜市立大学医学会"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0372-7726","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"利野, 靖"},{"creatorName":"リノ, ヤスシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山田　, 貴允"},{"creatorName":"ヤマダ, タカノブ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"青山, 徹"},{"creatorName":"アオヤマ, トオル","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"沼田　, 正勝"},{"creatorName":"ヌマタ, マサカツ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"前澤, 幸男"},{"creatorName":"マエザワ, ユキオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"原, 健太朗"},{"creatorName":"ハラ, ケンタロウ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"公盛, 啓介"},{"creatorName":"コウモリ, ケイスケ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"澤崎, 翔"},{"creatorName":"サワザキ, ショウ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"天野, 新也"},{"creatorName":"アマノ, シンヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"玉川, 洋"},{"creatorName":"タマガワ, ヒロシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤　, 勉"},{"creatorName":"サトウ, ツトム","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"湯川, 寛夫"},{"creatorName":"ユカワ, ノリオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"益田, 宗孝"},{"creatorName":"マスダ, ムネタカ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-03-08"}],"displaytype":"detail","filename":"02_Rino.pdf","filesize":[{"value":"934.0 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"横浜医学69巻4号（利野　靖）","url":"https://ycu.repo.nii.ac.jp/record/1667/files/02_Rino.pdf"},"version_id":"bf9f7ee3-ff4e-4029-a523-9a5ef72bb803"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"ロボット支援胃癌手術","subitem_subject_scheme":"Other"},{"subitem_subject":"術後合併症","subitem_subject_scheme":"Other"},{"subitem_subject":"術後入院期間","subitem_subject_scheme":"Other"},{"subitem_subject":"robot-assisted gastrectomy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"postoperative complications","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"postoperative hospital stay","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"胃癌に対するロボット支援手術　導入から20例まで","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胃癌に対するロボット支援手術　導入から20例まで"},{"subitem_title":"ROBOT-ASSISTED SURGERY FOR GASTRIC CANCER － FROM THE FIRST TO THE TWENTIETH CASE","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"25","path":["389"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-03-08"},"publish_date":"2019-03-08","publish_status":"0","recid":"1667","relation_version_is_last":true,"title":["胃癌に対するロボット支援手術　導入から20例まで"],"weko_creator_id":"25","weko_shared_id":-1},"updated":"2023-06-19T09:36:52.854147+00:00"}