{"created":"2023-06-19T11:23:02.281318+00:00","id":1291,"links":{},"metadata":{"_buckets":{"deposit":"357ed678-8bb0-4e2f-bef4-37c122abc011"},"_deposit":{"created_by":12,"id":"1291","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"1291"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00001291","sets":["14:46"]},"author_link":[],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"112","bibliographicPageStart":"107","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"自治医科大学紀要"},{"bibliographic_title":"Jichi Medical University Journal","bibliographic_titleLang":"en"}]}]},"item_2_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　症例は64歳，男性。12年前に膀胱癌に対し，右腎尿管摘出術・膀胱前立腺全摘術・回腸導管造設術の既往がある。11年前より回腸導管傍ストーマヘルニアを認めていたが，日常生活に支障がなく，経過観察となっていた。しかし経時的な右下腹部膨隆から，腰痛を発症し待機的手術の方針となった。メッシュ汚染のリスクが少なく，詳細な腹腔内観察が可能な腹腔鏡下修復術の方針とした。腹腔内の高度癒着を剥離した後，脱出した小腸を腹腔内に還納，径７×６cmのヘルニア門と挙上された回腸導管が確認できた。ヘルニア門を縫縮した後，Sugarbaker法にてヘルニア門を被覆，回腸導管と伴に後腹膜化した。術後３ヶ月，再発無く経過している。傍ストーマヘルニアに対する腹腔鏡下修復術は，ストーマ開口部対側の離れた位置からアプローチできるため，メッシュ汚染のリスクを減少させる優れた方法と考えられる。","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"names":[{"name":"Sato, Hirotake","nameLang":"en"}]},{"names":[{"name":"Inoue, Yoshiyuki","nameLang":"en"}]},{"names":[{"name":"Kobayashi, Ryunosuke","nameLang":"en"}]},{"names":[{"name":"Kobori, Atsuya","nameLang":"en"}]},{"names":[{"name":"Kubo, Yurika","nameLang":"en"}]},{"names":[{"name":"Shiozawa, Tetsuya","nameLang":"en"}]},{"names":[{"name":"Shinohara, Shoichi","nameLang":"en"}]},{"names":[{"name":"Inoue, Yasuhiro","nameLang":"en"}]},{"names":[{"name":"Tsukahara, Munetoshi","nameLang":"en"}]},{"names":[{"name":"Yashi, Masahiro","nameLang":"en"}]},{"names":[{"name":"Hyodo, Masanobu","nameLang":"en"}]},{"names":[{"name":"Okada, Masaki","nameLang":"en"}]},{"names":[{"name":"Lefor, Alan K","nameLang":"en"}]},{"names":[{"name":"Yasuda, Yoshikazu","nameLang":"en"}]}]},"item_2_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"自治医科大学"}]},"item_2_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1881-252X","subitem_source_identifier_type":"PISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"佐藤, 寛丈","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"井上, 賢之","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"小林, 龍ノ介","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"小堀, 篤也","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"久保, 百合香","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"塩澤, 徹也","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"篠原, 翔一","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"井上, 康浩","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"塚原, 宗俊","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"安士, 正裕","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"俵藤, 正信","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"岡田, 真樹","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"Lefor, Alan K","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"安田, 是和","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-06-09"}],"displaytype":"detail","filename":"自治医科大学紀要 1881-252X(45)P107-112 2023.pdf","filesize":[{"value":"467.6 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