{"created":"2024-05-17T07:38:11.584243+00:00","id":2000323,"links":{},"metadata":{"_buckets":{"deposit":"f0f9e800-7720-4a32-9950-0b4b5456073a"},"_deposit":{"created_by":29,"id":"2000323","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"2000323"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:02000323","sets":["57:86"]},"author_link":["134670"],"item_5_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2024-04-09","subitem_date_issued_type":"Collected"}]},"item_5_date_granted_54":{"attribute_name":"学位授与年月日 ","attribute_value_mlt":[{"subitem_dategranted":"2024-04-17"}]},"item_5_degree_grantor_53":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"鹿児島大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"17701","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_5_degree_name_42":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士(医学)","subitem_degreename_language":"ja"},{"subitem_degreename":"Doctor of Philosophy in Medical Science","subitem_degreename_language":"en"}]},"item_5_description_17":{"attribute_name":"ファイル（説明）","attribute_value_mlt":[{"subitem_description":"博士論文要約, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"Background/Aim: Transanal total mesorectal excision (TaTME) remains a challenging technique for rectal dissection. This study aimed to evaluate the clinical and oncological outcomes of TaTME, compared to those of the laparoscopic TME (LaTME) in rectal cancer. Patients and Methods: Using propensity score-matched analyses, we analyzed retrospective data from 134 consecutive patients with rectal cancer who underwent TaTME or LaTME from January 2011 to June 2020 in our hospital. Clinical and oncological outcomes were evaluated. The primary endpoint was the 2-year local recurrence rate. Results: Before data analysis, significant group-dependent differences were observed only in the tumor height (p<0.01). After analysis, preoperative patient demographics were similar between the TaTME and LaTME groups. The operative time was significantly shorter in the TaTME group (p=0.02), and the rates of hand-sewn anastomosis and protective loop ileostomy were significantly higher (p<0.01). The TaTME group showed a null conversion to open surgery compared to the LaTME group (5.9%). The postoperative complications, including anastomotic leak, were comparable between the two groups. However, the rate of Clavien–Dindo grade III tended to be lower in the TaTME group (p=0.07). There were no statistically significant differences in terms of pathological findings, and the 2-year local recurrence rate was similar between the two groups (both 5.9%). Conclusion: TaTME based on embryology along the fascia is feasible and seems a safe alternative to LaTME in selected patients with rectal cancer when considering the conversion rate and the operative time.","subitem_description_language":"en","subitem_description_type":"Other"},{"subitem_description":"KOHEI YOSHIMITSU, SHINICHIRO MORI, KAN TANABE, MASUMI WADA, YUKI HAMADA, RYUTARO YASUDOME, HIROSHI KURAHARA, TAKAAKI ARIGAMI, KEN SASAKI, CHIHAYA KORIYAMA, MICHIYO HIGASHI, AKIHIRO NAKAJO and TAKAO OHTSUKA\nTransanal Total Mesorectal Excision Considering the Embryology Along the Fascia in Rectal Cancer Patients\nAnticancer Research August 2023, 43 (8) 3597-3605\nhttps://doi.org/10.21873/anticanres.16539","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_5_dissertation_number_55":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲総研第740号"}]},"item_5_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"International Institute of Anticancer Research","subitem_publisher_language":"en"},{"subitem_publisher":"鹿児島大学","subitem_publisher_language":"ja"}]},"item_5_text_44":{"attribute_name":"備考","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"【指導教員:大塚隆生】要約公表の理由: 出版社版が公開不可のため"}]},"item_5_text_47":{"attribute_name":"date.appl","attribute_value_mlt":[{"subitem_text_value":"【学位申請日】2024-01-10"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"吉満, 工平","creatorNameLang":"ja"},{"creatorName":"Yoshimitsu, Kohei","creatorNameLang":"en"}],"familyNames":[{"familyName":"吉満","familyNameLang":"ja"},{"familyName":"Yoshimitsu","familyNameLang":"en"}],"givenNames":[{"givenName":"工平","givenNameLang":"ja"},{"givenName":"Kohei","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"134670","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2025-09-24"}],"displaytype":"detail","fileDate":[{"fileDateType":"Collected","fileDateValue":"2024-04-09"}],"filename":"Digest_YOSHIMITSU_Kohei_ISK740_2024.pdf","filesize":[{"value":"1.1 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KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"Comments_YOSHIMITSU_Kohei_isk_740","objectType":"other","url":"https://ir.kagoshima-u.ac.jp/record/2000323/files/Comments_YOSHIMITSU_Kohei_isk_740.pdf"},"version_id":"8070af2f-7802-4788-80a7-3b6f1d6b0284"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"TaTME","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"rectal cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"PSM","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"embryology","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"fascia","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"thesis","resourceuri":"http://purl.org/coar/resource_type/c_46ec"}]},"item_title":"Transanal Total Mesorectal Excision Considering the Embryology Along the Fascia in Rectal Cancer Patients","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Transanal Total Mesorectal Excision Considering the Embryology Along the Fascia in Rectal Cancer Patients","subitem_title_language":"en"},{"subitem_title":"直腸癌患者における筋膜に沿った発生学を考慮した経肛門的直腸間膜全切除術","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"29","path":["86"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-05-17"},"publish_date":"2024-05-17","publish_status":"0","recid":"2000323","relation_version_is_last":true,"title":["Transanal Total Mesorectal Excision Considering the Embryology Along the Fascia in Rectal Cancer Patients"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2025-09-24T05:08:47.203292+00:00"}