{"_buckets": {"deposit": "80b6d7a4-06c3-4ea6-9191-5197a9d21ea3"}, "_deposit": {"created_by": 3, "id": "5301", "owners": [3], "pid": {"revision_id": 0, "type": "depid", "value": "5301"}, "status": "published"}, "_oai": {"id": "oai:ir.kagoshima-u.ac.jp:00005301", "sets": ["5169", "59"]}, "author_link": ["119510", "119512", "2140", "119508", "119506", "119501", "119489", "119500", "119503", "119504", "119513", "119494", "119511", "119499", "3890", "119495", "3891", "119491", "13033", "3894", "119505", "119517", "3897", "119490", "119498", "119515", "119509", "119496", "3896", "3899", "119507", "119514", "119492", "119497", "119516", "3892", "119493", "119518", "119502"], "item_7_alternative_title_18": {"attribute_name": "別言語のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Surgical Technique for Pancreatico-enteric Anastomosis following Pancreaticoduodenectomy : A Safe and Noble Pancreaticogastrostomy with Pancreas-transfixing Method"}]}, "item_7_alternative_title_19": {"attribute_name": "タイトルよみ", "attribute_value_mlt": [{"subitem_alternative_title": "スイトウ ジュウニシチョウ セツジョジュツ ニオケル スイショウカカン フンゴウ ノ シュジュツ シュギ : アンゼン カクジツナ スイイ ミッチャク フンゴウホウ"}]}, "item_7_biblio_info_5": {"attribute_name": "収録雑誌名", "attribute_value_mlt": [{"bibliographicIssueNumber": "1-2", "bibliographicPageEnd": "7", "bibliographicPageStart": "1", "bibliographicVolumeNumber": "64", "bibliographic_titles": [{"bibliographic_title": "鹿児島大学医学雑誌=Medical journal of Kagoshima University"}]}]}, "item_7_date_6": {"attribute_name": "作成日", "attribute_value_mlt": [{"subitem_date_issued_datetime": "2012-09-01"}]}, "item_7_description_4": {"attribute_name": "要約(Abstract)", "attribute_value_mlt": [{"subitem_description": "Background and Purpose: Pancreatic anastomotic leak remains a persistent problem after pancreaticoduodenectomy.\nThe presence of soft, nonfibrotic pancreatic tissue is one of the most important risk factors for pancreatic leak. Accordingly,\nwe devised a pancreas-transfixing suture method for pancreaticogastrostomies in patients with a soft, nonfibrotic pancreatic\nremnant.", "subitem_description_type": "Other"}, {"subitem_description": "Methods: As for the pancreaticogastrostomy technique, an ultrasonically activated scalpel was used for transecting the\npancreas. The inner layer involves a duct-to-mucosa anastomosis with an internal stent and the outer layer involves a single\nrow pancreas-transfixing sutures between the pancreatic remnant and the posterior gastric wall.", "subitem_description_type": "Other"}, {"subitem_description": "Results: A total of 228 consecutive patients underwent pancreaticoduodenectomy with pancreaticogastrostomy. Of\nthe 228 study patients, 154 patients (67%) had a soft pancreas. There was no operative or hospital death. Postoperative\ncomplications occurred in 38 patients (17%). Pancreatic fistula (Grade B/C) occurred in 4 patients (1.8%) with a soft thin\npancreas. These pancreatic leaks were managed nonoperatively by maintaining the closed drains.\nConclusion: This technique is simple and appears to reduce the risk of pancreatic leakage possibly by decreasing the\nrisk of suture injury of the pancreas and by embedding the transected stump into the wall of the stomach. This novel\npancreaticogastrostomy can be recommended as an effective reconstructive procedure, especially for patients with a soft,\nnonfibrotic pancreas.", "subitem_description_type": "Other"}]}, "item_7_full_name_2": {"attribute_name": "著者よみ", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "119493", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "シンチ, ヒロユキ"}]}, {"nameIdentifiers": [{"nameIdentifier": "119494", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "タカオ, ソンシン"}]}, {"nameIdentifiers": [{"nameIdentifier": "119495", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "マエムラ, コウセイ"}]}, {"nameIdentifiers": [{"nameIdentifier": "119496", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "マタキ, ユウコウ"}]}, {"nameIdentifiers": [{"nameIdentifier": "119497", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "クラハラ, ヒロシ"}]}, {"nameIdentifiers": [{"nameIdentifier": "119498", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "クワハタ, タイサク"}]}, {"nameIdentifiers": [{"nameIdentifier": "119499", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "カワサキ, ヨウタ"}]}, {"nameIdentifiers": [{"nameIdentifier": "119500", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "ミナミ, コウジ"}]}, {"nameIdentifiers": [{"nameIdentifier": "119501", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "イイノ, サトシ"}]}, {"nameIdentifiers": [{"nameIdentifier": "119502", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "サコダ, マサヒコ"}]}, {"nameIdentifiers": [{"nameIdentifier": "119503", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "ウエノ, シンイチ"}]}, {"nameIdentifiers": [{"nameIdentifier": "119504", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "イシガミ, スミヤ"}]}, {"nameIdentifiers": [{"nameIdentifier": "119505", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "ナツゴエ, ショウジ"}]}]}, "item_7_full_name_3": {"attribute_name": "別言語の著者", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "119506", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "SHINCHI, Hiroyuki"}]}, {"nameIdentifiers": [{"nameIdentifier": "119507", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "TAKAO, Sonshin"}]}, {"nameIdentifiers": [{"nameIdentifier": "119508", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "MAEMURA, Kosei"}]}, {"nameIdentifiers": [{"nameIdentifier": "119509", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "MATAKI, Yuko"}]}, {"nameIdentifiers": [{"nameIdentifier": "119510", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "KURAHARA, Hiroshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "119511", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "KUWAHATA, Taisaku"}]}, {"nameIdentifiers": [{"nameIdentifier": "119512", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "KAWASAKI, Yota"}]}, {"nameIdentifiers": [{"nameIdentifier": "119513", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "MINAMI, Koji"}]}, {"nameIdentifiers": [{"nameIdentifier": "119514", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "IINO, Satoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "119515", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "SAKODA, Masahiko"}]}, {"nameIdentifiers": [{"nameIdentifier": "119516", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "UENO, Shinichi"}]}, {"nameIdentifiers": [{"nameIdentifier": "119517", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "ISHIGAMI, Sumiya"}]}, {"nameIdentifiers": [{"nameIdentifier": "119518", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "NATSUGOE, Shoji"}]}]}, "item_7_publisher_23": {"attribute_name": "公開者・出版者", "attribute_value_mlt": [{"subitem_publisher": "鹿児島大学"}]}, "item_7_source_id_7": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "03685063", "subitem_source_identifier_type": "ISSN"}]}, "item_7_source_id_9": {"attribute_name": "NII書誌ID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00040104", "subitem_source_identifier_type": "NCID"}]}, "item_7_subject_15": 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"item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "pancreaticogastrostomy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "pancreaticoduodenectomy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "pancreas-transfixing method", "subitem_subject_scheme": "Other"}, {"subitem_subject": "pancreatic duct-to-gastric mucosa anastomosis", "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": "膵頭十二指腸切除術における膵消化管吻合の手術手技 : 安全確実な膵胃密着吻合法", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "膵頭十二指腸切除術における膵消化管吻合の手術手技 : 安全確実な膵胃密着吻合法"}]}, "item_type_id": "7", "owner": "3", "path": ["59", "5169"], "permalink_uri": "http://hdl.handle.net/10232/15977", "pubdate": {"attribute_name": "公開日", "attribute_value": "2014-12-22"}, "publish_date": "2014-12-22", "publish_status": "0", "recid": "5301", "relation": {}, "relation_version_is_last": true, "title": ["膵頭十二指腸切除術における膵消化管吻合の手術手技 : 安全確実な膵胃密着吻合法"], "weko_shared_id": 3}