{"created":"2023-06-19T11:24:19.649261+00:00","id":5026,"links":{},"metadata":{"_buckets":{"deposit":"842d3a62-2635-409a-95d6-17cbb488c153"},"_deposit":{"created_by":1,"id":"5026","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"5026"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00005026","sets":["7","7:23"]},"author_link":["15732","15728","15733","15729","15731","15730","15727","15734"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"46","bibliographicPageStart":"43","bibliographicVolumeNumber":"58","bibliographic_titles":[{"bibliographic_title":"北海道外科雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"当科で行っている腹腔鏡補助下胃切除術(LAG)における簡便な肝圧排法を紹介する。5本のポートを挿入し、気腹下に胃前庭部小彎側と肝左葉外側区下縁を確認。その直上に4.5cmの正中切開をおき、Alexis Wound Retractorを装着。手術用手袋で気密性を保ち、手袋の手掌部分からオクトパス扁平鉤を腹腔内に挿入し、肝外側区域を適切な位置に圧排して視野を確保する。この視野で鏡視下にリンパ節郭清を行った後、正中創から標本摘出と再建を行う。本法において手袋は気腹圧によって鉤に被ったまま密着するため、手袋の指部分を切り柄を通して固定することは不要である。そのため気腹を中断することなく短時間で容易に肝を圧排できる。また扁平鉤で面により肝を圧排するため愛護的で、術後のトランスアミナーゼ値の上昇も軽微であった。小開腹創からの再建を伴うLAGにおいて簡便で有用な方法であると考えられる。","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"出版社版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2014295355","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0288-7509","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2014295355"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"439"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1563"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Hasegawa, Kimiharu"},{"subitem_text_value":"Hoshi, Tomokazu"},{"subitem_text_value":"Ohara, Kei"},{"subitem_text_value":"Asai, Keiko"},{"subitem_text_value":"Kita, Kengo"},{"subitem_text_value":"Hurukori, Mariko"},{"subitem_text_value":"Kono, Toru"},{"subitem_text_value":"Hurukawa, Hiroyuki"}]},"item_5_version_type_38":{"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":"長谷川, 公治"},{"creatorName":"ハセガワ, キミハル","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15727","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"星, 智和"},{"creatorName":"ホシ, 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