{"created":"2023-05-15T09:02:50.918968+00:00","id":3736,"links":{},"metadata":{"_buckets":{"deposit":"322a1760-5519-439a-bf45-c30264e1e02a"},"_deposit":{"created_by":3,"id":"3736","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3736"},"status":"published"},"_oai":{"id":"oai:hirosaki.repo.nii.ac.jp:00003736","sets":["557:561:649"]},"author_link":["13005","13003","13036","13014","13011","13009","13026","12999","13024","11778","11307","13073","13078","13067","13060","13079","13050","13061","13010","11776","11312","13068","13023","13000","13004","13065","13022","13018","13019","13043","13015","13028","13055","13016","13042","13044","13007","13027","13037","11769","11302","13013","11779","12998","13002","13034","13046","13047","11771","13049","13032","13029","11768","11766"],"item_3_alternative_title_21":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"腹腔鏡手術時代における早期胃癌に対する幽門輪温存胃切除術の再評価 : 適応と初期成績に関する検討"}]},"item_3_alternative_title_22":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"フッコウキョウ シュジュツ ジダイ ニオケル ソウキ イガン ニ タイスル ユウモンリン オンゾン イ セツジョジュツ ノ サイヒョウカ : テキオウ ト ショキ セイセキ ニ カンスル ケントウ"}]},"item_3_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-12-26","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2-4","bibliographicPageEnd":"185","bibliographicPageStart":"180","bibliographicVolumeNumber":"62","bibliographic_titles":[{"bibliographic_title":"弘前医学"}]}]},"item_3_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"INTRODUCTION: Pylorus-preserving gastrectomy （PPG）, which had been developed in 1960s, has been reappraised for years and now accepted as a type of function-preserving compared with those of laparoscopy- ssisted distal gastrectomy （LADG）, which does not preserve the pylorus and involves resection of the suprapyloric lymph nodes.\nMETHODS: Ninety six patients diagnosed as having gastric cancer of cT1N0 underwent either LADG （n=66） or LAPPG （n=30）. The patient demographics and the early surgical outcomes were evaluated retrospectively. The quality of lymph node dissection in LAPPG was also assessed pathologically.\nRESULTS: Among 96 patients preoperatively diagnosed as cT1, pT1 was 88 cases and pT2 in 8, 91.7 % of  diagnostic accuracy. There were no differences in patient demographics, operative time, blood loss, the number of dissected lymph nodes, postoperative morbidity and length of hospitalization. Pathologically, the number of dissected lymph nodes at No. 3, 4, 6 were equal between the two groups. Among our LADG cases, 35（ 53%） were lesions confined to the mucosa with a distance between the pylorus and the anal margin of the tumor <4 cm.\nCONCLUSIONS: Our initial experience suggests that LAPPG can be performed with acceptable quality of lymph node dissection and early surgical outcome. Because LAPPG was thought to be applied for about a half of our LADG cases according to the new guideline, LAPPG is expected to be indicated for more cases with early gastric cancer as a function-preserving limited surgery.","subitem_description_type":"Abstract"}]},"item_3_description_7":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"弘前医学. 62, 2011, p.180-185","subitem_description_type":"Other"}]},"item_3_full_name_2":{"attribute_name":"著者(ヨミ)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"13019","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ワジマ, ナオキ"}]},{"nameIdentifiers":[{"nameIdentifier":"13046","nameIdentifierScheme":"WEKO"}],"names":[{"name":"モトハシ, ハジメ"}]},{"nameIdentifiers":[{"nameIdentifier":"13047","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ワタナベ, ノブカズ"}]},{"nameIdentifiers":[{"nameIdentifier":"11771","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ナカイ, 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健一"}]}]},"item_3_publisher_35":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"弘前大学大学院医学研究科・弘前医学会"}]},"item_3_radio_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_radio_item":"Article"}]},"item_3_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00211444","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0439-1721","subitem_source_identifier_type":"ISSN"}]},"item_3_subject_19":{"attribute_name":"日本十進分類法","attribute_value_mlt":[{"subitem_subject":"494","subitem_subject_scheme":"NDC"}]},"item_3_subject_23":{"attribute_name":"NIIサブジェクト","attribute_value_mlt":[{"subitem_subject":"外科系臨床医学","subitem_subject_scheme":"Other"}]},"item_3_text_4":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"弘前大学大学院医学研究科"},{"subitem_text_value":"青森厚生病院"},{"subitem_text_value":"大館市立総合病院"}]},"item_3_version_type_18":{"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":"Wajima, Naoki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Morohashi, Hajime"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Watanabe, Nobukazu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakai, Makoto"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Miyamoto, Keiichi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kawasaki, Hitoshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yonaiyama, Shinnosuke"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ogasawara, Hiroshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yoshikawa, Toru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Muroya, Takahiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yakoshi, Yuta"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ishido, Keinosuke"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Sakamoto, Yoshiyuki"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Koyama, Motoi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Murata, Akihiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ohishi, Susumu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tateoka, Hiroshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hakamada, Kenichi"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-03-13"}],"displaytype":"detail","filename":"HirosakiMedJ_62(2-4)_180.pdf","filesize":[{"value":"934.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"HirosakiMedJ_62(2-4)_180.pdf","url":"https://hirosaki.repo.nii.ac.jp/record/3736/files/HirosakiMedJ_62(2-4)_180.pdf"},"version_id":"9a9d6de1-1515-4c27-a110-193183e35314"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Laparoscopy-assisted pylorus-preserving gastrectomy","subitem_subject_scheme":"Other"},{"subitem_subject":"early gastric cancer","subitem_subject_scheme":"Other"},{"subitem_subject":"limited surgery","subitem_subject_scheme":"Other"},{"subitem_subject":"minimally-invasive surgery","subitem_subject_scheme":"Other"},{"subitem_subject":"function-preserving surger","subitem_subject_scheme":"Other"},{"subitem_subject":"腹腔鏡補助下幽門温存胃切除","subitem_subject_scheme":"Other"},{"subitem_subject":"早期胃癌","subitem_subject_scheme":"Other"},{"subitem_subject":"縮小手術","subitem_subject_scheme":"Other"},{"subitem_subject":"低侵襲手術","subitem_subject_scheme":"Other"},{"subitem_subject":"機能温存手術","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Reappraisal of Pylorus-Preserving Gastrectomy for Early Gastric Cancer in the Era of Laparoscopic Surgery : Its Indication and Early Outcome","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Reappraisal of Pylorus-Preserving Gastrectomy for Early Gastric Cancer in the Era of Laparoscopic Surgery : Its Indication and Early Outcome"}]},"item_type_id":"3","owner":"3","path":["649"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-01-12"},"publish_date":"2012-01-12","publish_status":"0","recid":"3736","relation_version_is_last":true,"title":["Reappraisal of Pylorus-Preserving Gastrectomy for Early Gastric Cancer in the Era of Laparoscopic Surgery : Its Indication and Early Outcome"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-05-15T09:39:33.965995+00:00"}