{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1050845763374987136.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"URI","@value":"http://hdl.handle.net/10098/10014"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"029057846"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/029057846"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I029057846"}},{"identifier":{"@type":"NAID","@value":"120006714046"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2017206836"}}],"resourceType":"紀要論文(departmental bulletin paper)","dc:title":[{"@language":"ja","@value":"腹腔鏡下大腸切除術の適応と治療成績"},{"@language":"ja-Kana","@value":"フククウキョウ カ ダイチョウ セツジョジュツ ノ テキオウ ト チリョウ セイセキ"}],"dcterms:alternative":[{"@language":"en","@value":"Long-term Survival of Laparoscopic Surgery for Colon Cancer and the Indication for Laparoscopic Surgery"}],"dc:language":"ja","description":[{"type":"Other","notation":[{"@value":"背景: これまで当科では大腸癌に対する腹腔鏡手術を早期癌から開始し, 安全性や再発率に問題のないことを確認しながら適応を拡大してきた。現在では高度間膜内進展を伴う深達度T4a症例, T4b症例, 高度リンパ節転移症例以外に対して腹腔鏡手術を施行している。当科の腹腔鏡下手術と開腹手術の短期・長期成績について検討した。 対象と方法: 2004年4月から2014年12月に腹腔鏡下大腸切除術を施行した結腸癌及び直腸S状部癌168例を対象とした。臨床病理学的因子, 再発, 5年全生存率, 無再発生存率について検討し, また国内の他施設の成績と比較した。 結果: 観察期間中央値は44か月で年齢中央値は69歳であった。全Stageの5年全生存率が94.2%, 5年無再発生存率90.6%であった。再発は2.9%に認められた。縫合不全例は6例(3.5%)であったが, 周術期死亡は認めなかった。StageII, IIIaにおける長期成績は国内他2施設と比較して同等以上であった。 結語: LAP群の5年全生存率, 5年無再発生存率は他施設と比較して同等以上であり, また合併症も許容範囲内の発生率で景: これまで当科では大腸癌に対する腹腔鏡手術を早期癌から開始し, 安全性や再発率に問題のないことを確認しながら適応を拡大してきた。現在では高度間膜内進展を伴う深達度T4a症例, T4b症例, 高度リンパ節転移症例以外に対して腹腔鏡手術を施行している。当科の腹腔鏡下手術と開腹手術の短期・長期成績について検討した。 対象と方法: 2004年4月から2014年12月に腹腔鏡下大腸切除術を施行した結腸癌及び直腸S状部癌168例を対象とした。臨床病理学的因子, 再発, 5年全生存率, 無再発生存率について検討し, また国内の他施設の成績と比較した。 結果: 観察期間中央値は44か月で年齢中央値は69歳であった。全Stageの5年全生存率が94.2%, 5年無再発生存率90.6%であった。再発は2.9%に認められた。縫合不全例は6例(3.5%)であったが, 周術期死亡は認めなかった。StageII, IIIaにおける長期成績は国内他2施設と比較して同等以上であった。 結語: LAP群の5年全生存率, 5年無再発生存率は他施設と比較して同等以上であり, また合併症も許容範囲内の発生率であった。"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1070845763374987136","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000404118088"},{"@type":"KAKEN_RESEARCHERS","@value":"10938608"},{"@type":"NRID","@value":"1000010938608"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/noriguy"}],"foaf:name":[{"@language":"ja","@value":"田海, 統之"}]},{"@id":"https://cir.nii.ac.jp/crid/1420282801195220352","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"20569131"},{"@type":"NRID","@value":"1000020569131"},{"@type":"NRID","@value":"9000002939974"},{"@type":"NRID","@value":"9000401962863"},{"@type":"NRID","@value":"9000283327370"},{"@type":"NRID","@value":"9000403149800"},{"@type":"NRID","@value":"9000258075655"},{"@type":"NRID","@value":"9000345198070"},{"@type":"NRID","@value":"9000401545292"},{"@type":"NRID","@value":"9000409466459"},{"@type":"NRID","@value":"9000361297097"},{"@type":"NRID","@value":"9000404118010"},{"@type":"NRID","@value":"9000404118044"},{"@type":"NRID","@value":"9000258115564"},{"@type":"NRID","@value":"9000410870066"},{"@type":"NRID","@value":"9000404118073"},{"@type":"NRID","@value":"9000409999502"},{"@type":"NRID","@value":"9000404118079"},{"@type":"NRID","@value":"9000258073820"},{"@type":"NRID","@value":"9000259838422"},{"@type":"NRID","@value":"9000404118089"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0086374"}],"foaf:name":[{"@language":"ja","@value":"森川, 充洋"}]},{"@id":"https://cir.nii.ac.jp/crid/1030285133676423936","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"10794589"},{"@type":"NRID","@value":"1000010794589"},{"@type":"NRID","@value":"9000378124122"},{"@type":"NRID","@value":"9000326264961"},{"@type":"NRID","@value":"9000367423537"},{"@type":"NRID","@value":"9000403149801"},{"@type":"NRID","@value":"9000409466456"},{"@type":"NRID","@value":"9000361297096"},{"@type":"NRID","@value":"9000404118007"},{"@type":"NRID","@value":"9000404118041"},{"@type":"NRID","@value":"9000404118069"},{"@type":"NRID","@value":"9000412542817"},{"@type":"NRID","@value":"9000409999501"},{"@type":"NRID","@value":"9000404118076"},{"@type":"NRID","@value":"9000404118090"},{"@type":"NRID","@value":"9000410883765"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/hkure"}],"foaf:name":[{"@language":"ja","@value":"呉林, 秀崇"}]},{"@id":"https://cir.nii.ac.jp/crid/1070845763374987137","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"加藤, 成"}]},{"@id":"https://cir.nii.ac.jp/crid/1070845763374987138","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000404118092"}],"foaf:name":[{"@language":"ja","@value":"藤本, 大裕"}]},{"@id":"https://cir.nii.ac.jp/crid/1420845751148507904","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"20432148"},{"@type":"NRID","@value":"1000020432148"},{"@type":"NRID","@value":"9000283327445"},{"@type":"NRID","@value":"9000001468011"},{"@type":"NRID","@value":"9000020153378"},{"@type":"NRID","@value":"9000283327372"},{"@type":"NRID","@value":"9000415176040"},{"@type":"NRID","@value":"9000403149803"},{"@type":"NRID","@value":"9000258075656"},{"@type":"NRID","@value":"9000258280306"},{"@type":"NRID","@value":"9000345198072"},{"@type":"NRID","@value":"9000258278249"},{"@type":"NRID","@value":"9000404118056"},{"@type":"NRID","@value":"9000409466460"},{"@type":"NRID","@value":"9000361297098"},{"@type":"NRID","@value":"9000404118006"},{"@type":"NRID","@value":"9000404118045"},{"@type":"NRID","@value":"9000411098536"},{"@type":"NRID","@value":"9000258098544"},{"@type":"NRID","@value":"9000409513222"},{"@type":"NRID","@value":"9000409999499"},{"@type":"NRID","@value":"9000404118080"},{"@type":"NRID","@value":"9000258073821"},{"@type":"NRID","@value":"9000259838420"},{"@type":"NRID","@value":"9000261669604"},{"@type":"NRID","@value":"9000404118093"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0073345"}],"foaf:name":[{"@language":"ja","@value":"小練, 研司"}]},{"@id":"https://cir.nii.ac.jp/crid/1030003658853431809","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"00334821"},{"@type":"NRID","@value":"1000000334821"},{"@type":"NRID","@value":"9000256136473"},{"@type":"NRID","@value":"9000364188432"},{"@type":"NRID","@value":"9000392000646"},{"@type":"NRID","@value":"9000020153409"},{"@type":"NRID","@value":"9000391410896"},{"@type":"NRID","@value":"9000283327373"},{"@type":"NRID","@value":"9000403149804"},{"@type":"NRID","@value":"9000258075654"},{"@type":"NRID","@value":"9000023974841"},{"@type":"NRID","@value":"9000345198073"},{"@type":"NRID","@value":"9000258278248"},{"@type":"NRID","@value":"9000392745268"},{"@type":"NRID","@value":"9000409466461"},{"@type":"NRID","@value":"9000361297099"},{"@type":"NRID","@value":"9000253398730"},{"@type":"NRID","@value":"9000367398471"},{"@type":"NRID","@value":"9000364263221"},{"@type":"NRID","@value":"9000003523790"},{"@type":"NRID","@value":"9000404118011"},{"@type":"NRID","@value":"9000404118046"},{"@type":"NRID","@value":"9000258072381"},{"@type":"NRID","@value":"9000256632763"},{"@type":"NRID","@value":"9000411098537"},{"@type":"NRID","@value":"9000258098546"},{"@type":"NRID","@value":"9000345290541"},{"@type":"NRID","@value":"9000409513221"},{"@type":"NRID","@value":"9000392002306"},{"@type":"NRID","@value":"9000392740102"},{"@type":"NRID","@value":"9000409999503"},{"@type":"NRID","@value":"9000404118081"},{"@type":"NRID","@value":"9000256302076"},{"@type":"NRID","@value":"9000258073823"},{"@type":"NRID","@value":"9000259838423"},{"@type":"NRID","@value":"9000402933324"},{"@type":"NRID","@value":"9000261669603"},{"@type":"NRID","@value":"9000002376728"},{"@type":"NRID","@value":"9000404118094"},{"@type":"NRID","@value":"9000391590197"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0073338"}],"foaf:name":[{"@language":"ja","@value":"村上, 真"}]},{"@id":"https://cir.nii.ac.jp/crid/1420001326228172416","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"10324154"},{"@type":"NRID","@value":"1000010324154"},{"@type":"NRID","@value":"9000016393480"},{"@type":"NRID","@value":"9000020153423"},{"@type":"NRID","@value":"9000391410897"},{"@type":"NRID","@value":"9000283327374"},{"@type":"NRID","@value":"9000256626903"},{"@type":"NRID","@value":"9000403149805"},{"@type":"NRID","@value":"9000258075657"},{"@type":"NRID","@value":"9000345198074"},{"@type":"NRID","@value":"9000265256666"},{"@type":"NRID","@value":"9000255892355"},{"@type":"NRID","@value":"9000409466462"},{"@type":"NRID","@value":"9000361297100"},{"@type":"NRID","@value":"9000107387495"},{"@type":"NRID","@value":"9000404118012"},{"@type":"NRID","@value":"9000404118047"},{"@type":"NRID","@value":"9000256632766"},{"@type":"NRID","@value":"9000415425495"},{"@type":"NRID","@value":"9000411098538"},{"@type":"NRID","@value":"9000258098547"},{"@type":"NRID","@value":"9000412542816"},{"@type":"NRID","@value":"9000409999504"},{"@type":"NRID","@value":"9000404118082"},{"@type":"NRID","@value":"9000256302077"},{"@type":"NRID","@value":"9000258073824"},{"@type":"NRID","@value":"9000237897693"},{"@type":"NRID","@value":"9000259838424"},{"@type":"NRID","@value":"9000404118095"},{"@type":"NRID","@value":"9000391970913"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0073339"}],"foaf:name":[{"@language":"ja","@value":"廣野, 靖夫"}]},{"@id":"https://cir.nii.ac.jp/crid/1420845751159391872","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"20301202"},{"@type":"NRID","@value":"1000020301202"},{"@type":"NRID","@value":"9000391410893"},{"@type":"NRID","@value":"9000396166082"},{"@type":"NRID","@value":"9000402589123"},{"@type":"NRID","@value":"9000018235535"},{"@type":"NRID","@value":"9000255942711"},{"@type":"NRID","@value":"9000409466463"},{"@type":"NRID","@value":"9000258092056"},{"@type":"NRID","@value":"9000404118013"},{"@type":"NRID","@value":"9000404118040"},{"@type":"NRID","@value":"9000256632765"},{"@type":"NRID","@value":"9000404118083"},{"@type":"NRID","@value":"9000253357773"},{"@type":"NRID","@value":"9000411261516"},{"@type":"NRID","@value":"9000404118096"},{"@type":"NRID","@value":"9000256628240"},{"@type":"NRID","@value":"9000335549957"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0086044"}],"foaf:name":[{"@language":"ja","@value":"前田, 浩幸"}]},{"@id":"https://cir.nii.ac.jp/crid/1070845763374987008","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000404118097"}],"foaf:name":[{"@language":"ja","@value":"片山, 寛次"}]},{"@id":"https://cir.nii.ac.jp/crid/1420564276175884160","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"60225638"},{"@type":"NRID","@value":"1000060225638"},{"@type":"NRID","@value":"9000014655612"},{"@type":"NRID","@value":"9000391409584"},{"@type":"NRID","@value":"9000410901890"},{"@type":"NRID","@value":"9000283327446"},{"@type":"NRID","@value":"9000255888348"},{"@type":"NRID","@value":"9000000692906"},{"@type":"NRID","@value":"9000020153442"},{"@type":"NRID","@value":"9000391410898"},{"@type":"NRID","@value":"9000326264968"},{"@type":"NRID","@value":"9000283327375"},{"@type":"NRID","@value":"9000382652691"},{"@type":"NRID","@value":"9000010739552"},{"@type":"NRID","@value":"9000391587478"},{"@type":"NRID","@value":"9000316210843"},{"@type":"NRID","@value":"9000403149807"},{"@type":"NRID","@value":"9000258075658"},{"@type":"NRID","@value":"9000253354674"},{"@type":"NRID","@value":"9000414333299"},{"@type":"NRID","@value":"9000258280309"},{"@type":"NRID","@value":"9000391414991"},{"@type":"NRID","@value":"9000345198071"},{"@type":"NRID","@value":"9000408597418"},{"@type":"NRID","@value":"9000398631912"},{"@type":"NRID","@value":"9000283466305"},{"@type":"NRID","@value":"9000265256667"},{"@type":"NRID","@value":"9000258278250"},{"@type":"NRID","@value":"9000412224321"},{"@type":"NRID","@value":"9000380486292"},{"@type":"NRID","@value":"9000018373929"},{"@type":"NRID","@value":"9000409466467"},{"@type":"NRID","@value":"9000361297095"},{"@type":"NRID","@value":"9000254092299"},{"@type":"NRID","@value":"9000258071763"},{"@type":"NRID","@value":"9000021326757"},{"@type":"NRID","@value":"9000404118016"},{"@type":"NRID","@value":"9000404118050"},{"@type":"NRID","@value":"9000409781414"},{"@type":"NRID","@value":"9000409184482"},{"@type":"NRID","@value":"9000283505978"},{"@type":"NRID","@value":"9000258115567"},{"@type":"NRID","@value":"9000256632767"},{"@type":"NRID","@value":"9000415425496"},{"@type":"NRID","@value":"9000347341544"},{"@type":"NRID","@value":"9000411098540"},{"@type":"NRID","@value":"9000283327409"},{"@type":"NRID","@value":"9000258098542"},{"@type":"NRID","@value":"9000410870069"},{"@type":"NRID","@value":"9000410615555"},{"@type":"NRID","@value":"9000404118070"},{"@type":"NRID","@value":"9000412542818"},{"@type":"NRID","@value":"9000258111816"},{"@type":"NRID","@value":"9000409513223"},{"@type":"NRID","@value":"9000368921967"},{"@type":"NRID","@value":"9000253499944"},{"@type":"NRID","@value":"9000398135446"},{"@type":"NRID","@value":"9000398263301"},{"@type":"NRID","@value":"9000410264681"},{"@type":"NRID","@value":"9000399236420"},{"@type":"NRID","@value":"9000409999506"},{"@type":"NRID","@value":"9000404118085"},{"@type":"NRID","@value":"9000256302079"},{"@type":"NRID","@value":"9000258073825"},{"@type":"NRID","@value":"9000256387275"},{"@type":"NRID","@value":"9000265260144"},{"@type":"NRID","@value":"9000404118025"},{"@type":"NRID","@value":"9000272998858"},{"@type":"NRID","@value":"9000259838419"},{"@type":"NRID","@value":"9000016585872"},{"@type":"NRID","@value":"9000404118098"},{"@type":"NRID","@value":"9000391590198"},{"@type":"NRID","@value":"9000256628241"},{"@type":"NRID","@value":"9000279639148"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0086017"}],"foaf:name":[{"@language":"ja","@value":"五井, 孝憲"}]}],"publication":{"publicationIdentifier":[{"@type":"ISSN","@value":"13488562"},{"@type":"NDL_BIB_ID","@value":"000004258757"},{"@type":"LISSN","@value":"13488562"},{"@type":"NCID","@value":"AA11876833"}],"prism:publicationName":[{"@value":"福井大学医学部研究雑誌"}],"dc:publisher":[{"@value":"福井大学医学部"}],"prism:publicationDate":"2017-01","prism:volume":"17","prism:startingPage":"21","prism:endingPage":"25"},"url":[{"@id":"http://hdl.handle.net/10098/10014"},{"@id":"http://id.ndl.go.jp/bib/029057846"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I029057846"},{"@id":"https://search.jamas.or.jp/link/ui/2017206836"}],"createdAt":"2020-08-05","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E5%A4%A7%E8%85%B8%E7%99%8C","dc:title":"大腸癌"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%85%B9%E8%85%94%E9%8F%A1%E4%B8%8B%E5%A4%A7%E8%85%B8%E5%88%87%E9%99%A4%E8%A1%93","dc:title":"腹腔鏡下大腸切除術"}],"dcterms:subject":[{"subjectScheme":"Other","notation":[{"@value":"大腸癌"}]},{"subjectScheme":"Other","notation":[{"@value":"腹腔鏡下大腸切除術"}]}],"dataSourceIdentifier":[{"@type":"IRDB","@value":"oai:irdb.nii.ac.jp:00855:0002945782"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I029057846"},{"@type":"CIA","@value":"120006714046"}]}