{"@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/1390282679828845824.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3919/jjsa.75.6"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"030744510"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/030744510"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I030744510"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jjsa/75/1/75_6/_pdf"}},{"identifier":{"@type":"NAID","@value":"130004679150"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2014141657"}}],"dc:title":[{"@language":"en","@value":"Internal Hernias following Curative Resection and Antecolic Roux-en-Y Reconstruction for Gastric Carcinoma—A Clinical Study—"},{"@language":"ja","@value":"胃癌根治術結腸前Roux-en-Y再建後の内ヘルニア症例の検討"},{"@value":"臨床経験 胃癌根治術結腸前Roux-en-Y再建後の内ヘルニア症例の検討"},{"@language":"ja-Kana","@value":"リンショウ ケイケン イガン コンジジュツ ケッチョウ ゼン Roux-en-Y サイケン ゴ ノ ナイ ヘルニア ショウレイ ノ ケントウ"},{"@value":"Internal Hernias following Curative Resection and Antecolic Roux-en-Y Reconstruction for Gastric Carcinoma^|^mdash;A Clinical Study^|^mdash;"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Background : The aim of this study was to describe the occurrence and clinical characteristics of symptomatic internal hernias after gastrectomy and antecolic Roux-en-Y reconstructions for gastric carcinoma.<BR>Methods : This study retrospectively reviewed 290 cases performed total or distal gastrectomy with RY reconstruction via laparotomy or laparoscopy at our hospital between 2006 and August 2011.<BR>Results ; Internal hernias were identified in a total of eight cases (2.8%) of the 290 cases, with two (1.5%) cases following gastrectomy via laparotomy and six (3.8%) cases following laparoscopic gastrectomy. Although a higher incidence of internal hernias was noted with laparoscopic gastrectomy, no statistically significant difference was observed (p = 0.237). With regard to total gastrectomy, internal hernias occurred in five of 77 (6.5%) laparoscopic total gastrectomy cases and a significant difference (p = 0.013) was observed between the total gastrectomy via laparotomic and laparoscopic total gastrectomy groups. These internal hernias included those at the Petersen's space in five cases and those at mesojejunal space in the remaing three cases.<BR>Concluson ; There is a high risk of internal hernia with laparoscopic antecolic RY reconstruction following curative resection for gastric carcinoma. Closure of the Petersen's and mesojejunal spaces is important for antecolic reconstruction, regardless of mesenteric treatment of the ascending jejunum."},{"@language":"ja","@value":"2006年から2011年8月まで当院にて施行した開腹および鏡視下で施行された胃全摘術と幽門側胃切除術結腸前RY再建症例290例を対象に，当院にて施行した胃癌根治術RY再建後の内ヘルニア症例につきretrospectiveに検討した．全症例中8例（2.8％）に内ヘルニアを認め，開腹胃切除術後が2例（1.5％）で腹腔鏡下胃切除術後が6例（3.8％）であり統計学的な有意差は認めなかったが，腹腔鏡下胃切除術に多い傾向を認めた．胃全摘術に限定すると腹腔鏡下胃全摘術では77例中5例（6.5％）に内ヘルニア発症を認め開腹胃全摘術より有意に多かった．発症様式はPetersen's herniaを5例，残りの3例は空腸間膜隙での内ヘルニアであった．胃癌根治術後RY再建では鏡視下手術において内ヘルニアの危険性が高くなる傾向があり，特に胃全摘では明らかな有意差をもってリスクが増加した．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410572172300184449","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000259839036"}],"foaf:name":[{"@language":"en","@value":"SAIKAWA Daisuke"},{"@language":"ja","@value":"才川 大介"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Tonan Hospital"},{"@language":"ja","@value":"斗南病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572172300184450","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000259839037"}],"foaf:name":[{"@language":"en","@value":"OKUSHIBA Shunichi"},{"@language":"ja","@value":"奥芝 俊一"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Tonan Hospital"},{"@language":"ja","@value":"斗南病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572172300184451","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000259839038"}],"foaf:name":[{"@language":"en","@value":"KITASHIRO Shuji"},{"@language":"ja","@value":"北城 秀司"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Tonan Hospital"},{"@language":"ja","@value":"斗南病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572172300184452","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000259839039"}],"foaf:name":[{"@language":"en","@value":"KAWARADA Yo"},{"@language":"ja","@value":"川原田 陽"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"斗南病院外科"},{"@language":"en","@value":"Department of Surgery, Tonan Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572172300184448","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000259839040"}],"foaf:name":[{"@language":"en","@value":"SUZUKI Yoshinori"},{"@language":"ja","@value":"鈴木 善法"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Tonan Hospital"},{"@language":"ja","@value":"斗南病院外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13452843"},{"@type":"EISSN","@value":"18825133"},{"@type":"NDL_BIB_ID","@value":"000000107238"},{"@type":"ISSN","@value":"13452843"},{"@type":"LISSN","@value":"13452843"},{"@type":"NCID","@value":"AA11189709"}],"prism:publicationName":[{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)"},{"@language":"ja","@value":"日本臨床外科学会雑誌"},{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)"},{"@language":"en","@value":"J Jpn Surg Assoc"},{"@language":"en","@value":"J. Jpn. Surg. Assoc."},{"@language":"ja","@value":"日臨外会誌"},{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)"},{"@language":"ja","@value":"日本臨床外科学会雑誌"}],"dc:publisher":[{"@language":"en","@value":"Japan Surgical Association"},{"@language":"ja","@value":"日本臨床外科学会"}],"prism:publicationDate":"2014","prism:volume":"75","prism:number":"1","prism:startingPage":"6","prism:endingPage":"11"},"reviewed":"false","url":[{"@id":"http://id.ndl.go.jp/bib/030744510"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I030744510"},{"@id":"https://www.jstage.jst.go.jp/article/jjsa/75/1/75_6/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2014141657"}],"availableAt":"2014","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=internal%20hernia","dc:title":"internal hernia"},{"@id":"https://cir.nii.ac.jp/all?q=gastrectomy","dc:title":"gastrectomy"},{"@id":"https://cir.nii.ac.jp/all?q=gastric%20cancer","dc:title":"gastric cancer"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%86%85%E3%83%98%E3%83%AB%E3%83%8B%E3%82%A2","dc:title":"内ヘルニア"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%83%83%E5%88%87%E9%99%A4","dc:title":"胃切除"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%83%83%E7%99%8C","dc:title":"胃癌"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360292620122355200","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Internal Hernia After Gastric Bypass: Sensitivity and Specificity of Seven CT Signs with Surgical Correlation and Controls"}]},{"@id":"https://cir.nii.ac.jp/crid/1360574096354832640","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The advantages and disadvantages of a Roux-en-Y reconstruction after a distal gastrectomy for gastric cancer"}]},{"@id":"https://cir.nii.ac.jp/crid/1360855571372771840","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Frequency and management of internal hernias after 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after Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity: A Continuous Challenge in Bariatric Surgery"}]},{"@id":"https://cir.nii.ac.jp/crid/1362825895655921664","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Internal Hernias after Laparoscopic Roux-en-Y Gastric Bypass: Incidence, Treatment and Prevention"}]},{"@id":"https://cir.nii.ac.jp/crid/1363107368951337216","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Internal hernias after laparoscopic Roux-en-Y gastric bypass"}]},{"@id":"https://cir.nii.ac.jp/crid/1363107369662396544","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Trends in Internal Hernia Incidence After Laparoscopic Roux-en-Y Gastric Bypass"}]},{"@id":"https://cir.nii.ac.jp/crid/1363388844324268544","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Symptomatic internal hernias after laparoscopic bariatric 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