{"@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/1390282680443293440.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11210/tando1987.8.5_451"}},{"identifier":{"@type":"NAID","@value":"130004993302"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/1995126910"}}],"dc:title":[{"@language":"en","@value":"A classification and basic surgical forms for staging gallbladder cancer using of “binf” (infiltration to the hepatoduodenal ligament)"},{"@value":"binfを中心とした胆嚢癌進行度分類とその基本術式"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Staging of gallbladder cancer was attempted using an important prognostic factor “binf”, and the most appropriate basic forms of surgery was considered in 40 patients. On the basis of our new staging method, cases of gallbladder cancer were divided into the following four groups: group A with lesions restricted to within the gallbladder [binf<SUB>0</SUB>, hinf(-) ], group B with infiltration into the hepatic floor [binf<SUB>0</SUB>, hinf (+) ], group C with slight infiltration into the hepatic portal [binf<SUB>1</SUB>1]and group D with severe infiltration into the hepatic portal [binf<SUB>2,3</SUB>]. According to this new classification, the percentages of patients treated by curative resection in these groups were 100 %,57 %,27 % and 0 %, respectively. The long-term results in terms of the 2-year survival rate differed significantly among these groups, with rates of 100 %,58.8 %,9.1 % and 0 %, respectively. Taking into account the curability and mode of recurrence related to each group, we believe that the basic forms of surgery indicated for these groups are as follows: group A, full-thickness cholecys+ R<SUB>1</SUB> dissection; group B, subsegmental hepatectomy+R<SUB>2-ex</SUB> dissection; group C, extended right hepatic lobectomy pancreatoduodenectomy+portalresection+R<SUB>3-ex</SUB>, dissection; 3group D, en bloc resection of the hepatoduodenal ligament. This classification proved useful for obtaining the prognosis and for selecting the most appropriate basic surgical technique."},{"@value":"胆嚢癌において予後因子として重要なbinfを中心に進行度分類を行い, 自験40例を対象に基本術式について検討した. 新分類はA 群: 胆嚢内限局型[binf<SUB>0</SUB> , hinf(-)], B群:肝床浸潤型[binf<SUB>0</SUB>, hinf(+)], C群: 軽度肝門浸潤型[binf<SUB>1</SUB>], D群: 高度肝門浸潤型[binfh<SUB>2,3</SUB>] の4群に分けた. これらの治癒切除率は, それぞれ100, 57, 27, 0%, 2年生存率はそれぞれ100, 58.8, 9.1, 0%となり, 各群間で差を認めた. 各群の根治性, 再発形式などを考慮して, A群: 胆嚢全層切除+R<SUB>1</SUB> 郭清, B群:肝切除+胆嚢・胆管切除+R<SUB>2-ex</SUB> 郭清, C群:肝拡大右葉切除+膵頭十二指腸切除+門脈切除+R<SUB>3-ex</SUB> 郭清, D群: 肝十二指腸靱帯一括切除が基本術式と考えられた. 以上より, 本分類は予後の推定ならびに基本術式の選択に有用であった."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410009222044300289","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283687490"}],"foaf:name":[{"@language":"en","@value":"KUMAZAWA Ken-ichi"},{"@language":"ja","@value":"熊沢 健一"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Tokyo Women's Medical College, Daini Hospital"},{"@language":"ja","@value":"東京女子医科大学附属第二病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222044300288","@type":"Researcher","foaf:name":[{"@language":"en","@value":"HAGA Shunsuke"},{"@language":"ja","@value":"芳賀 駿介"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"東京女子医科大学附属第二病院外科"},{"@language":"en","@value":"Department of Surgery, Tokyo Women's Medical College, Daini Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1030848083414234496","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"20075386"},{"@type":"NRID","@value":"1000020075386"},{"@type":"NRID","@value":"9000397434292"},{"@type":"NRID","@value":"9000024185883"},{"@type":"NRID","@value":"9000024189144"},{"@type":"NRID","@value":"9000283686767"},{"@type":"NRID","@value":"9000024156296"},{"@type":"NRID","@value":"9000022623876"},{"@type":"NRID","@value":"9000253342673"},{"@type":"NRID","@value":"9000253342213"},{"@type":"NRID","@value":"9000024132590"},{"@type":"NRID","@value":"9000024217442"},{"@type":"NRID","@value":"9000253356049"},{"@type":"NRID","@value":"9000283687492"},{"@type":"NRID","@value":"9000397434734"},{"@type":"NRID","@value":"9000391414762"},{"@type":"NRID","@value":"9000024113435"},{"@type":"NRID","@value":"9000020545709"},{"@type":"NRID","@value":"9000397433769"},{"@type":"NRID","@value":"9000391414413"},{"@type":"NRID","@value":"9000004738985"},{"@type":"NRID","@value":"9000397435081"},{"@type":"NRID","@value":"9000252850148"},{"@type":"NRID","@value":"9000020257530"},{"@type":"NRID","@value":"9000024222888"},{"@type":"NRID","@value":"9000024193140"},{"@type":"NRID","@value":"9000024130946"},{"@type":"NRID","@value":"9000397434281"},{"@type":"NRID","@value":"9000397434254"},{"@type":"NRID","@value":"9000022469737"},{"@type":"NRID","@value":"9000237618016"},{"@type":"NRID","@value":"9000397435852"},{"@type":"NRID","@value":"9000253347715"},{"@type":"NRID","@value":"9000258097307"},{"@type":"NRID","@value":"9000022513804"}],"foaf:name":[{"@language":"en","@value":"OGAWA Kenji"},{"@language":"ja","@value":"小川 健治"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Tokyo Women's Medical College, Daini Hospital"},{"@language":"ja","@value":"東京女子医科大学附属第二病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222044300290","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283687493"}],"foaf:name":[{"@language":"en","@value":"KAJIWARA Tetsuro"},{"@language":"ja","@value":"梶原 哲郎"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Tokyo Women's Medical College, Daini Hospital"},{"@language":"ja","@value":"東京女子医科大学附属第二病院外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09140077"}],"prism:publicationName":[{"@language":"en","@value":"Tando"},{"@value":"胆道"},{"@language":"en","@value":"Tando"},{"@value":"胆道"}],"dc:publisher":[{"@language":"en","@value":"Japan Biliary Association"}],"prism:publicationDate":"1994","prism:volume":"8","prism:number":"5","prism:startingPage":"451","prism:endingPage":"457"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/1995126910"}],"availableAt":"1994","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E8%83%86%E5%9A%A2%E7%99%8C","dc:title":"胆嚢癌"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%80%B2%E8%A1%8C%E5%BA%A6%E5%88%86%E9%A1%9E","dc:title":"進行度分類"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%89%8B%E8%A1%93%E6%B2%BB%E7%99%82%E6%88%90%E7%B8%BE","dc:title":"手術治療成績"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:1001631902"},{"@type":"CIA","@value":"130004993302"}]}