{"created":"2023-05-15T11:22:06.683727+00:00","id":762,"links":{},"metadata":{"_buckets":{"deposit":"e0fd6dd2-c906-42ca-b64c-62f25f8f6fca"},"_deposit":{"created_by":1,"id":"762","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"762"},"status":"published"},"_oai":{"id":"oai:showa.repo.nii.ac.jp:00000762","sets":["1:52:99:105"]},"author_link":["4474","4478","4475","4480","4481","4484","4477","4476","4483","4482","4479"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-12"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"697","bibliographicPageStart":"691","bibliographicVolumeNumber":"72","bibliographic_titles":[{"bibliographic_title":"昭和医学会雑誌"}]}]},"item_10002_description_6":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は77歳女性。突然の意識消失発作にて当院受診。術前の血清生化学検査、CTおよび選択的動脈内カルシウム注入法にて膵体部のインスリノーマと診断された。CTより仮想腹腔鏡を作成し、その画像データをiPadに転送、術野映像との比較確認を可能として腹腔鏡手術を行った。腫瘍は腹腔鏡観察下では同定不可能であったが、主要血管から仮想画像を参考にすることにより、適切な膵切離ラインを決定可能となり、腹腔鏡下膵体尾部切除を安全に施行。術後経過は良好で合併症なく退院した。仮想腹腔鏡を用いた手術支援は、手術のナビゲーションアイテムとして有用であり、特に肉眼上同定不可能な実質臓器の腫瘍切除においては、安全と質を確保する上で必須である。(著者抄録)","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"昭和大学・昭和医学会"}]},"item_10002_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.14930/jsma.72.691"}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0037-4342"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"藤森, 聰"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村上, 雅彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"青木, 武士"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"榎並, 延太"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡辺, 誠"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大塚, 耕司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"三田村, 圭太郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"古泉, 友丈"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山田, 宏輔"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加藤, 貴史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大池, 信之"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-07-26"}],"displaytype":"detail","filename":"72_691.pdf","filesize":[{"value":"685.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"72_691.pdf","url":"https://showa.repo.nii.ac.jp/record/762/files/72_691.pdf"},"version_id":"8463160f-46eb-40cf-80c7-e3043d41e897"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper"}]},"item_title":"仮想腹腔鏡支援により切除部位を同定し得た膵インスリノーマの1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"仮想腹腔鏡支援により切除部位を同定し得た膵インスリノーマの1例"}]},"item_type_id":"10002","owner":"1","path":["105"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-12-21"},"publish_date":"2016-12-21","publish_status":"0","recid":"762","relation_version_is_last":true,"title":["仮想腹腔鏡支援により切除部位を同定し得た膵インスリノーマの1例"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-05-15T13:01:07.757920+00:00"}