{"_buckets": {"deposit": "f4caeb05-1191-4a72-8076-7d985e2fdd7b"}, "_deposit": {"created_by": 14, "id": "12974", "owners": [14], "pid": {"revision_id": 0, "type": "depid", "value": "12974"}, "status": "published"}, "_oai": {"id": "oai:sapmed.repo.nii.ac.jp:00012974", "sets": ["1987"]}, "author_link": ["19264"], "control_number": "12974", "item_2_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2013-10-31", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "25", "bibliographicPageStart": "22", "bibliographicVolumeNumber": "38", "bibliographic_titles": [{"bibliographic_title": "市立室蘭総合病院医誌 = Journal of Muroran City General Hospital"}]}]}, "item_2_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "進行胃癌T4切除症例の予後因子について検討した。1980年以降切除可能であったT4胃癌194例を対象とした。平均年齢は67.5歳、男女比は1.6:1であった。術式では胃全摘術が半数を占めた。合併切除は40例に施行され膵脾合併切除が20例ともっとも多かった。T4胃癌全体の5年生存率は30.7%、治癒切除例では37.7%、非治癒切除例では24.7%であり、有意差を認めた。非治癒切除となった因子はP因子75例、H因子12例、M因子16例、などでこのうち17例に重複が見られた。合併切除を施行し治癒切除が得られた症例の5年生存率は42.8%、非治癒切除例では8%と有意差を認めた。T4症例で治癒切除が可能であった88例について各因子ごとに5年生存率を算出すると、リンパ節転移N 0-N 1、N 2以上で比較すると52.9%、31.6%、ly(-)、ly(+)では56.7%、45.1%、v(-)、v(+)では47.4%、42.2%、分化型、未分化型では38.1%、48.1%、腫瘍径7cm 未満、以上では53.4%、35.9%という結果であったがいずれも有意差を認めなかった。T4aとT4bの比較では40.9%、26.1%とT4aが有意に予後良好であった。", "subitem_description_type": "Abstract"}]}, "item_2_identifier_60": {"attribute_name": "URI", "attribute_value_mlt": [{"subitem_identifier_type": "URI", "subitem_identifier_uri": "http://ir.cc.sapmed.ac.jp/dspace/handle/123456789/6046"}]}, "item_2_publisher_32": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "市立室蘭総合病院"}]}, "item_2_source_id_7": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0289-2774", "subitem_source_identifier_type": "ISSN"}]}, "item_2_version_type_15": {"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": "渋谷, 均"}], "nameIdentifiers": [{"nameIdentifier": "19264", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "佐々木, 賢一"}]}, {"creatorNames": [{"creatorName": "永山, 稔"}]}, {"creatorNames": [{"creatorName": "斉藤, 慶太"}]}, {"creatorNames": [{"creatorName": "奥谷, 浩一"}]}, {"creatorNames": [{"creatorName": "内山, 素伸"}]}, {"creatorNames": [{"creatorName": "宇野, 智子"}]}, {"creatorNames": [{"creatorName": "及能, 拓朗"}]}, {"creatorNames": [{"creatorName": "今, 信一郎"}]}, {"creatorNames": [{"creatorName": "小西, 康宏"}]}, {"creatorNames": [{"creatorName": "西田, 陸夫"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2018-07-21"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "n0289277438126.pdf", "filesize": [{"value": "1.1 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 1100000.0, "url": {"label": "n0289277438126.pdf", "url": "https://sapmed.repo.nii.ac.jp/record/12974/files/n0289277438126.pdf"}, "version_id": "2742e7d8-e2d3-4778-bd92-a42308b9de7b"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "進行胃癌", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "T4胃癌", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "他臓器浸潤胃癌", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "予後因子", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}]}, "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": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "T4胃癌切除症例の検討", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "T4胃癌切除症例の検討", "subitem_title_language": "ja"}]}, "item_type_id": "2", "owner": "14", "path": ["1987"], "permalink_uri": "https://sapmed.repo.nii.ac.jp/records/12974", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2014-08-05"}, "publish_date": "2014-08-05", "publish_status": "0", "recid": "12974", "relation": {}, "relation_version_is_last": true, "title": ["T4胃癌切除症例の検討"], "weko_shared_id": -1}
https://sapmed.repo.nii.ac.jp/records/12974
https://sapmed.repo.nii.ac.jp/records/12974