{"created":"2023-05-15T09:06:20.047351+00:00","id":12974,"links":{},"metadata":{"_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":["1875:1885:1987"]},"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_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":[{}]},{"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","filename":"n0289277438126.pdf","filesize":[{"value":"1.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-08-05"},"publish_date":"2014-08-05","publish_status":"0","recid":"12974","relation_version_is_last":true,"title":["T4胃癌切除症例の検討"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T03:10:36.864374+00:00"}