{"created":"2024-11-22T06:34:51.255534+00:00","id":2008130,"links":{},"metadata":{"_buckets":{"deposit":"3d2d7e21-eb9c-47e1-b8c0-79c2b432d748"},"_deposit":{"created_by":7,"id":"2008130","owners":[7],"pid":{"revision_id":0,"type":"depid","value":"2008130"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02008130","sets":["1713853213384:1713853295607"]},"author_link":["711","1568","1557","1546"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-07-27","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"65","bibliographicPageStart":"62","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"Japanese Journal of Endourology","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"腹腔鏡下腎摘除術や副腎摘除術は, 簡便な低侵襲手術として標準化され普及している. 本項では, 腎茎の血管処理を安全に遂行するための術前準備, 血管処理の基本について述べた. 術前に血管走行などの作図を行い, 手術手順を確認する準備が重要である. 術前に把握されていない構造物に遭遇した際には, 手技を中断し, 画像を見直すことで安全に手術を遂行できる. また, 手術後に手術動画を省みることで, 画像読影力や作図能力は向上していく.\n血管処理は, 「血管以外の組織を凝固切離した結果, 血管だけが残った」という考えで, 丁寧に基本に忠実に行う. 助手の術野展開と鏡の選定を行い, 処理に適した角度から良好な視野を得る. 血管は把持せず, 血管に垂直に鉗子を動かし剥離を行う. 微量な出血も放置せず, その都度止血し無血野を保つ. 各種デバイスの特性を理解し, 処理に最適なデバイスを選択する.","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本泌尿器内視鏡学会","subitem_publisher_language":"ja"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"21861889","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"21874700","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"AA12524434","subitem_source_identifier_type":"NCID"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access"}]},"item_1722929371688":{"attribute_name":"出版社版DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"10.11302/jsejje.32.62"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11302/jsejje.32.62","subitem_relation_type_select":"DOI"}}]},"item_1723180141928":{"attribute_name":"EID","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"371082"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"楠原, 義人","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"711","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"福森, 知治","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"1568","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高橋, 正幸","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"1557","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"金山, 博臣","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"1546","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2021-03-31"}],"displaytype":"detail","filename":"jsejje_32_1_62.pdf","filesize":[{"value":"1.19 MB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://tokushima-u.repo.nii.ac.jp/record/2008130/files/jsejje_32_1_62.pdf"},"version_id":"9d6aada9-8860-43e4-bbb2-5f4aa8e581d4"}]},"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":"腎摘除術, 副腎摘除術における血管処理のポイント","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腎摘除術, 副腎摘除術における血管処理のポイント","subitem_title_language":"ja"}]},"item_type_id":"40001","owner":"7","path":["1713853295607"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-03-31"},"publish_date":"2021-03-31","publish_status":"0","recid":"2008130","relation_version_is_last":true,"title":["腎摘除術, 副腎摘除術における血管処理のポイント"],"weko_creator_id":"7","weko_shared_id":-1},"updated":"2024-11-22T06:35:03.136681+00:00"}