{"created":"2024-07-05T07:31:18.184525+00:00","id":2000419,"links":{},"metadata":{"_buckets":{"deposit":"63be3be6-174a-4f4f-aac3-202d188c9790"},"_deposit":{"created_by":11,"id":"2000419","owner":"11","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"2000419"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000419","sets":["2:48:1720152405206"]},"author_link":["2786","4257","1617","4256"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003-09","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"28","bibliographicPageStart":"23","bibliographicVolumeNumber":"5","bibliographic_titles":[{"bibliographic_title":"日本産科婦人科学会香川地方部会雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kagawa journal of obstetrics and gynecology","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"上緑が臍上に達する巨大卵巣嚢腫に対する気腹式腹腔鏡下手術においては、closed法による第1穿刺で嚢腫の誤穿孔を生じる危険性が高いため、臍部よりopen法にてアプローチする術式が用いられる。その場合、体外法における嚢腫の誘導あるいは体内法における嚢腫の回収のために新たな創孔を下腹壁に設ける必要があり、2cm程度の創部が重複するようになるためclosed法で凌駕される minimally invasive surgery の本質を欠くことになる。今回我々は、腑上2横指に達する単房性の巨大卵巣嚢腫に対し、僅か2cm足らずのmini‐laparotomyに気腹式腹腔鑑を併用し、最小限の創孔にて嚢腫摘出を行った。まず下腹壁正中に2cm弱の縦切開を加え、腹壁を圧排する嚢腫表面を露出し、周囲に癒着のないことを確認した後、嚢腫を穿刺し内容液を吸引除去した。次に嚢腫壁の一部を腹腔外に誘導し、さらに残りの内容液をすべて吸引した後、体外法にて患側付属器切除を施行した。最後に、気腹下に内視鏡を同創孔より腹腔内に挿入して骨盤内の観察を行い、他に異常のないことを確認し閉腹した。術後経過は順調で疼痛も軽微であった。巨大卵巣嚢腫に対する本術式は気腹式腹腔鏡を併用したmini‐laparotomy法であるが、より小さな侵襲で行い得る点で気腹式腹腔鏡下手術に優るものと考えられる。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"[Case 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