{"created":"2024-08-05T04:53:26.558839+00:00","id":2000512,"links":{},"metadata":{"_buckets":{"deposit":"f5049f5e-e49e-4ad1-8edd-03b744b2d9b4"},"_deposit":{"created_by":50,"id":"2000512","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000512"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000512","sets":["2:1720746067615:1722583161239"]},"author_link":["2878","4348","4347","451"],"control_number":"2000512","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"10","bibliographicPageStart":"5","bibliographicVolumeNumber":"22","bibliographic_titles":[{"bibliographic_title":"香川産科婦人科雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kagawa journal of obstetrics and gynecology : official journal of the Kagawa Society of Obstetrics and Gynecology","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"我々は、手術の低侵襲化・低コスト化を図るために、2015年9月より、双孔式吊り上げ腹腔鏡手術を導入した。短時間手術は脊椎麻酔で施行し、施行率は腹腔鏡下付属器手術の約85%であった。2018年1月より、創の整容性を考慮し、単孔式吊り上げ腹腔鏡手術を導入した。今回、単孔式（以下、単孔）が双孔式（以下、双孔）と比べ同じ程度の低侵襲性・低コスト性があるかを比較した。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"2015年9月〜2018年9月に施行した付属器腫瘍・異所性妊娠に対する脊椎麻酔下吊り上げ式腹腔鏡手術は、単孔:52例、双孔:95例であった。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"平均年齢は、単孔:51.4歳・双孔:37.9歳であり、Performance Statusに差はなかった。平均手術時間は、単孔:52.8分・双孔:58.3分であった。平均出血量は、単孔:16.7g・双孔:7.6gであった。平均術後在院日数は、単孔:3.63日・双孔:3.53日であった。使用するディスポーザブル製品のコストは、単孔:9,200円・双孔:20,600円であった。手術時間・出血量・術後在院日数は、単孔は双孔とほぼ同じ結果であったが、平均年齢は単孔で高い傾向にあり、コストは単孔で安い傾向にあった。なお、単孔式腹腔鏡手術は多くの施設で行われているが、ほとんど気腹手術であり、専用の高価なプラットフォームが必要になる。我々の術式はスマートリトラクター®（トップ製）と開腹用筋鈎を用い、高価なプラットフォームが必要ないため、気腹手術に比べ1件当たり約37,800〜114,800円のコストメリットがある。難易度が高くないと予想される付属器疾患の吊り上げ腹腔鏡手術において、単孔は双孔と比べ同じ程度の低侵襲性があり、コストメリットは単孔にあると考える。それに加え、単孔は整容性に優れるという利点がある。気腹手術に比べ低コストであることもメリットであると考える。また、麻酔科医が不足している施設では自科麻酔（脊椎麻酔）でも対応可能である。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"[Original article]","subitem_heading_language":"en"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"香川産科婦人科学会","subitem_publisher_language":"ja"}]},"item_10001_relation_12":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"40022629469","subitem_relation_type_select":"NAID"}}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type":"isPartOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.med.kagawa-u.ac.jp/~perigyne/ksog/journal/pdf/bukai22.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2185-1409","subitem_source_identifier_type":"EISSN"}]},"item_10001_version_type_20":{"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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open 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port","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"gasless laparoscopic surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"spinal anesthesia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ovarian tumor","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ectopic pregnancy","subitem_subject_language":"en","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":"脊椎麻酔で施行する低コスト単孔式吊り上げ腹腔鏡手術","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"脊椎麻酔で施行する低コスト単孔式吊り上げ腹腔鏡手術","subitem_title_language":"ja"},{"subitem_title":"Low-cost single incision gasless laparoscopic surgery under spinal anesthesia","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"50","path":["1722583161239"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-08-05"},"publish_date":"2024-08-05","publish_status":"0","recid":"2000512","relation_version_is_last":true,"title":["脊椎麻酔で施行する低コスト単孔式吊り上げ腹腔鏡手術"],"weko_creator_id":"50","weko_shared_id":-1},"updated":"2024-09-26T02:50:45.124456+00:00"}