{"created":"2023-06-19T10:29:34.862371+00:00","id":1687,"links":{},"metadata":{"_buckets":{"deposit":"9b61e4e2-d79a-46e5-8ebb-f3411e13e6eb"},"_deposit":{"created_by":31,"id":"1687","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"1687"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00001687","sets":["1709617079800:35:325:565"]},"author_link":["110949","110950","110951","110952","110953","110954","110955","110956"],"item_1694495855422":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_3_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"44","bibliographicPageStart":"33","bibliographicVolumeNumber":"42","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_3_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"総説","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_3_description_9":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Review","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_3_identifier_14":{"attribute_name":"URL","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2016/KMJ-J42(1)33.pdf"}]},"item_3_relation_20":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J42(1)33","subitem_relation_type_select":"DOI"}}]},"item_3_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_3_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学小児外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学小児外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学小児外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学小児外科学"}]},"item_3_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Pediatric surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Pediatric surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Pediatric surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Pediatric surgery, Kawasaki Medical School"}]},"item_3_textarea_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"嵩原らが開発した新しい小児鼠径ヘルニアの術式,Laparoscopic Percutaneus Extraperitoneal Closure(LPEC法)が2003年に報告され,標準術式として採用する施設が増えている.鼠径管構造を破壊することなくヘルニア門を閉鎖でき,従来法にはない有用性が報告されている.また,LPEC法は小児精系水瘤や直接ヘルニアなど,その他の疾患にも応用される.当科では2005年からLPEC法を導入し,2015年までの10年間で733例を経験した.今回,外鼠径ヘルニア,精系水瘤の疫学的特徴,卵巣ヘルニアと精系水瘤の内鼠径輪所見,対側腹膜鞘状突起の開存率,術中術後合併症について診療録から集計し,後方視的に検討した.また再発,対側発症例について,初回手術時と再手術時の所見から,原因を検討した.直接ヘルニアについて,内鼠径輪の形態を評価し,臨床的特徴を検討した.外鼠径ヘルニアは612例,精系水瘤は112例,直接ヘルニアが9例であった.外鼠径ヘルニア再発で従来法を行った症例が1例,精系水瘤で腹膜鞘状突起の開存がなく従来法に移行した症例が1例あり,その他の症例はLPEC法を施行した.直接ヘルニアに対し,経過観察3例,LPEC法1例,LPEC法+後壁補強4例,鼠径部切開による後壁補強1例が行われた.術中術後の合併症は認めなかった.卵巣ヘルニアの子宮円索が対側に比し短く,精系水瘤の腹膜鞘状突起がほぼ全て開存していた.外鼠径ヘルニアの再発率は3例(0.49%)で,精系水瘤において再発は認めなかった.対側発症は3例(0.49%)に認めた.LPEC法により,内鼠径輪所見の詳細な所見が明らかとなり,外鼠径ヘルニアのみならず,精系水瘤,直接ヘルニアにおいても応用が可能で,合併症,再発率についても良好な成績であった."}]},"item_3_textarea_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"Takahara and colleagues published a new operative method, \"Laparoscopic Percutaneous Extraperitoneal Closure (LPEC)\", for pediatric inguinal hernia in 2003. It has been adopted as an alternative to traditional methods in a large number of institutions in Japan. This procedure is minimally invasive and enables closure of the hernia orifice without destroying the inguinal canal structure. This is a new surgical procedure, and its advantages over traditional methods have been reported. In addition, the LPEC procedure has also been applied to other diseases, such as pediatric hydrocele and pediatric direct inguinal hernia. In our institute, LPEC has been performed for pediatric inguinal hernia and hydrocele from 2005, with 733 cases performed in the last decade. In this study, the epidemiological characteristics of pediatric inguinal hernia and hydroceles, the findings regarding the internal inguinal ring in sliding hernia of the ovary and in hydrocele, the PV patency rate, and perioperative complications were investigated retrospectively from medical records. Furthermore, the causes of recurrent hernia or contralateral hernia were investigated based on the findings at re-operations. In the LPEC procedure, laparoscopic observation can reveal the appearance and findings of the internal ring, which leads to appropriate treatment and good results with respect to complications and recurrence."}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"久山, 寿子","creatorNameLang":"ja"},{"creatorName":"クヤマ, ヒサコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"植村, 貞繁","creatorNameLang":"ja"},{"creatorName":"ウエムラ, サダシゲ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉田, 篤史","creatorNameLang":"ja"},{"creatorName":"ヨシダ, アツシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 真弓","creatorNameLang":"ja"},{"creatorName":"ヤマモト, マユミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KUYAMA, Hisako","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"UEMURA, Sadashige","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YOSHIDA, Atsushi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMAMOTO, Mayumi","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-01-23"}],"displaytype":"detail","filename":"KJ00010237699.pdf","filesize":[{"value":"2.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00010237699.pdf","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/1687/files/KJ00010237699.pdf"},"version_id":"8eb57ccb-481a-434e-9b4f-9f87e484103d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"鼠径ヘルニア","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"LPEC","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"精系水瘤","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Pediatric inguinal hernia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"LPEC","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Pediatric hydrocele","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":"小児鼠径ヘルニア・精系水瘤に対する腹腔鏡下鼠径ヘルニア修復術(LPEC法) : 川崎医科大学小児外科10年間の報告","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"小児鼠径ヘルニア・精系水瘤に対する腹腔鏡下鼠径ヘルニア修復術(LPEC法) : 川崎医科大学小児外科10年間の報告","subitem_title_language":"ja"},{"subitem_title":"Laparoscopic Percutaneus Extraperitoneal Closure (LPEC) for children in Kawasaki medical school hospital","subitem_title_language":"en"}]},"item_type_id":"3","owner":"31","path":["565"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-01-23"},"publish_date":"2017-01-23","publish_status":"0","recid":"1687","relation_version_is_last":true,"title":["小児鼠径ヘルニア・精系水瘤に対する腹腔鏡下鼠径ヘルニア修復術(LPEC法) : 川崎医科大学小児外科10年間の報告"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2023-10-10T07:51:45.321995+00:00"}