{"created":"2023-06-19T10:30:49.436353+00:00","id":2974,"links":{},"metadata":{"_buckets":{"deposit":"7485dc56-90e4-44c6-a52f-06fee1b231fa"},"_deposit":{"created_by":31,"id":"2974","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2974"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002974","sets":["1709617079800:35:800"]},"author_link":["130558","130559","130560","130561","130562","130563","130564","130565","130566","130567","130568","130569","130570","130571","130572","130573","130574","130575","130576","130577","130578","130579","130580","130581","130582","130583","130584","130585"],"item_10001_alternative_title_1":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Two cases of laparoscopic fenestration surgery for giant liver cyst and their pathological review","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"14","bibliographicPageStart":"7","bibliographicVolumeNumber":"47","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_10001_description_33":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Case Report","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"川崎医学会","subitem_publisher_language":"ja"}]},"item_10001_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J202147007","subitem_relation_type_select":"DOI"}}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://igakkai.kms-igakkai.com/wp/wp-content/uploads/2021/KMJ-J202147007.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_relation_35":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2022194407","subitem_relation_type_select":"ICHUSHI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"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_10001_text_31":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学病理学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of Pathology, Kawasaki medical school"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Department of General Surgery"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　We herein report on two cases of laparoscopic fenestration surgery for giant liver cysts, along with the pathological findings. \n　The first case was a woman in her eighties with right upper quadrant discomfort, who was found to have a 20 cm diameter cyst in her liver. The cyst was laparoscopically fenestrated with a partial resection of the cystic wall and the pathological examination revealed that the tissue was a choledochal cyst. \n　The second case was a woman in her sixties who had been followed for ten years with a slowly growing liver cyst. When the cyst reached a size of more than 13 cm in diameter, she received a laparoscopic fenestration. A part of cyst wall was resected and pathologically diagnosed as a ciliated hepatic foregut cyst, a rare histologic type of liver cyst. \n　Giant hepatic cysts are basically benign and therefore a wait-and-see approach is often taken. However, once symptoms occur, interventional therapy such as sclerotherapy and surgery should be considered. Laparoscopic fenestration, as performed in these two cases, is a useful strategy with low invasiveness and cosmetic advantages, in addition to symptomatic improvement. \n　Ciliated hepatic foregut cysts have been reported in a few cases to undergo malignant transformation into squamous cell carcinoma. A careful determination of therapeutic strategy is necessary for this type of liver cyst since malignant transformation can occur at an early age and tends to be recurrence-prone, although it is difficult to diagnose precisely by preoperative imaging tests."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　当科にて腹腔鏡下開窓術を施行した巨大肝嚢胞の２例について病理学的検討を加えて報告する．\n　症例１は80歳代女性で右上腹部の違和感があり画像検査にて約20cm大の巨大肝嚢胞と診断され腹腔鏡下開窓術を施行した．嚢胞壁の病理所見は Bile duct cyst の診断であった．\n　症例２は60歳代女性で10年前から緩徐に増大する最大径13.7cmの肝嚢胞に対し腹腔鏡下開窓術を施行した．病理診断で線毛性前腸性肝嚢胞という稀な病態であった． 　\n　肝嚢胞は基本的に良性疾患であるが，有症状の場合は治療適応となる．巨大肝嚢胞の治療は経皮的硬化療法あるいは開窓術や肝部分切除などが行われる．今回我々は２例ともに腹腔鏡下開窓術を行ったが，低侵襲で整容性にも優れ，十分な症状改善が得られたことから有益な治療手段と考える．なお，症例２のような線毛性前腸性肝嚢胞の場合，扁平上皮癌合併症例の報告があり，比較的若年発症で悪性度も高い傾向のため慎重な治療選択が望まれる．"}]},"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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中村, 有希","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"髙岡, 宗徳","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"浦上, 淳","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"物部, 泰昌","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"赤木, 晃久","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"浦野, 貴至","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"辻本, 琴音","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松本, 築","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松原, 正樹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石田, 尚正","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"林, 次郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉田, 和弘","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"羽井佐, 実","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山辻, 知樹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NAKAMURA, Yuki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKAOKA, Munenori","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"URAKAMI, Atsushi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MONOBE, Yasumasa","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"AKAGI, Akihisa","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"URANO, Takashi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TSUJIMOTO, Kotone","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MATSUMOTO, Kizuki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MATSUBAR, Masaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ISHIDA, Naomasa","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HAYASHI, Jiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YOSHIDA, Kazuhiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HAISA, Minoru","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMATSUJI, Tomoki","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":"2022-04-01"}],"displaytype":"detail","filename":"KMJ-J202147007.pdf","filesize":[{"value":"5.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2974/files/KMJ-J202147007.pdf"},"version_id":"4f2a3a5d-bfe3-4622-9e46-83117d9318d8"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"巨大肝嚢胞","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"腹腔鏡下開窓術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"線毛性前腸性肝嚢胞","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Giant liver cyst","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Laparoscopic fenestration surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Ciliated hepatic foregut cyst","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":"腹腔鏡下開窓術を施行した巨大肝嚢胞の２例と病理学的検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腹腔鏡下開窓術を施行した巨大肝嚢胞の２例と病理学的検討","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"31","path":["800"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-04-01"},"publish_date":"2022-04-01","publish_status":"0","recid":"2974","relation_version_is_last":true,"title":["腹腔鏡下開窓術を施行した巨大肝嚢胞の２例と病理学的検討"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-19T04:21:55.990138+00:00"}