{"created":"2023-06-19T10:30:50.622946+00:00","id":2995,"links":{},"metadata":{"_buckets":{"deposit":"449b6f65-b18a-469d-97d8-e40e8e8ac7ff"},"_deposit":{"created_by":31,"id":"2995","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2995"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002995","sets":["1709617079800:35:800"]},"author_link":["130809","130810","130811","130812","130813","130814","130815","130816","130817","130818","130819","130820","130821","130822","130823","130824","130825","130826","130827","130828","130829","130830","130831","130832"],"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":"A case of bilateral chylothorax after surgery for papillary thyroid cancer","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":"124","bibliographicPageStart":"119","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 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of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Breast and Thyroid Surgery, Kawasaki Medical School"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　Chylothorax after thyroid cancer surgery is a relatively rare complication, while bilateral chylothorax is even rarer. We herein report a case of bilateral chylothorax following thyroid cancer surgery that recovered with conservative treatment. A 73-year-old woman was diagnosed with Stage IVB thyroid papillary cancer and underwent total thyroidectomy and cervical lymph node dissection. The postoperative course was unremarkable, except for transient hypoparathyroidism. A regular diet was initiated on the 2nd postoperative day (POD). A decrease in drainage from the cervical drain was confirmed on the 3rd POD and the drain tube was removed. Respiratory distress developed on the 4th POD. Contrast-enhanced computed tomography revealed bilateral pleural effusion. Right chest tube drainage was performed. The pleural effusion was yellowish-white in color and chylothorax was suspected. Therefore, fasting was initiated. Food intake was resumed on the 9th POD. No signs of the deterioration of chylothorax were subsequently observed. The chest tube was removed on the 12th POD and the patient was discharged on the 16th POD. Chylothorax needs to be considered as a differential diagnosis when dyspnea occurs following lateral cervical lymph node dissection in patients with thyroid cancer."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　甲状腺癌術後の乳糜漏は比較的稀な合併症であるが，乳糜胸となる症例はさらに稀である．今回，甲状腺癌術後に両側乳糜胸となり保存的治療で改善した症例を経験したので報告する．症例 は73歳女性．甲状腺乳頭癌 Stage Ⅳ B の診断となり，甲状腺全摘，頸部リンパ節郭清が施行された．一過性の術後副甲状腺機能低下以外は問題なく経過し，翌日から通常食を開始した．術後３日 目に頚部ドレーン排液の減少を確認し抜去した．術後４日目に呼吸苦が出現した．造影 CT で両側 に胸水貯留を認め，右胸腔ドレナージを施行した．排液は黄白色であり，乳糜胸を疑い絶食管理を開始した．術後９日目に食事再開したがその後も増悪所見なく術後12日目に胸腔ドレーン抜去し， 術後16日目に退院となった．甲状腺癌の外側頸部リンパ節郭清術後に呼吸困難を来した場合は乳糜胸も鑑別として考えるべきである．"}]},"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":"川野, 汐織","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田中, 克浩","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 梓","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福間, 佑菜","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"三上, 剛司","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岸野, 瑛美","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"緒方, 良平","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"斎藤, 亙","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小池, 良和","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野村, 長久","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 裕","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"紅林, 淳一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KAWANO, Shiori","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TANAKA, Katsuhiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SASAKI, Azusa","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUKUMA, Yuna","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MIKAMI, Tsuyoshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KISHINO, Emi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OGATA, Ryohei","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SAITO, Wataru","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KOIKE, Yoshikazu","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NOMURA, Tsunehisa","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMAMOTO, Yutaka","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KUREBAYASHI, Junichi","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-J202147119.pdf","filesize":[{"value":"1.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2995/files/KMJ-J202147119.pdf"},"version_id":"02938a13-a53a-447f-9109-49d47b878398"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"甲状腺癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"甲状腺乳頭癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"乳糜漏","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"乳糜胸","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"術後合併症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Thyroid cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Papillary thyroid cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Chyle leak","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Chylothorax","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Postoperative complications","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 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