{"created":"2023-06-19T10:30:55.466800+00:00","id":3078,"links":{},"metadata":{"_buckets":{"deposit":"96b8432b-1fe7-4d8e-9dc7-b0847bd2e7b1"},"_deposit":{"created_by":29,"id":"3078","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"3078"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00003078","sets":["1709617079800:35:808"]},"author_link":["131496","131497","131498","131499","131500","131501"],"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":"Evaluation of laparoscopic and robotic sacrocolpopexy with total hysterectomy using the POP-Q system and EQ-5D","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"78","bibliographicPageStart":"73","bibliographicVolumeNumber":"48","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":"原著論文","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Regular Article","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-J202248073","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/2022/KMJ-J202248073.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"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":"川崎医科大学婦人科腫瘍学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学婦人科腫瘍学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学婦人科腫瘍学"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Gynecologic Oncology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gynecologic Oncology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gynecologic Oncology, Kawasaki Medical School"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　Background: The advent of a rapidly aging society has increased the number of surgeries for pelvic organ prolapse (POP), thus affecting quality of life (QoL). At our hospital, laparoscopic and robotic sacrocolpopexy (LSC and RSC) has been performed for mesh insertion. Different institutions handle the uterus by conserving it either via subtotal hysterectomy, or total hysterectomy. The frequency of mesh erosion increases with total hysterectomy. Supra hysterectomy, which preserves the cervix, is the mainstream method for prevention of mesh erosion. However, at our hospital, LSC/RSC with total hysterectomy is used to reduce the risk of malignant lesions. There are no reports of POP-Q scores or QoL evaluated only in patients who underwent LSC/RSC with total hysterectomy. This study aimed to examine the efficacy and patient satisfaction of LSC/RSC performed at our hospital. We used the POP-Q system, a structural assessment, and the QoL assessment EuroQoL-5D (EQ-5D) before and after POP surgery with LSC/RSC and total hysterectomy.\n　Methods: In the 1 year from April 2020, consenting patients with POP were evaluated using the POP-Q system and EQ-5D before and after surgery. We determined the relationships among the POP-Q system scores, stage, and EQ-5D scores and compared them before and after surgery.\n　Results: Of the 22 patients, LSC or RSC was performed in 11 patients each. The overall mean surgical outcomes comprised surgery duration (148 min), bleeding volume (30 ml), and weight of the removed uterus (54 g). The mean overall POP-Q stage and overall EQ-5D score improved significantly (p < 0.001) from 2.45 and 0.719 preoperatively to 0.41 and 0.991 postoperatively, respectively. Furthermore, no cases of recurrence or mesh erosion were noted during follow-up to March 2022. LSC/RSC with total hysterectomy improved the QoL in both laparoscopic and robotic cases. No cases of recurrence or mesh erosion were noted in the short- to mid-term follow-up. Surgeons can consider LSC/RSC with total hysterectomy as an option for mesh insertion."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　背景：超高齢社会の到来で，QOL を損なう骨盤臓器脱に対する手術療法は増加し，当院でも腹腔鏡・ロボット仙骨腟メッシュ固定術（LSC･RSC）を行っている．子宮の取り扱いは施設によって異なり，子宮温存，子宮亜全摘，子宮全摘術のいずれかを併用する．子宮全摘を併用した場合，メッシュびらんの頻度が増加するという報告があり，メッシュびらんを予防する目的で子宮頚部を残す腟上部切断術が主流である．しかし，悪性病変の発生リスクを低減するために，当院では子宮全摘を伴う LSC･RSC を施行している．これまで子宮全摘を伴う LSC･RSC に限定して POP-Q スコアや QOL を評価した報告はない．今回，子宮全摘を伴う LSC･RSC での術前術後の骨盤臓器脱の構造的な評価方法である POP-Q システムによるスコアリングと QOL の評価方法である EQ-5Dを用いて，当院で行っている LSC・RSC の有効性，患者満足度を検討した．\n　方法：2020年４月より１年間，骨盤臓器脱の患者に同意を得て，手術前後で POP-Q システムの記録と EQ-5D による質問を実施し，POP-Q システムのスコア，stage と EQ-5D の関係や手術前後の評価を行った．\n　結果：症例は合計22例で，術式は LSC と RSC によるものが各11例であった．全体の手術成績平均は，手術時間148分，出血量30 ml，摘出子宮54 g だった．全体のPOP-Q stage は，術前平均2.45，術後平均0.41で，有意に改善を認めた（ｐ ＜ 0.001）．全体の EQ-5D のスコアは，術前0.719，術後0.991で有意に改善を認めた（ｐ ＜ 0.001）．また2022年３月までの観察期間中，再発やメッシュびらんを認めた症例はなかった．子宮全摘を併用した LSC･RSC は，腹腔鏡とロボットのいずれにおいても QOL を改善した．短期から中期の観察ではあるが再発やメッシュびらんを認めなかった．子宮全摘を併用した LSC･RSC は，仙骨腟メッシュ固定術の一つの選択肢となり得ると考えられた．"}]},"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":"鈴木, 聡一郎","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"131496","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"佐野, 力哉","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"131497","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"太田, 啓明","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"131498","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"SUZUKI, Soichiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"131499","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"SANO, Rikiya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"131500","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"OTA, Yoshiaki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"131501","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-03-10"}],"displaytype":"detail","filename":"KMJ-J202248073.pdf","filesize":[{"value":"941.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/3078/files/KMJ-J202248073.pdf"},"version_id":"2785c684-c2b9-4dad-a687-f9333072da9e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"仙骨腟メッシュ固定術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"LSC","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"RSC","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"子宮全摘","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"メッシュびらん","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Laparoscopic sacrocolpopexy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"LSC","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"RSC","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Total hysterectomy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Mesh erosion","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":"POP-Q システムと EQ-5D を用いた子宮全摘を伴う腹腔鏡・ロボット仙骨腟メッシュ固定術の評価","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"POP-Q システムと EQ-5D を用いた子宮全摘を伴う腹腔鏡・ロボット仙骨腟メッシュ固定術の評価","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"29","path":["808"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-03-10"},"publish_date":"2023-03-10","publish_status":"0","recid":"3078","relation_version_is_last":true,"title":["POP-Q システムと EQ-5D を用いた子宮全摘を伴う腹腔鏡・ロボット仙骨腟メッシュ固定術の評価"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2024-08-15T06:42:08.180814+00:00"}