{"created":"2023-06-20T15:49:22.707938+00:00","id":3967,"links":{},"metadata":{"_buckets":{"deposit":"86f4c78a-cdff-4ee9-968a-9b5aaeebb9c7"},"_deposit":{"created_by":4,"id":"3967","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3967"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003967","sets":["1:12:80"]},"author_link":["12132","12133","12134","12135","12136","12137","12138","12139","12140","12141","12142","12143","12144"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-03-18","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"40","bibliographicPageStart":"33","bibliographicVolumeNumber":"11","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"本邦において後腹膜鏡下傍大動脈リンパ節郭清術は未だ一般的な手技とは言い難く、合併症報告は少ない。我々は、後腹膜鏡下傍大動脈リンパ節郭清術を含む子宮体癌根治手術を施行後に発症したポートサイトヘルニアを経験した。症例は69歳 BMI 23.9kg/m2の女性で、不正性器出血を自覚し当院を紹介受診した。術前精査にて子宮体癌（類内膜癌Grade1、ⅠB期）が想定されたため、腹腔鏡下子宮全摘術、両側付属器切除術、骨盤リンパ節郭清術、傍大動脈リンパ節郭清術を行った。傍大動脈リンパ節郭清には後腹膜アプローチを用いた。術後3日目より腹部膨満感と反復する嘔吐を発症し腹部CT検査にて、左下腹部の12mmポート孔に小腸が嵌頓し、腸閉塞を発症していたためポートサイトヘルニアと診断し、開腹下にイレウス解除術が行われた。筋膜は縫合されていたにも関わらず、腹膜のポート孔に小腸が嵌頓し、後腹膜鏡にて剥離した腹膜と筋膜の隙間に小腸が嵌入していた。\n後腹膜鏡下リンパ節郭清を含む子宮体癌手術の際には、ポート孔腹膜の確実な閉鎖が必要と考えられた。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Retroperitoneal laparoscopic para-aortic lymphadenectomy is not yet a common technique in Japan. Perhaps for this reason, reports of complications associated with the procedure are rare. We present a case of a 69-year-old woman with a body mass index of 23.9kg/m2 who presented with irregular genital bleeding. She was diagnosed with endometrial cancer (endometrioid carcinoma grade 1, stage 1B) and underwent laparoscopic hysterectomy, bilateral adnexectomy, pelvic lymphadenectomy, and para-aortic lymphadenectomy. Para-aortic lymphadenectomy was performed via a retroperitoneal approach. On the third postoperative day, the patient developed abdominal distension and vomited repeatedly. She was diagnosed with port-site hernia at the left iliac fossa based on enhanced abdominal computed tomography findings, and underwent laparotomy to relieve obstruction of the small bowel. This operation revealed herniation of the intestine into the peritoneal wall, which had been punctured during trocar insertion. Although the wound fascia had been kept sutured, the small bowel had entered into an extraperitoneal space under the fascia transversalis that had formed during retroperitoneal para-aortic lymphadenectomy. To avoid such complications in the future, closure of the peritoneal wall is mandatory after minimally invasive surgery for endometrial cancer including retroperitoneal laparoscopic para-aortic lymphadenectomy.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡産科婦人科学会","subitem_publisher_language":"ja"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"21871914","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_32":{"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":"堀川, 直城","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉田, 旭輝","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"東園, 和哉","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金井, 亜未","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"牧尾, 悟","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐伯, 綾香","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊田, 昂平","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"兪, 沙英","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"辻, 満","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"梅宮, 槙樹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"敖, 礼","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"谷, 洋彦","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小阪, 謙三","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-03-23"}],"displaytype":"detail","filename":"jsog_11_1_33.pdf","filesize":[{"value":"489.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_11_1_33","url":"https://hama-med.repo.nii.ac.jp/record/3967/files/jsog_11_1_33.pdf"},"version_id":"3774ab85-adf6-4e30-bbb7-4174799e4a01"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Port-site hernia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Retroperitoneal laparoscopic para-aortic lymphadenectomy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Endometrial cancer","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":"早期子宮体癌に対する後腹膜鏡下傍大動脈リンパ節郭清術後に発症したポートサイトヘルニアの1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"早期子宮体癌に対する後腹膜鏡下傍大動脈リンパ節郭清術後に発症したポートサイトヘルニアの1例","subitem_title_language":"ja"},{"subitem_title":"A case of Port-site Hernia after Retroperitoneal Laparoscopic Para-aortic Lymphadenectomy for Early-stage Endometrial Cancer","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["80"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-03-23"},"publish_date":"2022-03-23","publish_status":"0","recid":"3967","relation_version_is_last":true,"title":["早期子宮体癌に対する後腹膜鏡下傍大動脈リンパ節郭清術後に発症したポートサイトヘルニアの1例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T07:00:11.182262+00:00"}