{"created":"2023-06-20T15:45:32.203947+00:00","id":40,"links":{},"metadata":{"_buckets":{"deposit":"79eef0fb-7c53-4e97-bd72-622e5d84cb82"},"_deposit":{"created_by":4,"id":"40","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"40"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00000040","sets":["1:11"]},"author_link":["75","76","77","78","79","80","81","82","83","84"],"control_number":"40","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-02-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"211","bibliographicPageStart":"206","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"日本消化器外科学会雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"The Japanese Journal of Gastroenterological Surgery","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は77歳の男性で,平成17年10月,腹痛のため前医を受診した.腹部CTで肝内胆管と総胆管の拡張および胆嚢腫大を認めた.ERCPでは右肝管は造影されず,総胆管内に透亮像がみられた.経口胆道鏡検査にて総胆管内に多量の粘液貯留と右肝管粘膜面にイクラ状隆起を確認した.以上の所見から,右肝管原発の粘液産生胆管腫瘍と診断した.PTPEによる残肝側の代償性肥大を図った後,平成18年1月,肝拡大右葉切除,肝外胆管切除・胆道再建術,リンパ節郭清を施行した.右肝管を主座とする乳頭状隆起を有する腫瘍は,杯細胞を多く含有し胆管内腔に突出する深達度fmの乳頭管状型腺癌であり,病理組織学的にintraductal papillary mucinous carcinomaと診断された.術後1年6か月の現在,再発なく社会復帰している.粘液産生胆管癌は比較的まれな疾患であり,本疾患に関する文献的考察を加え報告する.","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Mucin-producing cholangiocarcinoma is a rare disorder with biliary tract dilation and clinical symptoms related to hypersecreted mucin. We report a case of mucin-producing cholangiocarcinoma arising from the right hepatic duct. A 77-year-old man undergoing abdominal CT for abdominal pain in October 2005 was fouond to have a multilocular cystic mass at the right hepatic duct with dilation of the intrahepatic bile duct and the choledochus, and a swollen gallbladder. ERCP showed an amorphous filling defect in the choledochus without visualization of the right hepatic duct. Peroral cholangioscopy showed excessive mucin secretion in the choledochus with a papillary protrusion in the right hepatic duct. Under a diagnosis of a mucin-producing neoplasm arising from the right hepatic duct, the man underwent extended right hepatic lobectomy, excision of the extrahepatic bile duct, lymphadenectomy, and biliary reconstruction following PTPE in January 2006. The lesion in the right hepatic duct was histologically diagnosed as intraductal papillary mucinous carcinoma without hepatic infiltration or lymph node metastasis. The man remains alive without recurrence 18 months after surgery.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本消化器外科学会","subitem_publisher_language":"ja"}]},"item_3_relation_22":{"attribute_name":"NII論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"110006572020","subitem_relation_type_select":"NAID"}}]},"item_3_relation_27":{"attribute_name":"医中誌論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2008136246","subitem_relation_type_select":"ICHUSHI"}}]},"item_3_relation_28":{"attribute_name":"出版社DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.5833/jjgs.41.206","subitem_relation_type_select":"DOI"}}]},"item_3_rights_7":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"(C) 日本消化器外科学会","subitem_rights_language":"ja"},{"subitem_rights":"本文データは学協会の許諾に基づきCiNiiから複製したものである","subitem_rights_language":"ja"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-9768","subitem_source_identifier_type":"PISSN"}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"1348-9372","subitem_source_identifier_type":"EISSN"}]},"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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"鈴木, 淳司","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴木, 昌八","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"坂口, 孝宣","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福本, 和彦","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"太田, 茂安","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"稲葉, 圭介","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"竹原, 康雄","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"馬場, 聡","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"菊山, 正隆","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今野, 弘之","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":"2018-08-27"}],"displaytype":"detail","filename":"110006572020.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_3","mimetype":"application/pdf","url":{"label":"110006572020.pdf","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/40/files/110006572020.pdf"},"version_id":"ee06a601-59ca-4c24-bc32-d1b2c91eaf10"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"mucin-producing cholangiocarcinoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"intraductal papillary mucinous neoplasm of biliary tract","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"hepatectomy","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":"右肝管内粘液産生胆管癌の1切除例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"右肝管内粘液産生胆管癌の1切除例","subitem_title_language":"ja"},{"subitem_title":"A Case of Mucin-Producing Cholangiocarcinoma arising from the Right Hepatic Duct","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["11"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2013-08-27"},"publish_date":"2013-08-27","publish_status":"0","recid":"40","relation_version_is_last":true,"title":["右肝管内粘液産生胆管癌の1切除例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-02-22T06:01:49.024464+00:00"}