{"created":"2023-06-20T15:45:32.599178+00:00","id":47,"links":{},"metadata":{"_buckets":{"deposit":"58c306f2-6bb3-4376-8e40-f2c464622ad0"},"_deposit":{"created_by":4,"id":"47","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"47"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00000047","sets":["1:11"]},"author_link":["138","139","140","141","142","143"],"control_number":"47","item_3_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title_language":"en"}]},"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1992-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"755","bibliographicPageStart":"749","bibliographicVolumeNumber":"25","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":"下咽頭頚部食道癌33例に対し両側根治的頚部郭清, 喉頭全摘, 患側甲状腺切除, 非開胸食道抜去, 後縦隔経路・咽頭胃管 (結腸) 吻合および術前後の放射線・化学療法を行い次の結果を得た．① 33例中31例は軽快退院したが, 術死2例 (6.1%) を認めた．② stage III・IV の省令が21例 (63.6%) を占めたを全例のリンパ節転移率は 54.5% (18/33), 転移度は 5.7% (39/690) で, #102, #101 の転移が多かった．4例 (12.1%) の抜去食道に深達度 ep&acd;mm の表在癌の重複を認めた．③ 5生率は下咽頭限局癌 44.4%, 狭義の下咽頭頚部食道癌 18.2%, 頚部食道限局癌 55.6% で, 咽頭食道接合部にまたがる癌が予後不良であった．また n 因子と a 因子で予後を比較した場合, 前者に再発死亡を多く認めた．④ stage III, IX 16例では術前照射の組織学的効果と予後との間に有意の関連を認めた．以上より, 本術式は根治性・安全性において優れた術式であるが, 咽頭食道接合部にかかる癌は retropharyngeal space に対する郭清および照射野の拡大が必要である．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"During the last 13 years, radical operations including cervical dissection, total esophagectomy without thoracotomy, total laryngectomy, pharyngogastric or colonic anastomosis and intensive adjuvant therapy before and after surgery were performed for 33 patients in our hospital. Tweleve of them had carcinoma of the hypopharynx (Group A) (pyriform sinus type, 7; posterior wall type, 3; postcricoid type, 2), 12 had carcinoma involving the hypopharynx and cervical esophagus (Group B) (Ph>Ce, 8; Ph<Ce, 4), and 9 had carcinoma of the cervical esophagus (Group C). Seven of the carcinomas were classified as stage I, five as stage II, six as stage III, and 15 as stage IV. Four patients had the complication of synchronous double cancer of the hypopharynx (pyriform sinus) and esophagus (Im). Although the overall hospital mortality was 6.1% (2/33), the postoperative course of the rest of the patients was uneventful and the patients were discharged in improved condition. The overall 5-year survival rate was 37.9% (44.4% for Group A, 18.2% for Group B, and 55.6% for Group C). The most common cause of long-term failure in Group B was local recurrence at the root of the skull. Improvement in survival may therefore require extensive multidisciplinary treatment directed to the retropharyngeal space in this group.","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":"110001325479","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":"1993004397","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.25.749","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":"青木, 克憲","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"138","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"西野, 暢彦","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"139","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"今野, 弘之","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"140","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"丸尾, 祐司","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"141","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"田中, 達郎","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"142","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"馬場, 正三","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"143","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":"2018-08-27"}],"displaytype":"detail","filename":"110001325479.pdf","filesize":[{"value":"631.8 kB"}],"format":"application/pdf","licensetype":"license_3","mimetype":"application/pdf","url":{"label":"110001325479.pdf","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/47/files/110001325479.pdf"},"version_id":"ad8d67f4-1baa-41ae-a882-4feee42f048d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"carcinoma of hypopharynx","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"carcinoma of cervical esphagus","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"esophagectomy without thoracotomy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"synchronous double cancer of hypopharynx","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"radiotherapy","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":"非開胸食道抜去術による下咽頭・頸部食道癌切除例の臨床病理学的検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"非開胸食道抜去術による下咽頭・頸部食道癌切除例の臨床病理学的検討","subitem_title_language":"ja"},{"subitem_title":"Clinico-Pathological Study on Pharyngolarygoesophagectomy without Thoracotomy for Carcinoma of the Hypopharynx and the Cervical Esophagus  －Analysis of 33 Cases－","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":"47","relation_version_is_last":true,"title":["非開胸食道抜去術による下咽頭・頸部食道癌切除例の臨床病理学的検討"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-02-22T07:30:21.216162+00:00"}