{"created":"2023-05-25T05:25:37.718719+00:00","id":4061,"links":{},"metadata":{"_buckets":{"deposit":"98dd0370-ae35-412f-b460-10ea82f07564"},"_deposit":{"created_by":17,"id":"4061","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"4061"},"status":"published"},"_oai":{"id":"oai:yamagata.repo.nii.ac.jp:00004061","sets":["29:31:106:108"]},"author_link":["12556","12555","12557"],"item_3_alternative_title_18":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"膵頭十二指腸切除術の周術期管理"}]},"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"Perioperative Management of Pancreaticoduodenectomy"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-02-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"31","bibliographicPageStart":"27","bibliographicVolumeNumber":"34","bibliographic_titles":[{"bibliographic_title":"山形大学紀要. 医学 : 山形医学 = Bulletin of the Yamagata University. Medical science : Yamagata medical journal"}]}]},"item_3_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"論文(Article)","subitem_description_type":"Other"}]},"item_3_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"　The importance of perioperative management in pancreaticoduodenectomy has trebled, as the size of the elderly population continues to increase yearly. Recently, in our department, 17.6 percent of 159 patients undergoing pancreaticoduodenectomy were 75 years or older. Of greatest concern is the prevention of postoperative pneumonia. We have obtained favorable results through preoperative care by having patients strengthen respiratory muscles through incentive spirometry, practice walking, going up and down stairs, and practice expectoration of sputum using tissues. In postoperative care, we consistently apply, whenever appropriate, tapping and vibration to the entire back, prone therapy, and hyperbaric oxygen therapy, among other things. In preparation for surgery, we make the patient conscious of the imminent major surgery, as the patient must exhibit a strong will and readiness to fight the disease. This article also explains the importance and methods of drain placement and continuous lavage of the drains in relation to pancreaticoduodenectomy.（Kimura in Geka（Nankodo. Co）74: 1091-1095, 2012）","subitem_description_type":"Other"}]},"item_3_full_name_2":{"attribute_name":"著者(ヨミ)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"12556","nameIdentifierScheme":"WEKO"}],"names":[{"name":"キムラ, ワタル"}]}]},"item_3_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"12557","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kimura, Wataru"}]}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15022/00004049","subitem_identifier_reg_type":"JaLC"}]},"item_3_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"山形大学"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0288-030X","subitem_source_identifier_type":"ISSN"}]},"item_3_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00067279","subitem_source_identifier_type":"NCID"}]},"item_3_text_33":{"attribute_name":"出版者（ヨミ）","attribute_value_mlt":[{"subitem_text_value":"ヤマガタ ダイガク"}]},"item_3_text_34":{"attribute_name":"別言語の出版者","attribute_value_mlt":[{"subitem_text_value":"Yamagata University"}]},"item_3_text_43":{"attribute_name":"資源タイプ・ローカル","attribute_value_mlt":[{"subitem_text_value":"紀要論文"}]},"item_3_text_44":{"attribute_name":"資源タイプ・NII","attribute_value_mlt":[{"subitem_text_value":"Departmental Bulletin Paper"}]},"item_3_text_45":{"attribute_name":"資源タイプ・DCMI","attribute_value_mlt":[{"subitem_text_value":"text"}]},"item_3_text_46":{"attribute_name":"資源タイプ・ローカル表示コード","attribute_value_mlt":[{"subitem_text_value":"2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"木村, 理"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-04-28"}],"displaytype":"detail","filename":"kiyoum-34-1-27to31.pdf","filesize":[{"value":"248.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kiyoum-34-1-27to31","url":"https://yamagata.repo.nii.ac.jp/record/4061/files/kiyoum-34-1-27to31.pdf"},"version_id":"1917b9a1-26d5-41cf-9925-ada36d9b7dc5"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Perioperative Management of Pancreaticoduodenectomy","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Perioperative Management of Pancreaticoduodenectomy"}]},"item_type_id":"3","owner":"17","path":["108"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-04-14"},"publish_date":"2016-04-14","publish_status":"0","recid":"4061","relation_version_is_last":true,"title":["Perioperative Management of Pancreaticoduodenectomy"],"weko_creator_id":"17","weko_shared_id":-1},"updated":"2023-05-25T06:31:48.471236+00:00"}