{"created":"2023-05-25T05:25:38.400694+00:00","id":4077,"links":{},"metadata":{"_buckets":{"deposit":"0f4f87ca-6051-4ec4-be52-ab908a25aefc"},"_deposit":{"created_by":17,"id":"4077","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"4077"},"status":"published"},"_oai":{"id":"oai:yamagata.repo.nii.ac.jp:00004077","sets":["29:31:106:107"]},"author_link":["12633","12632","12624","12627","12630","12634","12629","12631","12635","12625","12626","12628"],"item_3_alternative_title_18":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"膵癌に対する膵頭神経叢切除の意義 : 病理学的にROをめざす手術"}]},"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"The significance of pancreatic head plexuses dissection in pancreaticoduodenectomy for pancreatic adenocarcinoma : Surgery for achieving pathological curative (R0) resection"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-08-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"60","bibliographicPageStart":"50","bibliographicVolumeNumber":"34","bibliographic_titles":[{"bibliographic_title":"山形大学紀要. 医学 : 山形医学"},{"bibliographic_title":"Bulletin of the Yamagata University. Medical science : Yamagata medical journal ","bibliographic_titleLang":"en"}]}]},"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":"Background/Aims: We aimed to histopathologically examine the significance of intraoperative histological diagnosis of pancreatic head plexus stumps in patients with pancreatic cancer.\nMethodology: We included 94 patients (including 39 with pancreatic adenocarcinoma) who underwent dissection of pancreatic head nerve plexus (PLph) I and II in addition to pancreaticoduodenectomy between 2003 and 2011. The pancreatic nerve plexus dissection was performed en bloc with pancreaticoduodenectomy and resection of the anterior nerve tissue of the pancreas, including PLph I and II to the right of the celiac artery and superior mesenteric plexus. Intraoperative histopathological diagnoses were performed on all PLph I and II stumps. If malignancy was confirmed, partial resection of PLph II toward the left rear of the superior mesenteric artery (SMA) and/or the nerve plexuses surrounding SMA were additionally resected. In the absence of malignancy, R0 resection was performed.\nResults: Intraoperative histopathological diagnoses of all patients were performed on a total of 1456 sites (PLph I: 542 sites, PLph II: 914 sites) with an average of 16 sites per patient. Cancer was discovered in part of the pancreatic nerve plexuses with high frequency: 15 of 94 patients (16%); 10 of 39 patients (25.6%) were diagnosed as pancreatic adenocarcinoma. In the 39 cases of pancreatic adenocarcinoma, the group with positive resection stumps that were later confirmed to be negative for cancer [PLph (+)→(-)], i.e., those with nerve plexus stumps positive for cancer initially but were negative for cancer after additional resection, showed no statistical difference from the [PLph (-)] group, in which all resection stumps were negative for cancer initially (p = 0.51).\nConclusion: It was important to perform R0 pancreaticoduodenectomy for pancreatic adenocarcinoma.","subitem_description_type":"Other"}]},"item_3_full_name_2":{"attribute_name":"著者(ヨミ)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"12628","nameIdentifierScheme":"WEKO"}],"names":[{"name":"キムラ, ワタル"}]},{"nameIdentifiers":[{"nameIdentifier":"12629","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ワタナベ, トシヒロ"}]},{"nameIdentifiers":[{"nameIdentifier":"12630","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ヒライ, イチロウ"}]},{"nameIdentifiers":[{"nameIdentifier":"12631","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ヤマカワ, ミツノリ"}]}]},"item_3_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"12632","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kimura, Wataru"}]},{"nameIdentifiers":[{"nameIdentifier":"12633","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Watanabe, Toshihiro"}]},{"nameIdentifiers":[{"nameIdentifier":"12634","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hirai, Ichiro"}]},{"nameIdentifiers":[{"nameIdentifier":"12635","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yamakawa, Mitsunori"}]}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15022/00004065","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":[{}]},{"creatorNames":[{"creatorName":"渡邊, 利広"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平井, 一郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山川, 光徳"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-09-07"}],"displaytype":"detail","filename":"kiyoum-34-2-050to060.pdf","filesize":[{"value":"317.5 kB"}],"format":"application/force-download","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kiyoum-34-2-050to060","url":"https://yamagata.repo.nii.ac.jp/record/4077/files/kiyoum-34-2-050to060.pdf"},"version_id":"09957b70-f354-4ae3-82e1-bd40bda913a1"}]},"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":"The significance of pancreatic head plexuses dissection in pancreaticoduodenectomy for pancreatic adenocarcinoma : Surgery for achieving pathological curative (R0) resection","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"The significance of pancreatic head plexuses dissection in pancreaticoduodenectomy for pancreatic adenocarcinoma : Surgery for achieving pathological curative (R0) resection"}]},"item_type_id":"3","owner":"17","path":["107"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-09-01"},"publish_date":"2016-09-01","publish_status":"0","recid":"4077","relation_version_is_last":true,"title":["The significance of pancreatic head plexuses dissection in pancreaticoduodenectomy for pancreatic adenocarcinoma : Surgery for achieving pathological curative (R0) resection"],"weko_creator_id":"17","weko_shared_id":-1},"updated":"2023-05-25T06:31:51.835463+00:00"}