{"_buckets": {"deposit": "ed1b1a2f-42c0-4c6c-8667-73d5a260871f"}, "_deposit": {"id": "15450", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "15450"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:00015450", "sets": ["1456"]}, "item_9_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1984-03", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1-4", "bibliographicPageEnd": "116", "bibliographicPageStart": "109", "bibliographicVolumeNumber": "46", "bibliographic_titles": [{"bibliographic_title": "Nagoya Journal of Medical Science"}]}]}, "item_9_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "This report describes our experience with major surgery in hemodialysis patients and discusses special considerations in their surgical management. A total of 359 operations under general anesthesia excluding blood access operations were performed in hemodialysis patients (kidney transplantation, 168; bilateral nephrectomy with or without splenectomy, 38; graftectomy, 40; parathyroidectomy, 43; mastectomy, 2; gastrectomy, 24; biliary tract surgery, 9; surgery of intestinal obstruction, 2; appendectomy, 8; surgery of colon \u0026 rectum, 10; haemorrhoidectomy, 5; etc.). There were six postoperative deaths within 30 days (cadaveric kidney transplant, 1; graftectomy, 3; pancreaticoduodenectomy, 1; subtotal gastrectomy, 1). Recently, cadaveric kidney transplants are increasing and HLA-DR matching in cadaveric transplant has gained acceptance. The introduction of Cyclosporin A has remarkably improved the graft survival rate so far. Splenectomy has resulted in a significant improvement in the hematologic status of all patients. Bilaterally excised kidneys for a pretransplant procedure or because of severe hypertension decrease in weight progressively after the start of hemodialysis. Since the pathogenesis of renal osteodystrophy is highly complex, image diagnosis of parathyroid glands is valuable for (1) definite diagnosis of secondary hyperparathyroidism, (2) localization, and (3) diagnosis for effectiveness of conservative treatment. Fourteen of 18 patients with cancer (thyroid, 1; breast, 2; stomach, 4; bile duct, 1; head of pancreas, 1; colon \u0026 rectum, 8; kidney, 1) underwent curative surgery. Although hemodialysis patients remain chronically ill despite optimal hemodialysis, they tolerate major emergency or elective surgery rather well if the necessary precautions are taken.", "subitem_description_type": "Abstract"}]}, "item_9_identifier_registration": {"attribute_name": "ID登録", "attribute_value_mlt": [{"subitem_identifier_reg_text": "10.18999/nagjms.46.1-4.109", "subitem_identifier_reg_type": "JaLC"}]}, "item_9_publisher_32": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Nagoya University School of Medicine"}]}, "item_9_relation_43": {"attribute_name": "異版である", "attribute_value_mlt": [{"subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/4614/4614.html", "subitem_relation_type_select": "URI"}}]}, "item_9_select_15": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_9_source_id_61": {"attribute_name": "ISSN（Online）", "attribute_value_mlt": [{"subitem_source_identifier": "2186-3326", "subitem_source_identifier_type": "ISSN"}]}, "item_9_source_id_7": {"attribute_name": "ISSN（print）", "attribute_value_mlt": [{"subitem_source_identifier": "0027-7622", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "TAKAGI, HIROSHI"}], "nameIdentifiers": [{"nameIdentifier": "98703", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "UCHIDA, KAZUHARU"}], "nameIdentifiers": [{"nameIdentifier": "98704", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "YAMADA, NOBUO"}], "nameIdentifiers": [{"nameIdentifier": "98705", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "MORIMOTO, TAKESHI"}], "nameIdentifiers": [{"nameIdentifier": "98706", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "YASUE, MITSUNORI"}], "nameIdentifiers": [{"nameIdentifier": "98707", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "TOMINAGA, YOSHIHIRO"}], "nameIdentifiers": [{"nameIdentifier": "98708", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "KAWAI, MACHIO"}], "nameIdentifiers": [{"nameIdentifier": "98709", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "KANO, TADAYUKI"}], "nameIdentifiers": [{"nameIdentifier": "98710", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "KAWAHARA, KATSUHlKO"}], "nameIdentifiers": [{"nameIdentifier": "98711", "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": "2018-02-20"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "v46n14p109_116.pdf", "filesize": [{"value": "627.1 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 627100.0, "url": {"label": "v46n14p109_116.pdf", "url": "https://nagoya.repo.nii.ac.jp/record/15450/files/v46n14p109_116.pdf"}, "version_id": "2b803fb6-c733-40e7-85f9-6dfd2795a5f4"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "Chronic renal failure", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Hemodialysis", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Kidney transplantation", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Cancer", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Secondary hyperparathyroidism", "subitem_subject_scheme": "Other"}]}, "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": "Major Surgery in Patients Undergoing Hemodialysis", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Major Surgery in Patients Undergoing Hemodialysis"}]}, "item_type_id": "9", "owner": "1", "path": ["1456"], "permalink_uri": "https://doi.org/10.18999/nagjms.46.1-4.109", "pubdate": {"attribute_name": "公開日", "attribute_value": "2013-02-08"}, "publish_date": "2013-02-08", "publish_status": "0", "recid": "15450", "relation": {}, "relation_version_is_last": true, "title": ["Major Surgery in Patients Undergoing Hemodialysis"], "weko_shared_id": null}