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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 84(1)

Safety and feasibility of primary radical surgery for meconium peritonitis considering patients’ general condition and perioperative findings

https://doi.org/10.18999/nagjms.84.1.148
https://doi.org/10.18999/nagjms.84.1.148
c094c638-b66d-4726-b6f1-37678759822f
名前 / ファイル ライセンス アクション
15_Nakagawa.pdf 15_Nakagawa.pdf (640 KB)
Item type itemtype_ver1(1)
公開日 2022-02-28
タイトル
タイトル Safety and feasibility of primary radical surgery for meconium peritonitis considering patients’ general condition and perioperative findings
言語 en
著者 Nakagawa, Yoichi

× Nakagawa, Yoichi

en Nakagawa, Yoichi

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Uchida, Hiroo

× Uchida, Hiroo

en Uchida, Hiroo

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Amano, Hizuru

× Amano, Hizuru

en Amano, Hizuru

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Hinoki, Akinari

× Hinoki, Akinari

en Hinoki, Akinari

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Shirota, Chiyoe

× Shirota, Chiyoe

en Shirota, Chiyoe

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Sumida, Wataru

× Sumida, Wataru

en Sumida, Wataru

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Yokota, Kazuki

× Yokota, Kazuki

en Yokota, Kazuki

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Makita, Satoshi

× Makita, Satoshi

en Makita, Satoshi

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Okamoto, Masamune

× Okamoto, Masamune

en Okamoto, Masamune

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Takimoto, Aitaro

× Takimoto, Aitaro

en Takimoto, Aitaro

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Yasui, Akihiro

× Yasui, Akihiro

en Yasui, Akihiro

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Takada, Shunya

× Takada, Shunya

en Takada, Shunya

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Maeda, Takuya

× Maeda, Takuya

en Maeda, Takuya

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
言語 en
主題Scheme Other
主題 meconium peritonitis
キーワード
言語 en
主題Scheme Other
主題 primary radical surgery
キーワード
言語 en
主題Scheme Other
主題 multistage surgery
内容記述
内容記述 We reviewed the outcomes of meconium peritonitis and evaluated the safety and feasibility of primary radical surgery for meconium peritonitis. A total of 21 cases of meconium peritonitis between 2006 and 2020 were retrospectively reviewed. The patients were classified into two groups based on the type of surgery: group I (primary radical surgery, n = 16) and group II (multistage surgery; drainage only or ileostomy, followed by elective surgery, n = 5). Patient backgrounds and surgical outcomes were compared between the two groups. The term of prenatal diagnosis, preoperative white blood cell count, and preoperative catecholamine use were not significantly different between the two groups. Group I included more mature neonates than group II (gestational age at birth, 35w1d vs 30w1d, p = 0.02; birth weight, 2.5 kg vs 1.1 kg, p < 0.01). Preoperative C-reactive protein was significantly lower in group I (0.37 mg/dL vs 2.8 mg/dL, p < 0.05). Operation time, blood loss, time to enteral feeding, and complication rates were not significantly different between the two groups. The surgical outcomes of primary radical surgery were comparable to those of multistage surgery, although the patients’ backgrounds were different. Our strategy of selecting one-stage or multiple-stage surgery for treatment of meconium peritonitis, depending on the patient’s general condition and degree of intestinal ischemia, was reasonable.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
内容記述タイプ Other
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.84.1.148
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/841.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 84, 号 1, p. 148-154, 発行日 2022-02
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