{"_buckets": {"deposit": "30725e45-0559-4497-adc4-1419da2fb320"}, "_deposit": {"id": "21391", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "21391"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:00021391", "sets": ["1826"]}, "item_9_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2016-02", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "78", "bibliographicPageStart": "69", "bibliographicVolumeNumber": "78", "bibliographic_titles": [{"bibliographic_title": "Nagoya Journal of Medical Science"}]}]}, "item_9_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "In our department, we have attempted to reduce the incidence of complications of conventional esophagectomy. The objective of this retrospective study was to report the short-term outcomes of esophagectomy. We reviewed 138 consecutive patients who had undergone subtotal esophagectomy by combined laparotomy via a 12-cm upper abdominal vertical incision combined with right anterior muscle-sparing thoracotomy from August 2010 to August 2014. Most of the cervical para-esophageal lymph node dissection was completed within the thoracic cavity. We performed three-field dissection in patients with tumors in the upper or middle third of the esophagus with clinical lymph node metastases in the superior mediastinum; the others underwent two-field dissection. We performed neck anastomoses in patients undergoing three-field dissection and thoracic anastomoses in those undergoing two-field dissection. Effective postoperative pain management was achieved with a combination of epidural anesthesia and paravertebral block. Postoperative rehabilitation was instituted for early ambulation and recovery. Enteral nutrition via a duodenal feeding tube was administered from postoperative day 2. Median hospital stay after surgery was 15 days (range, 10–129). Rates for both 30-day and in-hospital mortality were 0%. Morbidity rate for all Clavien–Dindo grades was 41.3%, whereas the morbidity rate for Clavien–Dindo grades III and IV was 7.2%. Anastomotic leakage developed in two patients (1.4%), recurrent laryngeal nerve palsy in 11 (8.0%), and pneumonia in nine (6.5%). Good short-term outcomes, especially regarding anastomotic leaks, were achieved by consistent improvements in surgical techniques, optimization of several operative procedures, and appropriate perioperative management.", "subitem_description_type": "Abstract"}]}, "item_9_identifier_60": {"attribute_name": "URI", "attribute_value_mlt": [{"subitem_identifier_type": "URI", "subitem_identifier_uri": "http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/781.html"}, {"subitem_identifier_type": "HDL", "subitem_identifier_uri": "http://hdl.handle.net/2237/23535"}]}, "item_9_identifier_registration": {"attribute_name": "ID登録", "attribute_value_mlt": [{"subitem_identifier_reg_text": "10.18999/nagjms.78.1.69", "subitem_identifier_reg_type": "JaLC"}]}, "item_9_publisher_32": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Nagoya University Graduate School of Medicine, School of Medicine"}]}, "item_9_select_15": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "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": "Niwa, Yukiko"}], "nameIdentifiers": [{"nameIdentifier": "61914", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Koike, Masahiko"}], "nameIdentifiers": [{"nameIdentifier": "61915", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hattori, Masashi"}], "nameIdentifiers": [{"nameIdentifier": "61916", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Iwata, Naoki"}], "nameIdentifiers": [{"nameIdentifier": "61917", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Takami, Hideki"}], "nameIdentifiers": [{"nameIdentifier": "61918", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hayashi, Masamichi"}], "nameIdentifiers": [{"nameIdentifier": "61919", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kanda, Mitsuro"}], "nameIdentifiers": [{"nameIdentifier": "61920", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kobayashi, Daisuke"}], "nameIdentifiers": [{"nameIdentifier": "61921", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Tanaka, Chie"}], "nameIdentifiers": [{"nameIdentifier": "61922", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Yamada, Suguru"}], "nameIdentifiers": [{"nameIdentifier": "61923", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Fujii, Tsutomu"}], "nameIdentifiers": [{"nameIdentifier": "61924", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nakayama, Goro"}], "nameIdentifiers": [{"nameIdentifier": "61925", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Sugimoto, Hiroyuki"}], "nameIdentifiers": [{"nameIdentifier": "61926", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nomoto, Shuji"}], "nameIdentifiers": [{"nameIdentifier": "61927", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Fujiwara, Michitaka"}], "nameIdentifiers": [{"nameIdentifier": "61928", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kodera, Yasuhiro"}], "nameIdentifiers": [{"nameIdentifier": "61929", "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": "2018-02-21"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "17_Niwa.pdf", "filesize": [{"value": "402.3 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 402300.0, "url": {"label": "17_Niwa.pdf", "url": "https://nagoya.repo.nii.ac.jp/record/21391/files/17_Niwa.pdf"}, "version_id": "2c3738f4-fd24-4c24-8c9d-c9c6741f13a4"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "esophagectomy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "esophageal cancer", "subitem_subject_scheme": "Other"}, {"subitem_subject": "transthoracic", "subitem_subject_scheme": "Other"}, {"subitem_subject": "outcomes", "subitem_subject_scheme": "Other"}, {"subitem_subject": "complications", "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": "Short-term outcomes after conventional transthoracic esophagectomy", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Short-term outcomes after conventional transthoracic esophagectomy"}]}, "item_type_id": "9", "owner": "1", "path": ["1826"], "permalink_uri": "https://doi.org/10.18999/nagjms.78.1.69", "pubdate": {"attribute_name": "公開日", "attribute_value": "2016-02-23"}, "publish_date": "2016-02-23", "publish_status": "0", "recid": "21391", "relation": {}, "relation_version_is_last": true, "title": ["Short-term outcomes after conventional transthoracic esophagectomy"], "weko_shared_id": null}