{"created":"2021-03-01T06:29:03.408163+00:00","id":21391,"links":{},"metadata":{"_buckets":{"deposit":"30725e45-0559-4497-adc4-1419da2fb320"},"_deposit":{"created_by":17,"id":"21391","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"21391"},"status":"published"},"_oai":{"id":"oai:nagoya.repo.nii.ac.jp:00021391","sets":["499:508:509:1826"]},"author_link":["61914","61915","61916","61917","61918","61919","61920","61921","61922","61923","61924","61925","61926","61927","61928","61929"],"item_1615768549627":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"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","bibliographic_titleLang":"en"}]}]},"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_language":"en","subitem_description_type":"Abstract"}]},"item_9_identifier_60":{"attribute_name":"URI","attribute_value_mlt":[{"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","subitem_publisher_language":"en"}]},"item_9_relation_43":{"attribute_name":"関連情報","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/781.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":"EISSN"}]},"item_9_source_id_7":{"attribute_name":"ISSN（print）","attribute_value_mlt":[{"subitem_source_identifier":"0027-7622","subitem_source_identifier_type":"PISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Niwa, Yukiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61914","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Koike, Masahiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61915","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Hattori, Masashi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61916","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Iwata, Naoki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61917","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Takami, Hideki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61918","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Hayashi, Masamichi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61919","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kanda, Mitsuro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61920","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kobayashi, Daisuke","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61921","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tanaka, Chie","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61922","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Yamada, Suguru","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61923","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Fujii, Tsutomu","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61924","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nakayama, Goro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61925","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sugimoto, Hiroyuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61926","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nomoto, Shuji","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61927","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Fujiwara, Michitaka","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"61928","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kodera, Yasuhiro","creatorNameLang":"en"}],"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","filename":"17_Niwa.pdf","filesize":[{"value":"402.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"17_Niwa.pdf","objectType":"fulltext","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","subitem_title_language":"en"}]},"item_type_id":"9","owner":"17","path":["1826"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2016-02-23"},"publish_date":"2016-02-23","publish_status":"0","recid":"21391","relation_version_is_last":true,"title":["Short-term outcomes after conventional transthoracic esophagectomy"],"weko_creator_id":"17","weko_shared_id":-1},"updated":"2023-11-17T00:53:10.305107+00:00"}