{"_buckets": {"deposit": "3ec03881-bd3c-4ada-9d40-3b895e97b743"}, "_deposit": {"id": "28837", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "28837"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:00028837", "sets": ["501"]}, "author_link": ["94903", "94904", "94905", "94906", "94907", "94908", "94909", "94910"], "item_10_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2019-10", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "5", "bibliographicPageEnd": "513", "bibliographicPageStart": "507", "bibliographicVolumeNumber": "22", "bibliographic_titles": [{"bibliographic_title": "Pituitary", "bibliographic_titleLang": "en"}]}]}, "item_10_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "Purpose: Functional pituitary adenomas (FPAs) lacking a well-defined pseudocapsule can invade the adjacent pituitary gland. In such situations, peel-off resection of the adjacent pituitary gland after selective adenomectomy might lead to complete tumor removal, resulting in optimal endocrinological outcomes. Here, we present the significance of peel-off resection of the pituitary gland in patients with FPA in whom complete extracapsular tumor removal cannot be achieved. Methods: We performed a retrospective review of 21 patients with FPA who underwent transsphenoidal surgery (TSS). After selective adenomectomy, peel-off resection of the adjacent pituitary gland was performed in 13 patients because complete extracapsular resection could not be achieved, while peel-off resection was not performed in the remaining 8 patients because complete extracapsular resection was accomplished. The clinical outcomes of these groups were compared. The pituitary tissues obtained by peel-off resection were pathologically examined for tumor cells. Results: Early postoperative biochemical remission was achieved in 20 patients (95.2%). Anterior pituitary functions were not aggravated postoperatively in any patient: however, transient diabetes insipidus (DI) occurred in 2 patients. There were no statistically significant differences in the clinical outcomes of the two groups. A pseudocapsule was pathologically detected in the adjacent anterior pituitary even in patients in whom no pseudocapsule was intraoperatively detected. Tumor cells were pathologically detected in 7 (58.3%) of 12 pituitary tissues examined. Conclusions: Peel-off resection of the pituitary gland, which can remove a small tumor cell remnant in the adjacent pituitary, might maximize the effectiveness of TSS with minimal impact on postoperative pituitary function.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}]}, "item_10_description_5": {"attribute_name": "内容記述", "attribute_value_mlt": [{"subitem_description": "ファイル公開：2020/10/01", "subitem_description_language": "ja", "subitem_description_type": "Other"}]}, "item_10_publisher_32": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Springer", "subitem_publisher_language": "en"}]}, "item_10_relation_11": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1007/s11102-019-00980-w", "subitem_relation_type_select": "DOI"}}]}, "item_10_rights_12": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "“This is a post-peer-review, pre-copyedit version of an article published in [Pituitary]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s11102-019-00980-w”.", "subitem_rights_language": "en"}]}, "item_10_select_15": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "author"}]}, "item_10_source_id_61": {"attribute_name": "ISSN（print）", "attribute_value_mlt": [{"subitem_source_identifier": "1386-341X", "subitem_source_identifier_type": "PISSN"}]}, "item_1615787544753": {"attribute_name": "出版タイプ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_ab4af688f83e57aa", "subitem_version_type": "AM"}]}, "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": "Nagata, Yuichi", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "94903", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Takeuchi, Kazuhito", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "94904", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Yamamoto, Taiki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "94905", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ishikawa, Takayuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "94906", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kawabata, Teppei", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "94907", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Shimoyama, Yoshie", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "94908", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Inoshita, Naoko", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "94909", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Wakabayashi, Toshihiko", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "94910", "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": "2020-10-01"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "Manuscript.pdf", "filesize": [{"value": "194.1 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 194100.0, "url": {"label": "Manuscript", "objectType": "fulltext", "url": "https://nagoya.repo.nii.ac.jp/record/28837/files/Manuscript.pdf"}, "version_id": "aa0ffc9e-1c7e-49f5-989d-646793fdb0ff"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "Pituitary resection", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Transsphenoidal surgery", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Pseudocapsule", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Pituitary adenoma", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Acromegaly", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Cushing disease", "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": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Peel-off resection of the pituitary gland for functional pituitary adenomas: pathological significance and impact on pituitary function", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Peel-off resection of the pituitary gland for functional pituitary adenomas: pathological significance and impact on pituitary function", "subitem_title_language": "en"}]}, "item_type_id": "10", "owner": "1", "path": ["501"], "permalink_uri": "http://hdl.handle.net/2237/00031024", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2019-12-20"}, "publish_date": "2019-12-20", "publish_status": "0", "recid": "28837", "relation": {}, "relation_version_is_last": true, "title": ["Peel-off resection of the pituitary gland for functional pituitary adenomas: pathological significance and impact on pituitary function"], "weko_shared_id": -1}