{"_buckets": {"deposit": "fe5a1639-b754-4781-95e2-89a976c180b6"}, "_deposit": {"id": "2012509", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2012509"}, "status": "published"}, "_oai": {"id": "oai:u-ryukyu.repo.nii.ac.jp:02012509", "sets": ["1642838338003", "1642838407795"]}, "author_link": [], "item_1617186331708": {"attribute_name": "Title", "attribute_value_mlt": [{"subitem_1551255647225": "腹腔鏡手術が有用であった脳室腹腔シャントチューブ横行結腸内迷入の1例", "subitem_1551255648112": "ja"}, {"subitem_1551255647225": "A Case of Penetration of the Peritoneal Shunt Tube of a Ventriculo-peritoneal Shunt System into the Transverse Colon that was Successfully Treated by Laparoscopic Surgery", "subitem_1551255648112": "en"}]}, "item_1617186419668": {"attribute_name": "Creator", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "宮城, 良浩", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "金城, 達也", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "狩俣, 弘幸", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "下地, 英明", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "西巻, 正", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "Miyagi, Yoshihiro", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kinjo, Tatsuya", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Karimata, Hiroyuki", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Shimoji, Hideaki", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Nishimaki, Tadashi", "creatorNameLang": "en"}]}]}, "item_1617186476635": {"attribute_name": "Access Rights", "attribute_value_mlt": [{"subitem_1522299639480": "open access", "subitem_1600958577026": "http://purl.org/coar/access_right/c_abf2"}]}, "item_1617186609386": {"attribute_name": "Subject", "attribute_value_mlt": [{"subitem_1522299896455": "ja", "subitem_1522300014469": "Other", "subitem_1523261968819": "脳室腹腔シャント"}, {"subitem_1522299896455": "ja", "subitem_1522300014469": "Other", "subitem_1523261968819": "腹腔内迷入"}, {"subitem_1522299896455": "ja", "subitem_1522300014469": "Other", "subitem_1523261968819": "横行結腸穿通"}, {"subitem_1522299896455": "ja", "subitem_1522300014469": "Other", "subitem_1523261968819": "ventriculo–peritoneal shunt"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "migration"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "bowel penetration"}]}, "item_1617186626617": {"attribute_name": "Description", "attribute_value_mlt": [{"subitem_description": "症例は20歳,男性.0歳時,髄膜瘤に対する手術の際に,脳室腹腔シャント(VPシャント)を造設.8歳時に水頭症発症し,シャント入れ替えが施行されていた.3カ月前より右前胸部シャント挿入創に肉芽形成を認め,1カ月前に同部位から排膿を認めるようになり,シャント感染が疑われた.シャント抜去術が予定されたが,術前腹部CTでチューブの腸管内迷入所見を指摘.腹部に圧痛はなく,腹膜刺激症状はみられなかった.腹腔鏡による腹腔内観察では,チューブ先端が横行結腸内へ迷入していたため,小開腹にてチューブを抜去し腸管を修復した.術後抗生剤投与により前胸部創感染は改善し,今後は経過観察し,水頭症が出現した場合にシャント再造設を予定することとなった.VPシャントチューブの消化管穿通はまれな合併症であるが,本症例では診断および治療に腹腔鏡下手術が有用であった.", "subitem_description_type": "Other"}, {"subitem_description": "論文", "subitem_description_type": "Other"}]}, "item_1617186643794": {"attribute_name": "Publisher", "attribute_value_mlt": [{"subitem_1522300295150": "ja", "subitem_1522300316516": "日本臨床外科学会"}]}, "item_1617186702042": {"attribute_name": "Language", "attribute_value_mlt": [{"subitem_1551255818386": "jpn"}]}, "item_1617186783814": {"attribute_name": "Identifier", "attribute_value_mlt": [{"subitem_identifier_type": "HDL", "subitem_identifier_uri": "http://hdl.handle.net/20.500.12000/46271"}]}, "item_1617186920753": {"attribute_name": "Source Identifier", 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腹腔鏡手術が有用であった脳室腹腔シャントチューブ横行結腸内迷入の1例
http://hdl.handle.net/20.500.12000/46271
http://hdl.handle.net/20.500.12000/46271