{"created":"2022-02-02T02:11:49.689883+00:00","id":2012509,"links":{},"metadata":{"_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":["1642838163960:1642838338003","1642838403551:1642838407795"]},"author_link":[],"item_1617186331708":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_title":"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_title_language":"ja"},{"subitem_title":"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_title_language":"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_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_1617186609386":{"attribute_name":"Subject","attribute_value_mlt":[{"subitem_subject":"脳室腹腔シャント","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"腹腔内迷入","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"横行結腸穿通","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ventriculo–peritoneal shunt","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"migration","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"bowel penetration","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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_publisher":"日本臨床外科学会","subitem_publisher_language":"ja"}]},"item_1617186702042":{"attribute_name":"Language","attribute_value_mlt":[{"subitem_language":"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","attribute_value_mlt":[{"subitem_source_identifier":"1882-5133","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"1345-2843","subitem_source_identifier_type":"ISSN"}]},"item_1617186941041":{"attribute_name":"Source Title","attribute_value_mlt":[{"subitem_source_title":"日本臨床外科学会雑誌","subitem_source_title_language":"ja"}]},"item_1617187056579":{"attribute_name":"Bibliographic Information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"7","bibliographicPageEnd":"1918","bibliographicPageStart":"1915","bibliographicVolumeNumber":"75"}]},"item_1617258105262":{"attribute_name":"Resource Type","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_1617265215918":{"attribute_name":"Version 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