{"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_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 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