{"_buckets": {"deposit": "c9ab5c6d-7ae1-418f-a342-b43857d4be38"}, "_deposit": {"created_by": 16, "id": "2001968", "owners": [16], "pid": {"revision_id": 0, "type": "depid", "value": "2001968"}, "status": "published"}, "_oai": {"id": "oai:soar-ir.repo.nii.ac.jp:02001968", "sets": ["1707891809216"]}, "author_link": [], "control_number": "2001968", "item_1628147817048": {"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_6_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2024-02-10", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "29", "bibliographicPageStart": "19", "bibliographicVolumeNumber": "72", "bibliographic_titles": [{"bibliographic_title": "信州医学雑誌"}]}]}, "item_6_description_20": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "Purpose : Although mortality and morbidity rate of high-level hepatobiliary pancreatic (HBP) surgery has been improved, which remains still high in some procedures. The difficulty of high-level HBP surgeries are varies depending on the surgical complexity, thereby perioperative outcomes can be variable. The aim this study was to establish a novel difficulty classification of high-level HBP surgeries and to assess its validity. Methods : High-level HBP surgeries were classified into four groups, A to D, in order of increasing difficulty, based on the expert opinion. A total of 473 patients who underwent high-level HBP surgery from July 2014 to July 2021 in our hospital were classified into aforementioned four groups, and surgical and postoperative outcomes of which were compared. Results : The numbers of patients in each difficulty group were as follows : A (n=62), B (n=278), C (n=74) and D (n=59). Operation time and blood loss showed a significant stepwise increase in the group A to D (p<0.001 and p<0.001 respectively). The duration of postoperative hospital stay also increased significantly from the group A to D (p<0.001). The incidence of complications over Clavien-Dindo classification IIIa increased in group A to D significantly (35.5 % vs 35.3 vs 37.8 vs 54.2 % ; p=0.021). However, the 90-day mortality rates did not differ within four groups (1.6 % vs 0.4 % vs 2.7 % vs 1.7 % ; p=0.394). Conclusions : The novel difficulty classification of high-level HBP surgeries can predict surgical risk in each surgical procedure. Further large-scale nationwide study should be warranted to confirm these results.", "subitem_description_type": "Abstract"}]}, "item_6_description_30": {"attribute_name": "資源タイプ(コンテンツの種類)", "attribute_value_mlt": [{"subitem_description": "Article", "subitem_description_type": "Other"}]}, "item_6_description_5": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "信州医学雑誌 72(1) : 19-29, (2024)", "subitem_description_type": "Other"}]}, "item_6_link_3": {"attribute_name": "信州大学研究者総覧へのリンク", "attribute_value_mlt": [{"subitem_link_text": "山崎, 史織", "subitem_link_url": "https://soar-rd.shinshu-u.ac.jp/profile/ja.bekhPNym.html"}, {"subitem_link_text": "清水, 明", "subitem_link_url": "https://soar-rd.shinshu-u.ac.jp/profile/ja.OFkpgpkh.html"}, {"subitem_link_text": "窪田, 晃治", "subitem_link_url": "https://soar-rd.shinshu-u.ac.jp/profile/ja.PUnCbhym.html"}, {"subitem_link_text": "野竹, 剛", "subitem_link_url": "https://soar-rd.shinshu-u.ac.jp/profile/ja.WNTCbhym.html"}, {"subitem_link_text": "北川, 敬之", "subitem_link_url": "https://soar-rd.shinshu-u.ac.jp/profile/ja.ueTCbhym.html"}, {"subitem_link_text": "増尾, 仁志", "subitem_link_url": "https://soar-rd.shinshu-u.ac.jp/profile/ja.gNLaPUym.html"}, {"subitem_link_text": "副島, 雄二", "subitem_link_url": "https://soar-rd.shinshu-u.ac.jp/profile/ja.geDUgpDV.html"}]}, "item_6_publisher_4": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "信州医学会"}]}, "item_6_relation_48": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "https://doi.org/10.11441/shinshumedj.72.19"}], "subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "10.11441/shinshumedj.72.19", "subitem_relation_type_select": "DOI"}}]}, "item_6_select_64": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_6_source_id_35": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0037-3826", "subitem_source_identifier_type": "PISSN"}]}, "item_6_source_id_39": {"attribute_name": "NII ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0037-3826", "subitem_source_identifier_type": "PISSN"}]}, "item_6_source_id_40": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00120815", "subitem_source_identifier_type": "NCID"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Yamazaki, Shiori", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Shimizu, Akira", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kubota, Koji", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Notake, Tsuyoshi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kitagawa, Noriyuki", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Masuo, Hitoshi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Yoshizawa, Takahiro", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Hayashi, Hikaru", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Hirano, Syohei", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Inuzuka, Hisamichi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Soejima, Yuji", "creatorNameLang": "en"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "date": [{"dateType": "Available"}], "download_preview_message": "", "file_order": 0, "filename": "shinshuishi72-1_2.pdf", "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 0, "url": {"label": "shinshuishi72-1_2.pdf", "url": "https://soar-ir.repo.nii.ac.jp/record/2001968/files/shinshuishi72-1_2.pdf"}, "version_id": "65d74190-3812-458b-a79f-14d22d7b632d"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "High-level HBP surgery", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "classification", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "safety", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "education", "subitem_subject_language": "en", "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": "A Novel Difficulty Classification for Perioperative Risk Assessment in High-level Hepatobiliary Pancreatic Surgeries", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "A Novel Difficulty Classification for Perioperative Risk Assessment in High-level Hepatobiliary Pancreatic Surgeries", "subitem_title_language": "en"}]}, "item_type_id": "6", "owner": "16", "path": ["1707891809216"], "permalink_uri": "http://hdl.handle.net/10091/0002001968", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2024-02-15"}, "publish_date": "2024-02-15", "publish_status": "0", "recid": "2001968", "relation": {}, "relation_version_is_last": true, "title": ["A Novel Difficulty Classification for Perioperative Risk Assessment in High-level Hepatobiliary Pancreatic Surgeries"], "weko_shared_id": -1}
A Novel Difficulty Classification for Perioperative Risk Assessment in High-level Hepatobiliary Pancreatic Surgeries
http://hdl.handle.net/10091/0002001968
http://hdl.handle.net/10091/0002001968