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JaLCDOI 10.18926/bgeou/53566
タイトル(別表記) Research on Childcare Workers’ Difficulty in Guardian Support – Focusing on the Growth Process of Childcare Workers Based on Their Experience –
フルテキストURL bgeou_159_011_020.pdf
著者 片山 美香|
抄録 Childcare workers acquire a practical knowledge through the practice of childcare. We conducted research on how they acquire the practical knowledge even in the face of difficulty in guardian support. We used the qualitative data obtained by a group interview method. The data indicated the possibility that new childcare workers are so busy that they are often panicked by the guardians' complaints. However, our research revealed that such new childcare workers can establish a good relationship with the guardians by gradually acquiring a practical ability to provide a good childcare taking advice from their supervisors and colleagues. We also revealed that the new childcare workers make their own views on childcare and development clearer in their growth process.
キーワード childcare workers guardian support group interview method difficulty
出版物タイトル 岡山大学大学院教育学研究科研究集録
発行日 2015-07-28
159巻
開始ページ 11
終了ページ 20
ISSN 1883-2423
言語 日本語
論文のバージョン publisher
NAID 120005649250
JaLCDOI 10.18926/bgeou/53565
タイトル(別表記) International trends and prospects of recent research on mental health among preschool teachers – Psychological distress of preschool teachers compared with that of school teachers –
フルテキストURL bgeou_159_001_010.pdf
著者 加藤 由美| 安藤 美華代|
抄録 保育者のメンタルヘルスに関する研究の動向を明らかにすることを目的として,海外の先行研究を概観した。検索された27 の研究の中で,保育者のバーンアウトに関する研究は12,ストレスに関する研究は7,仕事の満足度に関する研究は6,効力感に関する研究は3,対 処法に関する研究は3であった。これらを国内の研究と比較するとともに,学校教員のメンタルヘルスに関する研究も参考としながら分析を行った。その結果,保育者のメンタルヘルスに関連する要因として,職場環境や職務内容,時間管理,賃金,職種,職員等や子どもとの関係,ソーシャルサポート,経験年数,仕事への関与等が挙げられ,国内の研究や学校教員を対象とした研究との類似点,相違点,今後の課題が示された。
キーワード 保育者 メンタルヘルス バーンアウト ストレス 効力感
出版物タイトル 岡山大学大学院教育学研究科研究集録
発行日 2015-07-28
159巻
開始ページ 1
終了ページ 10
ISSN 1883-2423
言語 日本語
論文のバージョン publisher
NAID 120005649249
JaLCDOI 10.18926/AMO/53562
フルテキストURL 69_4_255.pdf
著者 Miyahara, Hiroyuki| Maruyama, Hidehiko| Kanazawa, Akane| Iwasaki, Yuka| Shigemitsu, Yusuke| Watanabe, Hirokazu| Tokorodani, Chiho| Miyazawa, Mari| Nishiuchi, Ritsuo| Kikkawa, Kiyoshi|
抄録 Since the introduction of the seven-valent pneumococcal conjugate vaccine (PCV7) in 2007, invasive pneumococcal disease has declined, but the incidence of Streptococcus pneumoniae serotype 19A has risen worldwide. The present study examined changes in the features of invasive pneumococcal disease since the introduction of the PCV7 in Kochi, Japan. Pediatric cases of invasive pneumococcal disease were investigated before and after vaccine introduction (January 2008 to December 2013). Cases of invasive pneumococcal disease tended to decrease after PCV7 introduction. In addition, before introduction of the vaccine, most serotypes causing invasive pneumococcal disease were those included in the vaccine. However, after the introduction, we found cases infected by serotypes not covered by vaccine. Penicillin-resistant S. pneumoniae was the predominant serotype causing invasive pneumococcal disease before introduction of the PCV7, and the susceptibility of this serotype to antibiotics improved after vaccine introduction. Serotype isolates identified after vaccine introduction were also relatively susceptible to antibiotic therapy, but decreased susceptibility is expected.
キーワード seven-valent pneumococcal conjugate vaccine (PCV7) invasive pneumococcal disease (IPD)
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2015-08
69巻
4号
出版者 Okayama University Medical School
開始ページ 255
終了ページ 260
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 26289917
Web of Science KeyUT 000365519100009
JaLCDOI 10.18926/AMO/53561
フルテキストURL 69_4_245.pdf
著者 Aoki, Kana| Sakuma, Mayumi| Ogisho, Noriyuki| Nakamura, Kozo| Chosa, Etsuo| Endo, Naoto|
抄録 Exercise is essential for maintaining quality of life (QOL) in elderly individuals. However, adherence to exercise programs is low. Here, we assessed the effectiveness of a self-directed home exercise program with serial telephone contacts to encourage exercise adherence among elderly individuals at high risk of locomotor dysfunction. We recruited community-dwelling adults (ァ65 years) in Niigata, Japan, who were targets of the long-term care prevention project for locomotor dysfunction but did not participate in the government-sponsored prevention programs. The study was conducted from November 2011 to October 2012. Participants received exercise instruction and performed exercises independently for 3 months with serial telephone contacts. The single-leg stance and five-times sit-to-stand tests were used to assess physical function. The SF-8 was used to measure health-related QOL. Ninety-seven participants were enrolled in the study, representing 2.5オ of eligible people;87 completed the intervention. Scores from physical function tests were significantly improved by the intervention, as were 7 of eight SF-8 subscales. Adherence was 85.4オ for the single-leg standing exercise and 82.1オ for squatting. Thus, self-directed home exercise with serial telephone contacts improved physical function and health-related QOL, representing a promising model for preventing the need for long-term care due to locomotor dysfunction.
キーワード locomotor dysfunction self-home exercise single-leg stance test five-times sit-to-stand test SF-8
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2015-08
69巻
4号
出版者 Okayama University Medical School
開始ページ 245
終了ページ 253
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 26289916
Web of Science KeyUT 000365519100008
JaLCDOI 10.18926/AMO/53560
フルテキストURL 69_4_237.pdf
著者 Nanba, Shintarou| Ikeda, Fusao| Fujioka, Shin-ichi| Araki, Yasuyuki| Takaguchi, Kouichi| Hashimoto, Noriaki| Seki, Hiroyuki| Takaki, Akinobu| Iwasaki, Yoshiaki| Yamamoto, Kazuhide|
抄録 The effectiveness of extending treatment duration as response guided therapy was previously reported for chronic hepatitis C (CHC) genotype 1, but is still controversial for genotype 2. The present study is a retrospective cohort study to investigate the effectiveness of extending treatment duration in therapy with pegylated interferon and ribavirin for patients with CHC genotype 2 by focusing on the timing at which patients obtained undetectable HCV RNA. A total of 306 patients who obtained undetectable HCV RNA by week 24 of treatment and completed 24 weeks of treatment were enrolled. Rapid virological response (RVR) to standard therapy was achieved by 122 patients (51オ), and 89オ of them obtained sustained virological response (SVR), while 69オ of non-RVR patients achieved SVR. Non-RVR patients with undetectable HCV RNA at week 8, and insufficient adherence<80オ pegylated interferon and ribavirin during the first 24 weeks, significantly improved their SVR rate by extended therapy. Among patients receiving extended therapy, drug adherences did not differ between SVR and non-SVR patients, indicating that extending treatment duration might compensate for insufficient antiviral effects due to insufficient drug adherences. This finding might be useful in creating a guideline for extending treatment duration for patients with CHC genotype 2.
キーワード hepatitis C virus interferon genotype 2 response-guided therapy
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2015-08
69巻
4号
出版者 Okayama University Medical School
開始ページ 237
終了ページ 244
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 26289915
Web of Science KeyUT 000365519100007
JaLCDOI 10.18926/AMO/53559
フルテキストURL 69_4_227.pdf
著者 Nakagawa, Naohisa| Koda, Hiromi| Nitta, Noriko| Nakahara, Yukie| Uno, Jiro| Hashimoto, Toru| Nakahori, Takashi| Hasegawa, Masaaki| Kataoka, Mikio|
抄録 Previous reports have shown that some ovarian endometrioid adenocarcinomas and ovarian clear cell adenocarcinomas derive from ovarian endometriosis (OE), and that endocervical-like mucinous borderline ovarian tumors are associated with OE. We examined the relationship between the staging and histological subtypes of OE or epithelial ovarian tumors (EOT) and the serum levels of carbohydrate antigen 19-9 (CA19-9) and carbohydrate antigen 125 (CA125) to evaluate the potential of these markers for preoperative diagnosis. First, we analyzed the preoperative serum levels of CA19-9 and CA125 in 195 patients who were histopathologically diagnosed with OE or EOT. We then performed a case-control study in which 308 women were enrolled, the 195 women described above and 113 healthy women as control subjects. Serum CA19-9 and CA125 levels were found to be useful in differentiating between OE and serous adenocarcinoma, but not between OE and other EOT. Moreover, serum CA19-9 levels were useful for preoperative assessment between OE and stage I mucinous borderline ovarian tumors, with or without the interstitial infiltration. In addition, considering that the serum CA19-9 levels in stage I mucinous borderline ovarian tumors were elevated via the interstitial infiltration of leukocytes and that precancerous lesions are associated with a cancerous glycosylation disorder in the process of inflammatory carcinogenesis, the CA19-9 level may be considered a suitable biomarker for estimating drug susceptibility.
キーワード ovarian endometriosis epithelial ovarian tumors histological subtype carbohydrate antigen 19-9 carbohydrate antigen 125
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2015-08
69巻
4号
出版者 Okayama University Medical School
開始ページ 227
終了ページ 235
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 26289914
Web of Science KeyUT 000365519100006
JaLCDOI 10.18926/AMO/53558
フルテキストURL 69_4_219.pdf
著者 Toshimori, Junichi| Nouso, Kazuhiro| Nakamura, Shinichiro| Wada, Nozomu| Morimoto, Yuki| Takeuchi, Yasuto| Yasunaka, Tetsuya| Kuwaki, Kenji| Ohnishi, Hideki| Ikeda, Fusao| Shiraha, Hidenori| Takaki, Akinobu| Yamamoto, Kazuhide|
抄録 We conducted a retrospective cohort study to investigate the predisposing factors for local recurrence and complications after percutaneous radiofrequency ablation (RFA) of hepatocellular carcinoma (HCC). HCC patients (n=397) consecutively treated with RFA (256 males, 141 females, median age 69 years) were enrolled. In these patients, 1,455 nodules (median size 17mm) were ablated. Predisposing factors for overall recurrence and local recurrence in the context of tumor location and complications were examined. Local recurrence was observed for 113 of the 1,455 nodules. The 1-, 3- and 5-year local recurrence rates were 2.2オ, 7.4オ and 9.5オ, respectively. A multivariate Cox proportional hazard analysis revealed that large tumor size (>2cm), tumor location (adjacent to the major portal branch or hepatic vein), and small ablated margin (<3mm) were independent predisposing factors for local recurrence after RFA (HR=1.70-2.81). Tumor location (adjacent to the major portal branch, hepatic vein, or diaphragm) was also revealed as a risk factor for liver damage due to RFA. HCC adjacent to the major portal vein or hepatic vein was associated with a higher risk for local recurrence and for complications;therefore, special precautions are necessary when applying RFA to HCC near vessels even when the tumors are located at an easy-to-puncture site.
キーワード hepatocellular carcinoma radiofrequency ablation ablated margin tumor location
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2015-08
69巻
4号
出版者 Okayama University Medical School
開始ページ 219
終了ページ 226
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 26289913
Web of Science KeyUT 000365519100005
JaLCDOI 10.18926/AMO/53557
フルテキストURL 69_4_213.pdf
著者 Yumoto, Tetsuya| Sato, Keiji| Ugawa, Toyomu| Ichiba, Shingo| Ujike, Yoshihito|
抄録 Hyponatremia, a common electrolyte disorder associated with traumatic brain injuries (TBIs), has high mortality and morbidity rates. The aim of this study was to identify the risk factors for hyponatremia associated with TBI. We retrospectively analyzed the cases of TBI patients who were admitted to the emergency intensive care unit at Okayama University Hospital between October 2011 and September 2014. A total of 82 TBI patients were enrolled. The incidences of hyponatremia (serum sodium level of<135mEq/L) and severe hyponatremia (serum sodium level of<130mEq/L) within the first 14 days after admission were 51オ (n=42) and 20オ (n=16), respectively. After admission, hyponatremia took a median period of 7 days to develop and lasted for a median of 3 days. Multivariate analysis demonstrated that higher fluid intake from days 1 to 3 and the presence of cranial fractures were risk factors for hyponatremia. The 58 patients with hyponatremia experienced fewer ventilator-free days, longer intensive care unit stays, and less favorable outcomes compared to the 24 patients without hyponatremia;however, these differences were not significant. Further studies are needed to determine the optimal management strategy for TBI-associated hyponatremia in the intensive care unit setting.
キーワード traumatic brain injury hyponatremia cranial fracture fluid intake
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2015-08
69巻
4号
出版者 Okayama University Medical School
開始ページ 213
終了ページ 218
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 26289912
Web of Science KeyUT 000365519100004
JaLCDOI 10.18926/AMO/53555
フルテキストURL 69_4_197.pdf
著者 Ishibashi, Naoki| Miyasho, Koji| Kitamura, Tetsuhisa| Ookuma, Takaaki| Kashitani, Nobuhiro| Beika, Nobuhiko| Yamashita, Takahiro| Ujike, Yoshihito|
抄録 We evaluated the hemodynamics and outcomes of septic shock (SS) patients who did not respond to fluid resuscitation, after treatment with or without intravenous calcium. We retrospectively collected information on 154 eligible SS patients who were admitted to Fukuyama City Hospital Emergency Medical Center and did not respond to fluid resuscitation. To compare their degree of hemodynamic impairment, we compared the changes in the vasoactive-inotropic score (VIS) in the calcium-treated group (n=112) and the noncalcium-treated group (n=42). We compared the length of stay in the intensive care unit (ICU) and hospital, in-hospital deaths, 28-day deaths, and changes in the Sequential Organ Failure Assessment score within 72h of ICU admission between the 2 groups. Changes in the VIS at 1h after the baseline time were significantly greater in the calcium-treated group than in the noncalcium-treated group (1.41 vs. -1.25, respectively;p<0.001). However, the changes in the VIS at 3, 6, 24, 48, and 72h did not differ between the 2 groups. The secondary outcomes also did not differ between the groups. Our findings indicate that calcium administered to SS patients might reduce their hemodynamic stabilization, but only for a short time after its administration.
キーワード hemodynamics calcium shock sepsis
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2015-08
69巻
4号
出版者 Okayama University Medical School
開始ページ 197
終了ページ 204
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 26289910
Web of Science KeyUT 000365519100002
JaLCDOI 10.18926/AMO/53554
フルテキストURL 69_4_189.pdf
著者 Yamashita, Mako| Katayama, Norihisa| Waki, Takahiro| Katsui, Kuniaki| Himei, Kengo| Takemoto, Mitsuhiro| Kanazawa, Susumu|
抄録 This study compared field-in-field (FIF) radiotherapy with conformal radiotherapy with physical wedges for the treatment of unilateral cervical malignant lymphoma. Two treatment plans, the FIF technique and conformal RT, were generated for each of 32 patients with unilateral cervical malignant lymphoma. To compare the 2 treatment plans, dose-volume histograms of the planning target volume (PTV), the thyroid, submandibular gland, carotid artery, mucosa, spinal cord, and surrounding normal tissue, and monitor unit (MU) were analyzed. The FIF technique showed significant reduction in the mean dose of thyroid, submandibular gland, carotid artery and mucosa, the maximum dose of the spinal cord and PTV, and the volume receiving>107% of the prescribed dose of surrounding normal tissue (p<0.001). In addition, there were gains in the homogeneity index of the PTV for FIF. Furthermore, the total MU was also lower for the FIF technique than for the wedge technique (p<0.001). Compared with the wedge technique, the FIF technique improved the dose homogeneity of the PTV, reduced the dose to normal structures, and was associated with fewer MUs in the treatment of patients with cervical malignant lymphoma.
キーワード field-in-field technique wedge lymphoma monitor units dose-volume histogram
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2015-08
69巻
4号
出版者 Okayama University Medical School
開始ページ 189
終了ページ 195
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 26289909
Web of Science KeyUT 000365519100001
JaLCDOI 10.18926/OER/53553
タイトル(別表記) J. H. Clapham, An Economic History of Modern Britain, vol. , Book 3, Free Trade and Steel, 1850-1886 (1st ed., 1932), Outline, Chap. 8, Chap. 9
フルテキストURL oer_047_1_081_111.pdf
著者 一ノ瀬 篤|
出版物タイトル 岡山大学経済学会雑誌
発行日 2015-07-02
47巻
1号
開始ページ 81
終了ページ 111
ISSN 0386-3069
言語 日本語
著作権者 Copyright © 2015 岡山大学経済学会
論文のバージョン publisher
NAID 120005627389
JaLCDOI 10.18926/OER/53552
タイトル(別表記) Local Development by University Reform: “Investments for the future” Program and University-Community Partnerships
フルテキストURL oer_047_1_071_079.pdf
著者 岩淵 泰|
出版物タイトル 岡山大学経済学会雑誌
発行日 2015-07-02
47巻
1号
開始ページ 71
終了ページ 79
ISSN 0386-3069
言語 日本語
著作権者 Copyright © 2015 岡山大学経済学会
論文のバージョン publisher
NAID 120005627388
JaLCDOI 10.18926/OER/53551
タイトル(別表記) Report on the Questionary Survey Research about the Effects that Team Medical Care Gives for the Organizational Change in the Hospital
フルテキストURL oer_047_1_045_069.pdf
著者 松田 陽一| 川上 佐智子|
出版物タイトル 岡山大学経済学会雑誌
発行日 2015-07-02
47巻
1号
開始ページ 45
終了ページ 69
ISSN 0386-3069
言語 日本語
著作権者 Copyright © 2015 岡山大学経済学会
論文のバージョン publisher
NAID 120005627387
JaLCDOI 10.18926/OER/53549
タイトル(別表記) Entrepreneurial Initiatives to the Paradigm Shift towards Sound Material Cycle Economy: A Case Study of Japanese Plastic Food Container Industry
フルテキストURL oer_047_1_015_030.pdf
著者 藤井 大児|
出版物タイトル 岡山大学経済学会雑誌
発行日 2015-07-02
47巻
1号
開始ページ 15
終了ページ 30
ISSN 0386-3069
言語 日本語
著作権者 Copyright © 2015 岡山大学経済学会
論文のバージョン publisher
NAID 120005627385
JaLCDOI 10.18926/OER/53548
タイトル(別表記) Looking Back on the History of International Student Support Network Peach (The First Half) −For Further Improvements of the Short-term Homestay Programme-
フルテキストURL oer_047_1_001_014.pdf
著者 廣田 陽子| 岡 益巳|
出版物タイトル 岡山大学経済学会雑誌
発行日 2015-07-02
47巻
1号
開始ページ 1
終了ページ 14
ISSN 0386-3069
言語 日本語
著作権者 Copyright © 2015 岡山大学経済学会
論文のバージョン publisher
NAID 120005627384
タイトル(別表記) The 114th General Assembly of the Okayama Medical Association
フルテキストURL 127_169.pdf
著者 岡山医学会|
出版物タイトル 岡山医学会雑誌
発行日 2015-08-03
127巻
2号
開始ページ 169
終了ページ 174
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.127.169
言語 日本語
著作権者 Copyright (c) 2015 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.127.169
NAID 130005096243
タイトル(別表記) The 26th Annual Meeting of the Japanese Society of Cerebral Blood Flow and Metabolism
フルテキストURL 127_161.pdf
著者 阿部 康二|
出版物タイトル 岡山医学会雑誌
発行日 2015-08-03
127巻
2号
開始ページ 161
終了ページ 162
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.127.161
言語 日本語
著作権者 Copyright (c) 2015 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.127.161
NAID 130005096246
フルテキストURL 127_159.pdf
著者 小松原 正吉|
出版物タイトル 岡山医学会雑誌
発行日 2015-08-03
127巻
2号
開始ページ 159
終了ページ 160
ISSN 0030-1558
関連URL http://www.okayama-u.ac.jp/user/oma/
言語 日本語
著作権者 Copyright (c) 2015 岡山医学会
論文のバージョン publisher
タイトル(別表記) A prospective cohort study to define the clinical and pathological features of lung cancers harboring HER2 gene aberrations (the HER2-CS Study) and a phase II study of trastuzumab emtansine (recombinant) in patients with HER2-positive non-small cell lung cancer who recurred, progressed after standard chemotherapy, or were primarily refractory to standard chemotherapy
フルテキストURL 127_127.pdf
著者 木浦 勝行| 堀田 勝幸| 佐藤 晃子| 大橋 圭明| 二宮 崇| 南 大輔| 田端 雅弘| 久保 寿夫| 加藤 有加| 平田 泰三|
キーワード 臨床研究中核病院 国立研究開発法人日本医療研究開発機構 文部科学省橋渡し研究加速ネットワークプログラム HER2-CS study trastuzumab emtansine
出版物タイトル 岡山医学会雑誌
発行日 2015-08-03
127巻
2号
開始ページ 127
終了ページ 132
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.127.127
言語 日本語
著作権者 Copyright (c) 2015 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.127.127
NAID 130005096256
タイトル(別表記) Successful laparoscopic resection of a cecal tumor in a 95-year-old man
フルテキストURL 127_117.pdf
著者 渡邉 彩子| 稲田 涼| 永坂 岳司| 八木 朝彦| 松本 聖| 戸嶋 俊明| 菊池 覚次| 黒田 新士| 近藤 喜太| 母里 淑子| 岸本 浩行| 藤原 俊義|
抄録 We report a successful laparoscopic resection of a cecal tumor in a 95-year-old Japanese man. The patient visited an initial hospital with a complaint of constipation in March 2014. Computed tomography scan and colonoscopy showed a stenotic ileocecal cancer with pericolic lymph node metastases, and he was referred to our department for management. Since his general condition was maintained, we performed a laparoscopic ileocecal resection with regional lymph node dissection for the patient. The operation achieved curative resection, and the tumor was diagnosed as a moderately differentiated adenocarcinoma and graded as pStage IIIa (pT3, pN0, pM0) according to the Japanese Classification of Colorectal Carcinoma, eighth edition. He was discharged on the 11th postoperative day without perioperative complications. Several large-scale randomized controlled trials (RCTs) revealed that laparoscopic surgeries for colorectal cancers have some advantages compared to open surgeries, including superior short-term outcomes and comparable long-term outcomes. Unfortunately, since these RCTs did not include enough elderly patients, the safety and feasibility of laparoscopic surgery for extremely elderly patients are still unknown. With respect to less-invasive procedures, these advantages of laparoscopic surgery are also thought to be the advantages for elderly colorectal cancer patients.
キーワード 超高齢者(extremely elderly patient) 大腸癌(colorectal cancer) 腹腔鏡手術(laparoscopic surgery)
出版物タイトル 岡山医学会雑誌
発行日 2015-08-03
127巻
2号
開始ページ 117
終了ページ 121
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.127.117
言語 日本語
著作権者 Copyright (c) 2015 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.127.117
NAID 130005096253