ダウンロード数: 1091

このアイテムのファイル:
ファイル 記述 サイズフォーマット 
64_3_87.pdf818.42 kBAdobe PDF見る/開く
完全メタデータレコード
DCフィールド言語
dc.contributor.author奥村, 悦久ja
dc.contributor.author赤松, 秀輔ja
dc.contributor.author岡田, 能幸ja
dc.contributor.author根来, 宏光ja
dc.contributor.author小林, 恭ja
dc.contributor.author寺田, 直樹ja
dc.contributor.author山崎, 俊成ja
dc.contributor.author松井, 喜之ja
dc.contributor.author井上, 貴博ja
dc.contributor.author神波, 大己ja
dc.contributor.author小川, 修ja
dc.contributor.alternativeOkumura, Yoshinagaen
dc.contributor.alternativeAkamatsu, Shusukeen
dc.contributor.alternativeOkada, Yoshiyukien
dc.contributor.alternativeNegoro, Hiromitsuen
dc.contributor.alternativeKobayashi, Takashien
dc.contributor.alternativeTerada, Naokien
dc.contributor.alternativeYamasaki, Toshinarien
dc.contributor.alternativeMatsui, Yoshiyukien
dc.contributor.alternativeInoue, Takahiroen
dc.contributor.alternativeKamba, Tomomien
dc.contributor.alternativeOgawa, Osamuen
dc.contributor.transcriptionオクムラ, ヨシナガja-Kana
dc.contributor.transcriptionアカマツ, シュウスケja-Kana
dc.contributor.transcriptionオカダ, ヨシユキja-Kana
dc.contributor.transcriptionネゴロ, ヒロミツja-Kana
dc.contributor.transcriptionコバヤシ, タカシja-Kana
dc.contributor.transcriptionテラダ, ナオキja-Kana
dc.contributor.transcriptionヤマサキ, トシナリja-Kana
dc.contributor.transcriptionマツイ, ヨシユキja-Kana
dc.contributor.transcriptionイノウエ, タカヒロja-Kana
dc.contributor.transcriptionカンバ, トモミja-Kana
dc.contributor.transcriptionオガワ, オサムja-Kana
dc.date.accessioned2018-04-26T23:52:16Z-
dc.date.available2018-04-26T23:52:16Z-
dc.date.issued2018-03-31-
dc.identifier.issn0018-1994-
dc.identifier.urihttp://hdl.handle.net/2433/230897-
dc.description.abstractWe retrospectively reviewed the indications and outcomes of ileal-ureter substitution cases for complex ureteral reconstruction. We analyzed the patient clinical characteristics, outcomes, and complications of eight patients who had ileal ureter substitution surgery at Kyoto University Hospital between 2009 and 2016. The median patient age was 55.5 years (36-79), and the median follow up period was 25.5 months (7-85). Seven patients had unilateral ureteral obstruction (right:left=4:3), and one had bilateral ureteral obstruction. The etiologies of the ureteral defects were ureteral stricture due to non-urologic malignant tumorinvasion (n=2), benign ureteral stricture (n=2), anastomotic stricture after cystectomy (n=2), and iatrogenic ureteral injury (n=2). The mean length of operation time was 384.7 minutes (median 323 minutes, 242-397), and the mean hospital stay was 32.9 days (median 31 days, 19-41). Simple anastomosis of an untailored ileal segment to ureter and bladder was performed in 5 cases, bilateral ureteral anastomosis to a single ileal segment in one case, and in the remaining two cases, the ileal ureter was anastomosed to ileal conduit or neobladder. A nipple valve was used as the antireflux mechanism, in 2 cases but not in the remaining 6 cases. The outcome was favourable in all cases with no stricture and no requirement for further intervention. There was no significant deterioration of renal function in any patient, and no metabolic abnormality was detected. The ileal-ureter substitution appears to be a reasonable option, allowing nephron sparing in complex ureteral reconstruction cases.en
dc.format.mimetypeapplication/pdf-
dc.language.isojpn-
dc.publisher泌尿器科紀要刊行会ja
dc.rights許諾条件により本文は2019/04/01に公開ja
dc.subjectIleal ureter substitutionen
dc.subjectUrinary diversionen
dc.subject.ndc494.9-
dc.title回腸尿管による上部尿路再建術の有用性ja
dc.title.alternativeClinical Utility of Upper Urinary Tract Reconstruction by Ileal-Ureter Substitutionen
dc.typedepartmental bulletin paper-
dc.type.niitypeDepartmental Bulletin Paper-
dc.identifier.ncidAN00208315-
dc.identifier.jtitle泌尿器科紀要ja
dc.identifier.volume64-
dc.identifier.issue3-
dc.identifier.spage87-
dc.identifier.epage94-
dc.textversionpublisher-
dc.sortkey01-
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address京都大学大学院医学研究科泌尿器科ja
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicineen
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicineen
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicineen
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicineen
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicineen
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicineen
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicineen
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicineen
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicineen
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicineen
dc.address.alternativeThe Department of Urology, Kyoto University Graduate School of Medicine-
dc.address.alternative# en:11-
dc.identifier.pmid29684956-
dc.identifier.selfDOI10.14989/ActaUrolJap_64_3_87-
dcterms.accessRightsopen access-
datacite.date.available2019-04-01-
dc.identifier.pissn0018-1994-
dc.identifier.jtitle-alternativeActa urologica Japonicala
dc.identifier.jtitle-alternativeHinyokika Kiyoen
出現コレクション:Vol.64 No.3

アイテムの簡略レコードを表示する

Export to RefWorks


出力フォーマット 


このリポジトリに保管されているアイテムはすべて著作権により保護されています。