{"created":"2023-05-15T16:44:30.047049+00:00","id":20199,"links":{},"metadata":{"_buckets":{"deposit":"7770a0de-7ddf-4957-8538-dc54aaa26895"},"_deposit":{"created_by":2,"id":"20199","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"20199"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00020199","sets":["29:30:1713167819629:1396"]},"author_link":["85284","85283","85282","85286","85281","85280","85285","85287","85288"],"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1999-12-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3-4","bibliographicPageEnd":"48","bibliographicPageStart":"45","bibliographicVolumeNumber":"44","bibliographic_titles":[{"bibliographic_title":"Acta medica Nagasakiensia"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Purpose: Carcinoma of the splenic flexure is uncommon and it is associated with a high risk of obstruction. However, survival after resection of this tumor is controversial. The aim of this study was to evaluate cancer specific long-term survival after surgery for splenic flexure cancers compared to survival for the colon cancer at other sites. Patients and Methods: Of 500 patients undergoing surgery for colon cancer, 16 (3.2%) had cancers of the splenic flexure. Clinicopathological features and cancer specific longterm survival after curative resection were evaluated. Results: Splenic flexure carcinomas were found to be associated with a high risk of obstruction (4 out of 16; 25.0%) and a high risk of penetration/perforation (1 out of 16; 6.2%) compared with colon cancers at other sites (P <0.0001 and P=0.0128, respectively). Operative mortality rate for patients with carcinomas of splenic flexure was significantly higher than that of other sites (6.3% versus 0.8%; P=0.0319). However, resection for splenic flexure tumors was usually possible, and there was no difference in cancer specific long-term survival after surgery between the patients with splenic flexure cancers and the other site colon cancers (P=0.3505). Conclusions: Carcinoma of the splenic flexure has a similar prognosis to colon cancer at other sites.","subitem_description_type":"Abstract"}]},"item_3_description_64":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Acta medica Nagasakiensia. 1999, 44(3-4), p.45-48","subitem_description_type":"Other"}]},"item_3_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00508430","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00016055","subitem_source_identifier_type":"ISSN"}]},"item_3_text_62":{"attribute_name":"sortkey","attribute_value_mlt":[{"subitem_text_value":"P00045-P00048"}]},"item_3_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Nakagoe, Tohru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sawai, Terumitsu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tsuji, Takashi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Jibiki, Masaaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nanashima, Atsushi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yamaguchi, Hiroyuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yasutake, Toru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ayabe, Hiroyoshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ishikawa, Hiroshi"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-12-23"}],"displaytype":"detail","filename":"acta44_03_06_t.pdf","filesize":[{"value":"411.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"acta44_03_06_t.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/20199/files/acta44_03_06_t.pdf"},"version_id":"3a6b88b3-555e-4e39-9127-b4988543c199"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"splenic flexure","subitem_subject_scheme":"Other"},{"subitem_subject":"colon cancers","subitem_subject_scheme":"Other"},{"subitem_subject":"cancer specific","subitem_subject_scheme":"Other"},{"subitem_subject":"long-term survival","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Cancer Specific Long-term Survival After Surgery for Carcinoma of the Splenic Flexure","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Cancer Specific Long-term Survival After Surgery for Carcinoma of the Splenic Flexure"}]},"item_type_id":"3","owner":"2","path":["1396"],"pubdate":{"attribute_name":"公開日","attribute_value":"2008-03-13"},"publish_date":"2008-03-13","publish_status":"0","recid":"20199","relation_version_is_last":true,"title":["Cancer Specific Long-term Survival After Surgery for Carcinoma of the Splenic Flexure"],"weko_creator_id":"2","weko_shared_id":-1},"updated":"2024-04-17T04:04:05.494785+00:00"}