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A Novel Difficulty Classification for Perioperative Risk Assessment in High-level Hepatobiliary Pancreatic Surgeries
http://hdl.handle.net/10091/0002001968
http://hdl.handle.net/10091/0002001968495de175-8f4c-470d-b0b9-6833de278ae1
| 名前 / ファイル | ライセンス | アクション |
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shinshuishi72-1_2.pdf
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||||||||
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| 公開日 | 2024-02-15 | |||||||||||||||||||||||||||
| タイトル | ||||||||||||||||||||||||||||
| タイトル | A Novel Difficulty Classification for Perioperative Risk Assessment in High-level Hepatobiliary Pancreatic Surgeries | |||||||||||||||||||||||||||
| 言語 | ||||||||||||||||||||||||||||
| 言語 | eng | |||||||||||||||||||||||||||
| DOI | ||||||||||||||||||||||||||||
| 関連タイプ | isVersionOf | |||||||||||||||||||||||||||
| 関連識別子 | 10.11441/shinshumedj.72.19 | |||||||||||||||||||||||||||
| 関連名称 | https://doi.org/10.11441/shinshumedj.72.19 | |||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||
| 主題 | High-level HBP surgery, classification, safety, education | |||||||||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||||||||
| 資源 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||||||
| タイプ | journal article | |||||||||||||||||||||||||||
| 著者 |
Yamazaki, Shiori
× Yamazaki, Shiori
× Shimizu, Akira
× Kubota, Koji
× Notake, Tsuyoshi
× Kitagawa, Noriyuki
× Masuo, Hitoshi
× Yoshizawa, Takahiro
× Hayashi, Hikaru
× Hirano, Syohei
× Inuzuka, Hisamichi
× Soejima, Yuji
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| 信州大学研究者総覧へのリンク | ||||||||||||||||||||||||||||
| 氏名 | 山崎, 史織 | |||||||||||||||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.bekhPNym.html | |||||||||||||||||||||||||||
| 信州大学研究者総覧へのリンク | ||||||||||||||||||||||||||||
| 氏名 | 清水, 明 | |||||||||||||||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.OFkpgpkh.html | |||||||||||||||||||||||||||
| 信州大学研究者総覧へのリンク | ||||||||||||||||||||||||||||
| 氏名 | 窪田, 晃治 | |||||||||||||||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.PUnCbhym.html | |||||||||||||||||||||||||||
| 信州大学研究者総覧へのリンク | ||||||||||||||||||||||||||||
| 氏名 | 野竹, 剛 | |||||||||||||||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.WNTCbhym.html | |||||||||||||||||||||||||||
| 信州大学研究者総覧へのリンク | ||||||||||||||||||||||||||||
| 氏名 | 北川, 敬之 | |||||||||||||||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.ueTCbhym.html | |||||||||||||||||||||||||||
| 信州大学研究者総覧へのリンク | ||||||||||||||||||||||||||||
| 氏名 | 増尾, 仁志 | |||||||||||||||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.gNLaPUym.html | |||||||||||||||||||||||||||
| 信州大学研究者総覧へのリンク | ||||||||||||||||||||||||||||
| 氏名 | 副島, 雄二 | |||||||||||||||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.geDUgpDV.html | |||||||||||||||||||||||||||
| 出版者 | ||||||||||||||||||||||||||||
| 出版者 | 信州医学会 | |||||||||||||||||||||||||||
| 引用 | ||||||||||||||||||||||||||||
| 内容記述 | 信州医学雑誌 72(1) : 19-29, (2024) | |||||||||||||||||||||||||||
| 書誌情報 |
信州医学雑誌 巻 72, 号 1, p. 19-29, 発行日 2024-02-10 |
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| 抄録 | ||||||||||||||||||||||||||||
| 内容記述 | 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. | |||||||||||||||||||||||||||
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| 収録物識別子タイプ | PISSN | |||||||||||||||||||||||||||
| 収録物識別子 | 0037-3826 | |||||||||||||||||||||||||||
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| 収録物識別子タイプ | NCID | |||||||||||||||||||||||||||
| 収録物識別子 | AN00120815 | |||||||||||||||||||||||||||
| 出版タイプ | ||||||||||||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||||||||
