{"created":"2024-02-14T06:41:18.508854+00:00","id":2001968,"links":{},"metadata":{"_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":["461:463:464:1707891809216"]},"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_source_id_35":{"attribute_name":"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"}],"filename":"shinshuishi72-1_2.pdf","format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-02-15"},"publish_date":"2024-02-15","publish_status":"0","recid":"2001968","relation_version_is_last":true,"title":["A Novel Difficulty Classification for Perioperative Risk Assessment in High-level Hepatobiliary Pancreatic Surgeries"],"weko_creator_id":"16","weko_shared_id":-1},"updated":"2024-04-12T01:12:21.174303+00:00"}