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当科における結腸癌に対する結腸切除クリニカルパスの導入
http://hdl.handle.net/10470/27339
http://hdl.handle.net/10470/273394266be87-8660-4d81-bfa4-57b3b94be0ca
名前 / ファイル | ライセンス | アクション |
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KJ00006017604.pdf (407.3 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-08-10 | |||||
タイトル | ||||||
タイトル | 当科における結腸癌に対する結腸切除クリニカルパスの導入 | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
別タイトル | ||||||
その他のタイトル | Induction of Clinical Pathway to Colectomy for Colon Cancer | |||||
著者名 |
大澤, 岳史
× 大澤, 岳史× 吉松, 和彦× 横溝, 肇× 藤本, 崇司× 梅原, 有弘× 大谷, 泰介× 松本, 敦夫× 小川, 健治 |
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著者別名 | ||||||
姓名 | OSAWA, Gakuji | |||||
著者別名 | ||||||
姓名 | YOSHIMATSU, Kazuhiko | |||||
著者別名 | ||||||
姓名 | YOKOMIZO, Hajime | |||||
著者別名 | ||||||
姓名 | FUJIMOTO, Takashi | |||||
著者別名 | ||||||
姓名 | UMEHARA, Arihiro | |||||
著者別名 | ||||||
姓名 | OTANI, Taisuke | |||||
著者別名 | ||||||
姓名 | MATSUMOTO, Atsuo | |||||
著者別名 | ||||||
姓名 | OGAWA, Kenji | |||||
出版者 | ||||||
出版者 | 東京女子医科大学学会 | |||||
受付日付 | ||||||
日付 | 2010-08-10 | |||||
日付タイプ | Created | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0040-9022 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00161368 | |||||
書誌情報 |
東京女子医科大学雑誌 巻 77, 号 1, p. 7-11, 発行日 2007-01 |
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著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The object of our study was to assess the clinical pathway used for colectomy at our department. A total of 41 patients, 25 patients with open colectomy (OC) and 16 patients with laparoscopy-assisted colectomy (LAC), were included. The differences of these two groups were analyzed for patients' background and variances of clinical pathway. In background characteristics between the OC and LAC, the depth of invasion, node status, and pathological staging were significantly more advanced in the OC than the LAC (p<0.0001, p=0.0492, and p<0.0001, respectively). So lymph node dissection were more broadly in the OC (p<0.0001). In contrast, the LAC had lower amount hemorrhage, earlier ambulatory status, earlier first flatus, and were discharged earlier than the OC (p=0.0014, p=0.0646, p<0.0001, and p=0.0475, respectively). Negative variances were identified in 38 patients in the OC and 9 in the LAC. The most common negative variances for hospital discharge was postoperative adjuvant chemotherapy. These results suggest that it is difficult to apply our current clinical pathway to both OC and LAC. To reduce negative variances and facilitate early hospital discharge, a revised pathway is needed. | |||||
著者所属 | ||||||
東京女子医科大学東医療センター外科 | ||||||
著者所属 | ||||||
東京女子医科大学東医療センター外科 | ||||||
著者所属 | ||||||
東京女子医科大学東医療センター外科 | ||||||
著者所属 | ||||||
東京女子医科大学東医療センター外科 | ||||||
著者所属 | ||||||
東京女子医科大学東医療センター外科 | ||||||
著者所属 | ||||||
東京女子医科大学東医療センター外科 | ||||||
著者所属 | ||||||
東京女子医科大学東医療センター外科 | ||||||
著者所属 | ||||||
東京女子医科大学東医療センター外科 | ||||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | clinical pathway | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | colon cancer | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | colectomy |