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'https://openalex.org/W2387907081', 'https://openalex.org/W2772805333', 'https://openalex.org/W2807735925'], 'related_works': ['https://openalex.org/W2506468122', 'https://openalex.org/W2422088133', 'https://openalex.org/W2416654605', 'https://openalex.org/W2379869943', 'https://openalex.org/W2369250514', 'https://openalex.org/W2355676465', 'https://openalex.org/W2354591370', 'https://openalex.org/W2162188231', 'https://openalex.org/W2081884179', 'https://openalex.org/W2027332578'], 'abstract_inverted_index': {'症例は71歳男性.横隔膜浸潤をともなう左肺下葉扁平上皮癌に対し,左下葉切除を施行,横隔膜を5.2×4.5': [0], 'cmの大きさで合併切除し縫合修復した.第4病日夕より嘔気および食思不振が出現し第5病日には経口摂取不能となった.同日の胸部X線で胃泡の胸腔内脱出所見を認め,CTでは左横隔膜の連続性が消失し大網の一部や胃全体が胸腔内に存在していた.左横隔膜ヘルニア嵌頓として同日緊急開胸術を施行,横隔膜縫合部の一部が裂け胃および大網が嵌頓している状態であった.臓器壊死所見はなく胃内を穿刺脱気,ヘルニア門を拡大した上で腹腔内に還納,メッシュ補填によりヘルニア修復を施行した.術後13ヵ月経過し横隔膜ヘルニアの再発はみられていない.横隔膜縫合部の過度緊張がヘルニア発生の主因と考えられ,横隔膜切除後の直接縫合修復に関しては慎重であるべきと考えられた.': [1]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W3161263293', 'counts_by_year': [], 'updated_date': '2024-09-18T20:45:50.636899', 'created_date': '2021-05-24'}