{"id":306,"date":"2020-09-02T09:00:25","date_gmt":"2020-09-02T00:00:25","guid":{"rendered":"https:\/\/www.jichi.ac.jp\/usr\/surg\/?page_id=306"},"modified":"2024-10-04T14:40:25","modified_gmt":"2024-10-04T05:40:25","slug":"hepatobiliarygroup","status":"publish","type":"page","link":"https:\/\/www.jichi.ac.jp\/usr\/surg\/information\/group\/hepatobiliarygroup\/","title":{"rendered":"\u809d\u80c6\u81b5\u30b0\u30eb\u30fc\u30d7"},"content":{"rendered":"

\"\"\u7b39\u6cbc \u82f1\u7d00<\/strong><\/span>
\u6d88\u5316\u5668\u4e00\u822c\u79fb\u690d\u5916\u79d1\u3000\u51c6\u6559\u6388
\n<\/strong>\u81ea\u6cbb\u533b\u79d1\u5927\u5b66\u3000\u5e73\u62106\u5e74\u5352\u696d<\/strong><\/span><\/p>\n

\u809d\u80c6\u81b5\u30b0\u30eb\u30fc\u30d7\u306f\u3002\u809d\u81d3\u3001\u80c6\u9053\u3001\u81b5\u81d3\u3001\u813e\u81d3\u3001\u30d8\u30eb\u30cb\u30a2\u3001\u5f8c\u8179\u819c\u75be\u60a3\u7b49\u306e\u8a3a\u65ad\u304b\u3089\u6cbb\u7642\u307e\u3067\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u30022019\u5e744\u6708\u304b\u3089\u30b0\u30eb\u30fc\u30d7\u30ea\u30fc\u30c0\u30fc\u3092\u52d9\u3081\u3066\u304a\u308a\u307e\u3059\u3002\u50cd\u304d\u65b9\u6539\u9769\u306e\u5f71\u97ff\u3082\u3042\u308a\u3001\u3053\u308c\u307e\u3067\u75c5\u68df\u306f2\u30c1\u30fc\u30e0\u4f53\u5236\u3067\u3057\u305f\u304c\u3001\u30ef\u30f3\u30c1\u30fc\u30e0\u4f53\u5236\u3068\u306a\u308a2024\u5e744\u6708\u73fe\u5728\u3001\u75c5\u68df\u53d7\u3051\u6301\u3061\u306f\u30aa\u30fc\u30d9\u30f33\u540d\uff08\u809d\u80c6\u81b5\u30b9\u30bf\u30c3\u30d5\uff09\u3001\u30c1\u30e5\u30fc\u30d9\u30f32\u540d\u3001\u30cd\u30fc\u30d9\u30f31\u540d\uff08\u30ec\u30b8\u30c7\u30f3\u30c8\uff09\u3067\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u00a0<\/span><\/span>\u624b \u8853<\/strong><\/span><\/h3>\n

High volume center\u3068\u3057\u3066\u9ad8\u96e3\u5ea6\u624b\u8853\u3092\u5b89\u5168\uff08Mortality\u30bc\u30ed\u3001Morbidity\u30bc\u30ed\uff09\u306b\u884c\u3046\u3053\u3068\u3092\u76ee\u6a19\u306b\u3057\u3066\u3044\u307e\u3059\u3002\u65e5\u672c\u809d\u80c6\u81b5\u5916\u79d1\u5b66\u4f1a\u306e\u9ad8\u5ea6\u6280\u80fd\u5c02\u9580\u533b\u5236\u5ea6\u3067\u5b9a\u7fa9\u3055\u308c\u305f\u9ad8\u96e3\u5ea6\u624b\u8853\u75c7\u4f8b\u6570\u306f\u30012023\u5e74\u306f\u8a0885\u4f8b<\/strong>\uff08\u809d\u79fb\u690d\u75c7\u4f8b\u9664\u304f\uff09\u3001\u305d\u306e\u4e3b\u306a\u5185\u8a33\u306f\u88681\u306e\u901a\u308a\u3067\u3057\u305f\u3002\u9ad8\u5ea6\u6280\u80fd\u624b\u8853\u7dcf\u6570\u306f\u3001\u65e2\u5b9a\u306e\u624b\u8853\u67a0\u304b\u308980-90\u4ef6\u3067\u982d\u6253\u3061\u3068\u306a\u3063\u3066\u3044\u307e\u3059\uff08\u88682\uff09\u3002\u8179\u8154\u93e1\u3092\u5229\u7528\u3057\u305f\u624b\u8853\u306f33\u4f8b\uff0838.8\uff05<\/strong>\uff09\u3067\u3001\u7d4c\u6642\u7684\u306b\u8179\u8154\u93e1\u624b\u8853\u306e\u5272\u5408\u304c\u5897\u52a0\u3057\u3066\u3044\u307e\u3059\uff08\u88682\uff09\u3002\u5f53\u79d1\u306f\u65e5\u672c\u809d\u80c6\u81b5\u5916\u79d1\u5b66\u4f1a\u306e\u8a8d\u5b9a\u65bd\u8a2dA\u3067\u3001\u9ad8\u5ea6\u6280\u80fd\u6307\u5c0e\u533b\uff083\u540d\uff09\u30fb\u5c02\u9580\u533b\uff086\u540d\uff09\u306e\u3082\u3068\u3067\u4fee\u7df4\u533b\u306f\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3057\u3066\u3044\u307e\u3059\u30022023\u5e74\u7533\u8acb\u3067\u7530\u53e3\u660c\u5ef6\u5148\u751f<\/strong>\u304c\u9ad8\u5ea6\u6280\u80fd\u5c02\u9580\u533b\u306b\u5408\u683c\u3057\u307e\u3057\u305f\u3002\u30b0\u30eb\u30fc\u30d7\u5185\u306e\u9ad8\u5ea6\u6280\u80fd\u5c02\u9580\u533b\u306f\u3001\u7b39\u6cbc\u3001\u9060\u85e4\u5148\u751f\u3001\u517c\u7530\u5148\u751f\u3001\u68ee\u5d8b\u5148\u751f\u3001\u9752\u6728\u5148\u751f\u306e\u8a086\u540d\u3068\u306a\u308a\u307e\u3057\u305f\u3002
\n\"\"<\/a>\"\"<\/a>
\n<\/span><\/p>\n

\u25c6 \u809d\u81d3\u9818\u57df<\/span><\/strong><\/p>\n

2023\u5e74\u306e\u8179\u8154\u93e1\u4e0b\u809d\u5207\u9664\u306e\u6bd4\u7387\u306f\u3001\u80c6\u9053\u518d\u5efa\u3092\u4f34\u308f\u306a\u3044\u9ad8\u96e3\u5ea6\u809d\u5207\u966421\u4f8b\u4e2d\u3001\u8179\u8154\u93e1\u4e0b\u809d\u53f3\u8449\u5207\u9664\uff1a1\u4f8b\u3001\u8179\u8154\u93e1\u4e0b\u809d\u5de6\u8449\u5207\u9664\uff1a2\u4f8b\u3001\u5916\u5074\u533a\u57df\u5207\u9664\u3092\u9664\u304f\u8179\u8154\u93e1\u4e0b\u809d\u533a\u57df\u5207\u9664\uff1a4\u4f8b\u3001\u8179\u8154\u93e1\u4e0b\u809d\u4e9c\u533a\u57df\u5207\u9664\uff1a4\u4f8b\u306e\u8a0814\u4f8b\uff0867\uff05<\/strong>\uff09\u3067\u3057\u305f\u3002\u6628\u5e74\u5ea6\u304b\u3089\u809d\u7d30\u80de\u764c\u306e\u8a3a\u7642\u306b\u304a\u3044\u3066\u3082\u81b5\u764c\u540c\u69d8\u306b\u816b\u760d\u5b66\u7684\u5207\u9664\u53ef\u80fd\u6027\u5206\u985e\u304c\u958b\u59cb\u3055\u308c\u307e\u3057\u305f\u3002\u81b5\u764c\u3068\u7570\u306a\u308b\u70b9\u306f\u3001Unresectable\u3068\u3044\u3046\u5b9a\u7fa9\u306f\u306a\u304f\u3001Borderline resectable\uff08BR\uff09\u304c\u3001\u96c6\u5b66\u7684\u6cbb\u7642\u306e\u4e00\u8cab\u3068\u3057\u3066\u5207\u9664\u306b\u3088\u308a\u4e88\u5f8c\u304c\u671f\u5f85\u3055\u308c\u308bBR1\u3068\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u306a\u3044\u304c\u96c6\u5b66\u7684\u6cbb\u7642\u306e\u4e2d\u3067\u624b\u8853\u9069\u5fdc\u3092\u614e\u91cd\u306b\u5224\u65ad\u3059\u3079\u304dBR2\u306b\u5206\u3051\u3089\u308c\u3066\u3044\u308b\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002\u5f53\u79d1\u3067\u306f\u3001Resectable HCC\u306b\u5bfe\u3057\u3066Lenvatinib\uff0bTACE\u306eSequential therapy\u5f8c\u306b\u6839\u6cbb\u624b\u8853\u3092\u3059\u308b\u3068\u3044\u3046\u65b0\u3057\u3044\u6cbb\u7642\u6226\u7565\u3092\u958b\u59cb\u3057\u3066\u3044\u307e\u3059\u3002\u6bce\u9031\u884c\u308f\u308c\u308b\u809d\u81d3\u30ab\u30f3\u30d5\u30a1\u30ec\u30f3\u30b9\uff08\u809d\u81d3\u5916\u79d1\u3001\u809d\u81d3\u5185\u79d1\u3001\u653e\u5c04\u7dda\u79d1\u3001\u7de9\u548c\u79d1\uff09\u3067\u3001HCC\u306b\u5bfe\u3059\u308b\u96c6\u5b66\u7684\u6cbb\u7642\u306b\u95a2\u3059\u308b\u8b70\u8ad6\u3092\u884c\u3044\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3057\u3066\u3044\u307e\u3059\u3002\u4eca\u5e74\u5ea6\u304b\u3089\u3001\u809d\u816b\u760d\u306b\u5bfe\u3059\u308b\u30ed\u30dc\u30c3\u30c8\u652f\u63f4\u624b\u8853\u3092\u4e88\u5b9a\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u25c6 \u81b5\u81d3\u9818\u57df<\/span><\/strong><\/p>\n

Resectable\u81b5\u764c\u306b\u5bfe\u3059\u308b\u8853\u524d\u6cbb\u7642\u306fGS\uff08Gemcitabine\uff0cS-1\uff09\u7642\u6cd5\u3001Borderline\u81b5\u764c\u3068Unresectable\u81b5\u764c\u306b\u5bfe\u3057\u3066\u306fGEM\/nPTX\uff08Gemcitabine\uff0cNab-paclitaxel\uff09\u7642\u6cd5\u307e\u305f\u306fFOLFIRINOX\u6cbb\u7642\u304c\u884c\u308f\u308c\u3001\u8fd1\u5e74\u3001Borderlin\uff5eUnresectable\u81b5\u764c\u304b\u3089\u306eConversion\u624b\u8853\u75c7\u4f8b\u304c\u51fa\u3066\u304f\u308b\u306a\u3069\u3001\u3088\u308a\u8907\u96d1\u3067\u96e3\u89e3\u306a\u624b\u8853\u304c\u5897\u3048\u3066\u3044\u307e\u3059\u30022022\u5e744\u6708\u304b\u3089\u5c40\u6240\u9032\u884c\u5207\u9664\u4e0d\u80fd\u81b5\u764c\u306b\u5bfe\u3057\u3066\u967d\u5b50\u7dda\u6cbb\u7642\u304c\u4fdd\u967a\u9069\u5fdc\u3068\u306a\u308a\u3001\u8fd1\u770c\u306e\u7c92\u5b50\u7dda\u6cbb\u7642\u30bb\u30f3\u30bf\u30fc\u3068\u9023\u643a\u3057\u3066\u96c6\u5b66\u7684\u6cbb\u7642\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u81b5\u81d3\u306b\u5bfe\u3059\u308b\u8179\u8154\u93e1\u624b\u8853\u306f\u3001IPMN\u3001MCN\u3001SPN\u3001SCN\u306a\u3069\u306e\u826f\u60aa\u6027\u5883\u754c\u75c5\u5909\u306b\u5bfe\u30572012\u5e74\u304b\u3089\u8179\u8154\u93e1\u4e0b\u81b5\u4f53\u5c3e\u90e8\u5207\u9664\u3092\u5c0e\u5165\u3055\u308c\u3001\u7b2c7\u75c7\u4f8b\u76ee\u304b\u3089\u8853\u5f8c\u81b5\u6db2\u763b\uff08POPF\uff09\u30bc\u30ed\u3092\u76ee\u6a19\u306b\u81b5\u96e2\u65ad\u306e\u5b9a\u578b\u5316<\/strong>\uff08\u96fb\u52d5\u81ea\u52d5\u7e2b\u5408\u5668\u306bBlack\u30ab\u30fc\u30c8\u30ea\u30c3\u30b8\u3092\u7528\u3044\u305f\u300c20\u5206\u81b5\u5727\u632b\u96e2\u65ad\u6cd5\u300d\uff09<\/strong>\u3092\u958b\u59cb\u3001\u73fe\u5728POPF\u306e\u767a\u751f\u306f3.8\uff05\u3068\u6e1b\u5c11\u3057\u3066\u3044\u307e\u3059\u30022019\u5e74\u304b\u3089\u8179\u8154\u93e1\u4e0b\u813e\u6e29\u5b58\u81b5\u4f53\u5c3e\u90e8\u5207\u9664<\/strong>\u30012021\u5e742\u6708\u304b\u3089\u306f\u300c\u81b5\u60aa\u6027\u75be\u60a3\u306b\u5bfe\u3059\u308b\u90ed\u6e05\u3092\u4f34\u3063\u305f\u8179\u8154\u93e1\u4e0b\u81b5\u5207\u9664\u300d<\/strong>\u3092\u958b\u59cb\u3057\u3066\u3044\u307e\u3059\u3002\u81b5\u764c\u306b\u5bfe\u3059\u308b\u81b5\u4f53\u5c3e\u90e8\u5207\u9664\u8853\u306fRadical Antegrade Modular Pancreatosplenectomy\uff08RAMPS\uff09\u3092\u6a19\u6e96\u8853\u5f0f\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u4eca\u5e74\u5ea6\u304b\u3089\u3001\u81b5\u4f53\u5c3e\u90e8\u816b\u760d\u306b\u5bfe\u3059\u308b\u30ed\u30dc\u30c3\u30c8\u652f\u63f4\u624b\u8853\u3092\u4e88\u5b9a\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u7814 \u7a76<\/strong><\/span><\/h3>\n

\u73fe\u5728\u3001\u53c2\u52a0\u3057\u3066\u3044\u308b\u81e8\u5e8a\u7814\u7a76\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/span><\/p>\n

    \n
  • \u8853\u524d\u88dc\u52a9\u5316\u5b66\u7642\u6cd5\u5f8c\u306e\u81b5\u764c\u624b\u8853\u306b\u304a\u3051\u308b\u81f3\u9069\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05\u7bc4\u56f2\u3092\u6c7a\u5b9a\u3059\u308b\u305f\u3081\u306e\u524d\u65b9\u8996\u7684\u4ecb\u5165\u7814\u7a76<\/span><\/li>\n
  • \u4f4e\u4fb5\u8972\u809d\u5207\u9664\u306b\u304a\u3051\u308b\u30a4\u30f3\u30c9\u30b7\u30a2\u30cb\u30f3\u30b0\u30ea\u30fc\u30f3\u86cd\u5149\u6cd5\u3092\u7528\u3044\u305f\u89e3\u5256\u5b66\u7684\u809d\u5207\u9664\u306e\u5b9f\u65bd\u72b6\u6cc1\u3068\u81e8\u5e8a\u7684\u610f\u7fa9\uff1a\u30a2\u30b8\u30a2\u8af8\u56fd\u306b\u304a\u3051\u308b\u56fd\u969b\u591a\u65bd\u8a2d\u7814\u7a76\uff08Implementation status of indocyanine green fluorescence-guided minimally invasive liver resection: an international multicenter study in Asian countries\uff09<\/span><\/li>\n
  • \u521d\u56de\u5207\u9664\u53ef\u80fd\u5927\u8178\u764c\u809d\u8ee2\u79fb\u3092\u5bfe\u8c61\u3068\u3057\u305f\u3001\u8853\u524d\u5f8c\u5316\u5b66\u7642\u6cd5+\u624b\u8853 \u624b\u8853\u5148\u884c+\u8853\u5f8c\u88dc\u52a9\u5316\u5b66\u7642\u6cd5\u306e\u6cbb\u7642\u52b9\u679c\u306e\u691c\u8a0e\uff1a\u591a\u65bd\u8a2d\u5171\u540c\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13<\/span><\/li>\n
  • Intracholecystic\u3000papillary\u3000neoplasm\u306e\u81e8\u5e8a\u751f\u7406\u5b66\u7684\/\u75c5\u7406\u5b66\u7684\u691c\u8a0e<\/span><\/li>\n
  • JCOG1315C\u300c\u5207\u9664\u53ef\u80fd\u809d\u7d30\u80de\u764c\u306b\u5bfe\u3059\u308b\u967d\u5b50\u7dda\u6cbb\u7642\u3068\u5916\u79d1\u7684\u5207\u9664\u306e\u975e\u30e9\u30f3\u30c0\u30e0\u5316\u540c\u6642\u5bfe\u7167\u8a66\u9a13\u300d<\/span><\/li>\n
  • \u8179\u819c\u8ee2\u79fb\u3092\u6709\u3059\u308b\u81b5\u304c\u3093\u306b\u5bfe\u3059\u308bS-1+\u30d1\u30af\u30ea\u30bf\u30ad\u30bb\u30eb\u7d4c\u9759\u8108\u30fb\u8179\u8154\u5185\u6295\u4e0e\u4f75\u7528 \u7642\u6cd5\u306e\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u7b2c\u2162\u76f8\u591a\u65bd\u8a2d\u5171\u540c\u81e8\u5e8a\u8a66\u9a13<\/span><\/li>\n
  • \u5207\u9664\u4e0d\u80fd\u5c40\u6240\u9032\u884c\u81b5\u764c\u306b\u5bfe\u3059\u308bConversion Surgery\u00a0\u306e\u65b0\u898f\u5316\u5b66\u7642\u6cd5\u5c0e\u5165\u5f8c\u6cbb\u7642\u6210\u7e3e\u306e\u518d\u691c\u8a0e<\/span><\/li>\n<\/ul>\n

    \u5927\u8178\u764c\u540c\u6642\u6027\u809d\u8ee2\u79fb\u306e\u7570\u6642\u5207\u9664\u60a3\u8005\u3067\u306f\u3001\u3053\u308c\u307e\u3067\u539f\u767a\u5207\u9664\u3092\u884c\u3044\u5316\u5b66\u7642\u6cd5\u3092\u631f\u3093\u3067\u809d\u8ee2\u79fb\u624b\u8853\u3092\u884c\u3063\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u539f\u767a\u5207\u9664\u3092\u884c\u3046\u524d\u306b\u809d\u5207\u9664\u3092\u5148\u884c\u3059\u308bLiver first\u6226\u7565\u3092\u884c\u3044\u75c7\u4f8b\u84c4\u7a4d\u3057\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u6d88\u5316\u5668\u4e00\u822c\u79fb\u690d\u5916\u79d1\u3001\u81e8\u5e8a\u816b\u760d\u79d1\u3001\u4e73\u817a\u5916\u79d1\u3001\u8033\u9f3b\u79d1\u3001\u6ccc\u5c3f\u5668\u79d1\u306a\u3069\u304b\u3089\u81e8\u5e8a\u30b5\u30f3\u30d7\u30eb\u3092\u53ce\u96c6\u3057\u8cea\u91cf\u5206\u6790\u6cd5\u306b\u3088\u308b\u65b0\u898f\u304c\u3093\u8a3a\u65ad\u30b7\u30b9\u30c6\u30e0\u3092\u958b\u767a\u3059\u308b\u3053\u3068\u3092\u30c6\u30fc\u30de\u306b\u3057\u305f\u7814\u7a76\uff08\u7814\u7a76\u8cac\u4efb\u8005\uff1a\u5317\u5c71\u4e08\u4e8c\u5148\u751f\uff09\u304c\u9032\u884c\u3057\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u5916\u79d1\u65e5\u5e38\u8a3a\u7642\u3067\u975e\u5e38\u306b\u91cd\u8981\u306a\u300c\u8179\u90e8\u30d8\u30eb\u30cb\u30a2\u306e\u751f\u6d3b\u306e\u8cea\u300d\u306b\u95a2\u3059\u308b\u30c6\u30fc\u30de\u3092\u8ab2\u984c\u306b\u3001\u81ea\u6cbb\u533b\u5927\u5916\u79d1\u306e\u95a2\u9023\u75c5\u9662\u306e\u5148\u751f\u65b9\u3092\u4e2d\u5fc3\u306b\u524d\u5411\u304d\u8abf\u67fb\u3092\u591a\u65bd\u8a2d\u5171\u540c\u7814\u7a76\u3067\u8a08\u753b\u3057\u3066\u3044\u307e\u3059\uff08\u7814\u7a76\u8cac\u4efb\u8005\uff1a\u6e21\u90e8\u7d14\u5148\u751f\uff09\u3002
    \n<\/span><\/p>\n

    \n

    \u6559 \u80b2<\/strong><\/span><\/h3>\n

    \u809d\u80c6\u81b5\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u9ad8\u96e3\u5ea6\u624b\u8853\u3092\u30b9\u30bf\u30c3\u30d5\u4fee\u7df4\u533b\u3001\u9ad8\u96e3\u5ea6\u624b\u8853\u4ee5\u5916\u306e\u624b\u8853\u3092\u30ed\u30fc\u30c6\u30fc\u30b7\u30e7\u30f3\u82e5\u624b\u5916\u79d1\u533b\u304c\u884c\u3046\u3053\u3068\u3092\u57fa\u672c\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u69d8\u3005\u306a\u4f75\u5b58\u75c7\u3092\u6301\u3061\u3001\u5730\u57df\u306e\u75c5\u9662\u3067\u306f\u5468\u8853\u671f\u7ba1\u7406\u306e\u96e3\u3057\u3044\u80c6\u56a2\u6458\u51fa\u8853\u3001\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2\u624b\u8853\u3001\u5f53\u9662\u3067\u884c\u3063\u305f\u624b\u8853\u306b\u3088\u308b\u8179\u58c1\u7622\u75d5\u30d8\u30eb\u30cb\u30a2\u3001\u8102\u80aa\u8089\u816b\u306a\u3069\u306e\u8edf\u90e8\u7d44\u7e54\u60aa\u6027\u816b\u760d\u306a\u3069\u82e5\u624b\u306e\u5148\u751f\u65b9\u3092\u4e2d\u5fc3\u306b\u8853\u8005\u3092\u884c\u3063\u3066\u9802\u3044\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

    \u4eca\u5f8c\u3082Mortality\u30bc\u30ed\u3001Morbidity\u30bc\u30ed\u3092\u3081\u3056\u3057\u3066\u65b0\u3057\u3044\u3053\u3068\u306b\u30c1\u30e3\u30ec\u30f3\u30b8\u3057\u3066\u3044\u304d\u305f\u3044\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    \u7b39\u6cbc \u82f1\u7d00\u6d88\u5316\u5668\u4e00\u822c\u79fb\u690d\u5916\u79d1\u3000\u51c6\u6559\u6388 \u81ea\u6cbb\u533b\u79d1\u5927\u5b66\u3000\u5e73\u62106\u5e74\u5352\u696d \u809d\u80c6\u81b5\u30b0\u30eb\u30fc\u30d7\u306f\u3002\u809d\u81d3\u3001\u80c6\u9053\u3001\u81b5\u81d3\u3001\u813e\u81d3\u3001\u30d8\u30eb\u30cb\u30a2\u3001\u5f8c\u8179\u819c\u75be\u60a3\u7b49\u306e\u8a3a\u65ad\u304b\u3089\u6cbb\u7642\u307e\u3067\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u30022019\u5e744\u6708\u304b\u3089\u30b0\u30eb\u30fc\u30d7\u30ea\u30fc\u30c0\u30fc\u3092\u52d9\u3081\u3066\u304a\u308a\u307e\u3059\u3002\u50cd\u304d […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1321,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"vkexunit_cta_each_option":"","footnotes":""},"class_list":["post-306","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/pages\/306","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/comments?post=306"}],"version-history":[{"count":22,"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/pages\/306\/revisions"}],"predecessor-version":[{"id":2543,"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/pages\/306\/revisions\/2543"}],"up":[{"embeddable":true,"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/pages\/1321"}],"wp:attachment":[{"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/media?parent=306"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}