根治的恥骨後前立腺摘除術後に発症した鼠径ヘルニアの検討

根治的恥骨後前立腺摘除術（以下RRP）は鼠径ヘルニア（以下ヘルニア）の一因と考えられている．今回，当院におけるRRP後のヘルニアの特徴についてretrospectiveに検討した．成人男性初回ヘルニア手術症例314例（357鼠径）についてRRP既往の有無により，既往群24例（33鼠径），対照群290例（324鼠径）に分け比較解析したところ，既往群では両側発症が有意に多く（既往群37.5％，対照群11.7％），全例が外鼠径ヘルニアであった．それらに対する根治術式としてmesh-plug法が大部分を占めていた．RRP施行後からヘルニア発症までの月数中央値は11カ月であった．当院におけるRRP後ヘル...

Full description

Saved in:
Bibliographic Details
Published in日本臨床外科学会雑誌 Vol. 74; no. 11; pp. 2968 - 2973
Main Authors 佐々木, 賢一, 斎藤, 慶太, 奥谷, 浩一, 宇野, 智子, 平田, 公一, 渋谷, 均
Format Journal Article
LanguageJapanese
Published 日本臨床外科学会 2013
Subjects
subclinical IH
根治的恥骨後前立腺摘除術
鼠径ヘルニア
Online AccessGet full text
ISSN1345-2843
1882-5133
DOI10.3919/jjsa.74.2968

Cover

Abstract 根治的恥骨後前立腺摘除術（以下RRP）は鼠径ヘルニア（以下ヘルニア）の一因と考えられている．今回，当院におけるRRP後のヘルニアの特徴についてretrospectiveに検討した．成人男性初回ヘルニア手術症例314例（357鼠径）についてRRP既往の有無により，既往群24例（33鼠径），対照群290例（324鼠径）に分け比較解析したところ，既往群では両側発症が有意に多く（既往群37.5％，対照群11.7％），全例が外鼠径ヘルニアであった．それらに対する根治術式としてmesh-plug法が大部分を占めていた．RRP施行後からヘルニア発症までの月数中央値は11カ月であった．当院におけるRRP後ヘルニア発症率は23.0％であり，過去報告範囲内ではあるものの高率であることから，予防策が必要であると考えられた．
AbstractList 根治的恥骨後前立腺摘除術（以下RRP）は鼠径ヘルニア（以下ヘルニア）の一因と考えられている．今回，当院におけるRRP後のヘルニアの特徴についてretrospectiveに検討した．成人男性初回ヘルニア手術症例314例（357鼠径）についてRRP既往の有無により，既往群24例（33鼠径），対照群290例（324鼠径）に分け比較解析したところ，既往群では両側発症が有意に多く（既往群37.5％，対照群11.7％），全例が外鼠径ヘルニアであった．それらに対する根治術式としてmesh-plug法が大部分を占めていた．RRP施行後からヘルニア発症までの月数中央値は11カ月であった．当院におけるRRP後ヘルニア発症率は23.0％であり，過去報告範囲内ではあるものの高率であることから，予防策が必要であると考えられた．
Author 奥谷, 浩一
斎藤, 慶太
佐々木, 賢一
渋谷, 均
平田, 公一
宇野, 智子
Author_xml – sequence: 1
  fullname: 佐々木, 賢一
  organization: 市立室蘭総合病院外科
– sequence: 1
  fullname: 斎藤, 慶太
  organization: 市立室蘭総合病院外科
– sequence: 1
  fullname: 奥谷, 浩一
  organization: 市立室蘭総合病院外科
– sequence: 1
  fullname: 宇野, 智子
  organization: 市立室蘭総合病院外科
– sequence: 1
  fullname: 平田, 公一
  organization: 札幌医科大学消化器・総合，乳腺・内分泌外科
– sequence: 1
  fullname: 渋谷, 均
  organization: 市立室蘭総合病院外科
BookMark eNo9UE1LAlEAfIRBZt76G2vva933boX0BUIEdV7e7r5XLmax66XjphFiBdFBjSALA0no0C0L_8zDXf0XKUVzmBlmYA6zDFKV04oEYBXBHOGIr_l-KHIWzWGeZwsgjRjDhokISc08oaaBGSVLIBuGJQdCPIMJzTTYj7uf8cdX8lCPo9fpW388uh43bpJBc3I5jO_a005v8nw_C3U0SDrDpHWlo5aOnqbf3fGormttXRvoWlNfvOjoPe49Tvq3K2BRiXIos3-aAYdbmweFHaO4t71b2CgaPqYMGiZkSrmWR6inKBJccuhJkzFIXS4tTyHOpXI54Yo7DnFwXmCO8xJbnoeosBDJgPXfXT-siiNpnwWlExGc2yKoltyytOd_2Ba1EZrz_JX_yj0Wge0L8gNKg3pP
ContentType Journal Article
Copyright 2013 日本臨床外科学会
Copyright_xml – notice: 2013 日本臨床外科学会
DOI 10.3919/jjsa.74.2968
DatabaseTitleList
DeliveryMethod fulltext_linktorsrc
EISSN 1882-5133
EndPage 2973
ExternalDocumentID article_jjsa_74_11_74_2968_article_char_ja
GroupedDBID 123
2WC
ALMA_UNASSIGNED_HOLDINGS
CS3
JSF
KQ8
RJT
ID FETCH-LOGICAL-j2480-508ffc7d34df41a9e90de58804c9e7df199efc939f9bb3b26a2926e27dd14a713
ISSN 1345-2843
IngestDate Wed Sep 03 06:08:47 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed false
IsScholarly true
Issue 11
Language Japanese
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-j2480-508ffc7d34df41a9e90de58804c9e7df199efc939f9bb3b26a2926e27dd14a713
OpenAccessLink https://www.jstage.jst.go.jp/article/jjsa/74/11/74_2968/_article/-char/ja
PageCount 6
ParticipantIDs jstage_primary_article_jjsa_74_11_74_2968_article_char_ja
PublicationCentury 2000
PublicationDate 20130000
PublicationDateYYYYMMDD 2013-01-01
PublicationDate_xml – year: 2013
  text: 20130000
PublicationDecade 2010
PublicationTitle 日本臨床外科学会雑誌
PublicationTitleAlternate 日臨外会誌
PublicationYear 2013
Publisher 日本臨床外科学会
Publisher_xml – name: 日本臨床外科学会
References 18) Fujii Y, Yamamoto S, Yonese J, et al : A novel technique to prevent postradical retropubic prostatectomy inguinal hernia : the processus vaginalis transection method. Urology 2010 ; 75 : 713-717
28) Hicks J, Douglas J, Eden CG : Incidence of inguinal hernia after radical retropubic, perineal and laparoscopic prostatectomy. Int J Urol 2009 ; 16 : 588
19) Taguchi K, Yasui T, Kubota H, et al : Simple method of preventing postoperative inguinal hernia after radical retropubic prostatectomy. Urology 2010 ; 76 : 1083-1087
4) Stranne J, Lodding P : Inguinal hernia after radical retropubic prostatectomy : risk factors and prevention. Nat Rev Urol 2011 ; 8 : 267-273
15) Fukuta F, Hisasue S, Yanase M, et al : Preoperative computed tomography finding predicts for postoperative inguinal hernia : new perspective for radical prostatectomy-related inguinal hernia. Urology 2006 ; 68 : 267-271
2) Abe T, Shinohara N, Harabayashi T, et al : Postoperative inguinal hernia after radical prostatectomy for prostate cancer. Urology 2007 ; 69 : 326-329
22) Twu CM, Ou YC, Yang CR, et al : Predicting risk factors for inguinal hernia after radical retropubic prostatectomy. Urology 2005 ; 66 : 814-818
6) Stranne J, Hugosson J, Lodding P : Inguinal hernia is a common complication in lower midline incision surgery. Hernia 2007 ; 11 : 247-252
8) 中川基人，武田　真，岡林剛史他:恥骨後式前立腺全摘術後の鼠径ヘルニアの検討．日臨外会誌　2009;70:363-367
5) Stranne J, Aus G, Bergdahl S, et al : Post-radical prostatectomy inguinal hernia : a simple surgical intervention can substantially reduce the incidence—results from a prospective randomized trial. J Urol 2010 ; 184 : 984-989
10) Stranne J, Johansson E, Nilsson A, et al : Inguinal hernia after radical prostatectomy for prostate cancer : results from a randomized setting and a nonrandomized setting. Eur Urol 2010 ; 58 : 719-726
17) Sakai Y, Okuno T, Kijima T, et al : Simple prophylactic procedure of inguinal hernia after radical retropubic prostatectomy : isolation of the spermatic cord. Int J Urol 2009 ; 16 : 848-851
7) R Development Core Team : R : A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, 2012
13) Ichioka K, Yoshimura K, Utsunomiya N, et al : High incidence of inguinal hernia after radical retropubic prostatectomy. Urology 2004 ; 63 : 278-281
16) Marien T, Taouli B, Telegrafi S, et al : Optimizing the detection of subclinical inguinal hernias in men undergoing open radical retropubic prostatectomy. BJU Int 2010 ; 106 : 1468-1472
24) Matsubara A, Yoneda T, Nakamoto T, et al : Inguinal hernia after radical perineal prostatectomy : comparison with the retropubic approach. Urology 2007 ; 70 : 1152-1156
9) Yoshimine S, Miyajima A, Nakagawa K, et al : Extraperitoneal approach induces postoperative inguinal hernia compared with transperitoneal approach after laparoscopic radical prostatectomy. Jpn J Clin Oncol 2010 ; 40 : 349-352
25) Lepor H, Robbins D : Inguinal hernias in men undergoing open radical retropubic prostatectomy. Urology 2007 ; 70 : 961-964
14) Stranne J, Hugosson J, Lodding P : Post-radical retropubic prostatectomy inguinal hernia : an analysis of risk factors with special reference to preoperative inguinal hernia morbidity and pelvic lymph node dissection. J Urol 2006 ; 176 : 2072-2076
12) Watson DS, Sharp KW, Vasquez JM, et al : Incidence of inguinal hernias diagnosed during laparoscopy. South Med J 1994 ; 87 : 23-25
29) Sun M, Lughezzani G, Alasker A, et al : Comparative study of inguinal hernia repair after radical prostatectomy, prostate biopsy, transurethral resection of the prostate or pelvic lymph node dissection. J Urol 2010 ; 183 : 970-975
3) Lodding P, Bergdahl C, Nyberg M, et al : Inguinal hernia after radical retropubic prostatectomy for prostate cancer : a study of incidence and risk factors in comparison to no operation and lymphadenectomy. J Urol 2001 ; 166 : 964-967
26) Koie T, Yoneyama T, Kamimura N, et al : Frequency of postoperative inguinal hernia after endoscope-assisted mini-laparotomy and conventional retropubic radical prostatectomies. Int J Urol 2008 ; 15 : 226-229
27) Sekita N, Suzuki H, Kamijima S, et al : Incidence of inguinal hernia after prostate surgery : open radical retropubic prostatectomy versus open simple prostatectomy versus transurethral resection of the prostate. Int J Urol 2009 ; 16 : 110-113
31) Fukuhara H, Nishimatsu H, Suzuki M, et al : Lower incidence of inguinal hernia after radical prostatectomy using open gasless endoscopic single-site surgery. Prostate Cancer Prostatic Dis 2011 ; 14 : 162-165
21) Nomura T, Mimata H, Kitamura H, et al : Lower incidence of inguinal hernia : minilaparotomy radical retropubic prostatectomy compared with conventional technique. A preliminary report. Urol Int 2005 ; 74 : 32-37
11) Ichioka K, Kohei N, Yoshimura K, et al : Impact of retraction of vas deferens in postradical prostatectomy inguinal hernia. Urology 2007 ; 70 : 511-514
20) Tsai PJ, Yu CC, Lee YH, et al : Inguinal hernia after radical retropubic prostatectomy—experience of Kaohsiung Veterans General Hospital. J Chin Med Assoc 2004 ; 67 : 141-144
1) Regan TC, Mordkin RM, Constantinople NL, et al : Incidence of inguinal hernias following radical retropubic prostatectomy. Urology 1996 ; 47 : 536-537
23) Stranne J, Hugosson J, Iversen P, et al : Inguinal hernia in stage M0 prostate cancer : a comparison of incidence in men treated with and without radical retropubic prostatectomy—an analysis of 1105 patients. Urology 2005 ; 65 : 847-851
30) Lughezzani G, Sun M, Perrotte P, et al : Comparative study of inguinal hernia repair rates after radical prostatectomy or external beam radiotherapy. Int J Radiat Oncol Biol Phys 2010 ; 78 : 1307-1313
References_xml – reference: 4) Stranne J, Lodding P : Inguinal hernia after radical retropubic prostatectomy : risk factors and prevention. Nat Rev Urol 2011 ; 8 : 267-273
– reference: 17) Sakai Y, Okuno T, Kijima T, et al : Simple prophylactic procedure of inguinal hernia after radical retropubic prostatectomy : isolation of the spermatic cord. Int J Urol 2009 ; 16 : 848-851
– reference: 13) Ichioka K, Yoshimura K, Utsunomiya N, et al : High incidence of inguinal hernia after radical retropubic prostatectomy. Urology 2004 ; 63 : 278-281
– reference: 20) Tsai PJ, Yu CC, Lee YH, et al : Inguinal hernia after radical retropubic prostatectomy—experience of Kaohsiung Veterans General Hospital. J Chin Med Assoc 2004 ; 67 : 141-144
– reference: 9) Yoshimine S, Miyajima A, Nakagawa K, et al : Extraperitoneal approach induces postoperative inguinal hernia compared with transperitoneal approach after laparoscopic radical prostatectomy. Jpn J Clin Oncol 2010 ; 40 : 349-352
– reference: 8) 中川基人，武田　真，岡林剛史他:恥骨後式前立腺全摘術後の鼠径ヘルニアの検討．日臨外会誌　2009;70:363-367
– reference: 1) Regan TC, Mordkin RM, Constantinople NL, et al : Incidence of inguinal hernias following radical retropubic prostatectomy. Urology 1996 ; 47 : 536-537
– reference: 12) Watson DS, Sharp KW, Vasquez JM, et al : Incidence of inguinal hernias diagnosed during laparoscopy. South Med J 1994 ; 87 : 23-25
– reference: 30) Lughezzani G, Sun M, Perrotte P, et al : Comparative study of inguinal hernia repair rates after radical prostatectomy or external beam radiotherapy. Int J Radiat Oncol Biol Phys 2010 ; 78 : 1307-1313
– reference: 15) Fukuta F, Hisasue S, Yanase M, et al : Preoperative computed tomography finding predicts for postoperative inguinal hernia : new perspective for radical prostatectomy-related inguinal hernia. Urology 2006 ; 68 : 267-271
– reference: 23) Stranne J, Hugosson J, Iversen P, et al : Inguinal hernia in stage M0 prostate cancer : a comparison of incidence in men treated with and without radical retropubic prostatectomy—an analysis of 1105 patients. Urology 2005 ; 65 : 847-851
– reference: 18) Fujii Y, Yamamoto S, Yonese J, et al : A novel technique to prevent postradical retropubic prostatectomy inguinal hernia : the processus vaginalis transection method. Urology 2010 ; 75 : 713-717
– reference: 25) Lepor H, Robbins D : Inguinal hernias in men undergoing open radical retropubic prostatectomy. Urology 2007 ; 70 : 961-964
– reference: 24) Matsubara A, Yoneda T, Nakamoto T, et al : Inguinal hernia after radical perineal prostatectomy : comparison with the retropubic approach. Urology 2007 ; 70 : 1152-1156
– reference: 28) Hicks J, Douglas J, Eden CG : Incidence of inguinal hernia after radical retropubic, perineal and laparoscopic prostatectomy. Int J Urol 2009 ; 16 : 588
– reference: 5) Stranne J, Aus G, Bergdahl S, et al : Post-radical prostatectomy inguinal hernia : a simple surgical intervention can substantially reduce the incidence—results from a prospective randomized trial. J Urol 2010 ; 184 : 984-989
– reference: 22) Twu CM, Ou YC, Yang CR, et al : Predicting risk factors for inguinal hernia after radical retropubic prostatectomy. Urology 2005 ; 66 : 814-818
– reference: 26) Koie T, Yoneyama T, Kamimura N, et al : Frequency of postoperative inguinal hernia after endoscope-assisted mini-laparotomy and conventional retropubic radical prostatectomies. Int J Urol 2008 ; 15 : 226-229
– reference: 6) Stranne J, Hugosson J, Lodding P : Inguinal hernia is a common complication in lower midline incision surgery. Hernia 2007 ; 11 : 247-252
– reference: 19) Taguchi K, Yasui T, Kubota H, et al : Simple method of preventing postoperative inguinal hernia after radical retropubic prostatectomy. Urology 2010 ; 76 : 1083-1087
– reference: 27) Sekita N, Suzuki H, Kamijima S, et al : Incidence of inguinal hernia after prostate surgery : open radical retropubic prostatectomy versus open simple prostatectomy versus transurethral resection of the prostate. Int J Urol 2009 ; 16 : 110-113
– reference: 7) R Development Core Team : R : A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, 2012
– reference: 21) Nomura T, Mimata H, Kitamura H, et al : Lower incidence of inguinal hernia : minilaparotomy radical retropubic prostatectomy compared with conventional technique. A preliminary report. Urol Int 2005 ; 74 : 32-37
– reference: 14) Stranne J, Hugosson J, Lodding P : Post-radical retropubic prostatectomy inguinal hernia : an analysis of risk factors with special reference to preoperative inguinal hernia morbidity and pelvic lymph node dissection. J Urol 2006 ; 176 : 2072-2076
– reference: 10) Stranne J, Johansson E, Nilsson A, et al : Inguinal hernia after radical prostatectomy for prostate cancer : results from a randomized setting and a nonrandomized setting. Eur Urol 2010 ; 58 : 719-726
– reference: 29) Sun M, Lughezzani G, Alasker A, et al : Comparative study of inguinal hernia repair after radical prostatectomy, prostate biopsy, transurethral resection of the prostate or pelvic lymph node dissection. J Urol 2010 ; 183 : 970-975
– reference: 11) Ichioka K, Kohei N, Yoshimura K, et al : Impact of retraction of vas deferens in postradical prostatectomy inguinal hernia. Urology 2007 ; 70 : 511-514
– reference: 2) Abe T, Shinohara N, Harabayashi T, et al : Postoperative inguinal hernia after radical prostatectomy for prostate cancer. Urology 2007 ; 69 : 326-329
– reference: 31) Fukuhara H, Nishimatsu H, Suzuki M, et al : Lower incidence of inguinal hernia after radical prostatectomy using open gasless endoscopic single-site surgery. Prostate Cancer Prostatic Dis 2011 ; 14 : 162-165
– reference: 3) Lodding P, Bergdahl C, Nyberg M, et al : Inguinal hernia after radical retropubic prostatectomy for prostate cancer : a study of incidence and risk factors in comparison to no operation and lymphadenectomy. J Urol 2001 ; 166 : 964-967
– reference: 16) Marien T, Taouli B, Telegrafi S, et al : Optimizing the detection of subclinical inguinal hernias in men undergoing open radical retropubic prostatectomy. BJU Int 2010 ; 106 : 1468-1472
SSID ssib002222505
ssib029852155
ssib039893138
ssib043658141
ssib058493876
ssj0061900
ssib000940327
ssib002822084
ssib002484630
ssib002484631
Score 1.9017394
Snippet ...
SourceID jstage
SourceType Publisher
StartPage 2968
SubjectTerms subclinical IH
根治的恥骨後前立腺摘除術
鼠径ヘルニア
Title 根治的恥骨後前立腺摘除術後に発症した鼠径ヘルニアの検討
URI https://www.jstage.jst.go.jp/article/jjsa/74/11/74_2968/_article/-char/ja
Volume 74
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX 日本臨床外科学会雑誌, 2013, Vol.74(11), pp.2968-2973
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3Na9RAFA-lXryIUsVvenCOW5OZ2cy842SbUhSFQgu9LZtN9rCHKtpeeltbEakK4qGtCFapUCx48GaV_jOhu-1_4XszSTeFHurHJby8eW_mvTcJ83tDXsbz7sg0hRBUWsO3LanhiteuJWnQQiAnWoq3lQgzqnd-8DCcnpP35uvzI6Njla-WlhaTifbyqXUlfzOryMN5pSrZP5jZ406RgTTOL15xhvF6pjlmcciMzyIgIuIsilisGBimJXF0wEydxcCMYUazuM6imOkGERqYniRhEzGNWpppbDWkBQEDTVqAipKaDHJERV3Ynt1YYLWQUEyrogmOiSnqJ2qQkYW6tE3CDmEJ6scS2hGcGV4OEVsHJYOGNQONjKtg2lqrrI8hyRgrhmYUzmIcDBHUQ2idVeQdcSaZQY4k2zBc5GxkmzTFSh_vHFuRSQa-tcinIBVDaXo2ST4S1mCUw6H9oWJIY-qYRMhG6eRDG-ewsMqYoXyd_CBXsEucUlXKR8iFU_qvU3go5EBXHZfyxYxYH90RqeWmjqvGtS_g_4pcZUkTsl5DEOLGyByP8io62ae6DrrTksr3PaiuauCOPioQEh13dtrqKyCgn9d2u09bE0pODLVO_M-8eFuaJNZUElNQupJws2yigsNmF7Oec1ypgD7UvT9TSRpA-oJXNyE44fgK6ERMXUmK3f2Jam3uD6uzOWiEsMPqbAEI4YPhqiQFgvRgmDQgYgehCcQ7vBcipHb_Iiji7MprKBh3q6FAiNvFhK_8WNTi19mL3oUi8Rw3zvlL3ki3NebN9Ld-9L__HLxf7fe-HH3dOdh_dfDy9WB37fD5Xv_txtHm9uGnd8jMe7uDzb3B-ou8t573Ph792jrYX81XNvKV3XxlLX_2Oe99629_ONx5c9mbm4pnG9O14pCVWhcD49cwQet02ioVMu3IoAUZ-GlWx1VdtiFTaScAyDptENCBJBEJD1sceJhxlaaBbKlAXPFGFx4tZFe9cT-DRPI04VmQSU7n4IUpxqsdhCpDgJxd88BFoPnY_UmnefZn4fo_6N7wznN7iA1tnN70RhefLGW3MJVYTG7bJ-s3e5zitg
linkProvider Colorado Alliance of Research Libraries
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E6%A0%B9%E6%B2%BB%E7%9A%84%E6%81%A5%E9%AA%A8%E5%BE%8C%E5%89%8D%E7%AB%8B%E8%85%BA%E6%91%98%E9%99%A4%E8%A1%93%E5%BE%8C%E3%81%AB%E7%99%BA%E7%97%87%E3%81%97%E3%81%9F%E9%BC%A0%E5%BE%84%E3%83%98%E3%83%AB%E3%83%8B%E3%82%A2%E3%81%AE%E6%A4%9C%E8%A8%8E&rft.jtitle=%E6%97%A5%E6%9C%AC%E8%87%A8%E5%BA%8A%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A%E9%9B%91%E8%AA%8C&rft.au=%E4%BD%90%E3%80%85%E6%9C%A8%2C+%E8%B3%A2%E4%B8%80&rft.au=%E6%96%8E%E8%97%A4%2C+%E6%85%B6%E5%A4%AA&rft.au=%E5%A5%A5%E8%B0%B7%2C+%E6%B5%A9%E4%B8%80&rft.au=%E5%AE%87%E9%87%8E%2C+%E6%99%BA%E5%AD%90&rft.date=2013&rft.pub=%E6%97%A5%E6%9C%AC%E8%87%A8%E5%BA%8A%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A&rft.issn=1345-2843&rft.eissn=1882-5133&rft.volume=74&rft.issue=11&rft.spage=2968&rft.epage=2973&rft_id=info:doi/10.3919%2Fjjsa.74.2968&rft.externalDocID=article_jjsa_74_11_74_2968_article_char_ja
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1345-2843&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1345-2843&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1345-2843&client=summon