A5027640195- Colorectal Cancer Treatments and Studies
- Colorectal Cancer Surgical Treatments
- Appendicitis Diagnosis and Management
- Hernia repair and management
- Gastric Cancer Management and Outcomes
- Pancreatic and Hepatic Oncology Research
- Gastrointestinal Tumor Research and Treatment
- Intestinal and Peritoneal Adhesions
- Genetic factors in colorectal cancer
- Colorectal and Anal Carcinomas
- Gastrointestinal disorders and treatments
- Minimally Invasive Surgical Techniques
- Pelvic and Acetabular Injuries
- Abdominal vascular conditions and treatments
- Hepatocellular Carcinoma Treatment and Prognosis
- Cancer Research and Treatments
- Abdominal Surgery and Complications
- Diverticular Disease and Complications
- Genetic and Kidney Cyst Diseases
- Bipolar Disorder and Treatment
- Pharmacy and Medical Practices
- Esophageal and GI Pathology
- Cancer Treatment and Pharmacology
- Stoma care and complications
- Renal cell carcinoma treatment
Kyoto University
1978-2024
Yokohama Municipal Minato Red Cross Hospital
2016-2019
Japanese Red Cross Kumamoto Hospital
2014
Japanese Foundation For Cancer Research
2011
Yokohama City University
2008
Yokosuka Kyosai Hospital
2005
University of California, San Francisco
1992
Kyoto City Hospital
1978
Background: Laparoscopic surgery for colon cancer in the splenic flexure (SF cancer) is technically demanding and has not been evaluated randomized clinical trials. This study aimed to evaluate safety feasibility of laparoscopic SF cancer. Methods: Thirty-three patients undergoing (LAC group) were retrospectively compared with 22 open (OC between April 2003 June 2010. Results: Left hemicolectomy was most performed procedure both groups (79% vs. 82%). Median operating time significantly...
Trifluridine/tipiracil (FTD/TPI) and regorafenib (REG) are standard therapies for refractory metastatic colorectal cancer (mCRC). No results of large real-world data directly comparing FTD/TPI + bevacizumab (BEV) with or REG monotherapy have been reported. We evaluated the efficacy safety BEV in a setting.This retrospective study used Japanese claims database provided by Medical Data Vision Co., Ltd. (Tokyo, Japan). Eligible patients were aged 20 years over diagnosis mCRC, received their...
Abstract Background Bipolar disorder often emerges from depressive episodes and is initially diagnosed as depression. This study aimed to explore the effects of a prior depression diagnosis on outcomes in patients with bipolar disorder. Methods cohort analyzed data aged 18–64 years who received new Japan, using medical claims January 2005 October 2020 provided by JMDC, Inc. The index month was defined time diagnosis. assessed incidence psychiatric hospitalization, all‐cause mortality,...
This study aimed to investigate and compare the surgical complications following laparoscopic inguinal hernia repair (LIHR) with those open (OIHR).This was a retrospective cohort based on nationwide claims data. We extracted data of patients aged ≥20 years who underwent (IHR) between 2009 2020. The primary outcome postoperative IHR, secondary outcomes were recurrence length hospital stay. Patient characteristics adjusted propensity score (PS) matching, annual proportions LIHR versus OIHR...
We recognize that computed tomography (CT) should not be used to diagnosis pediatric appendicitis due radiation exposure. However, few studies have recently shown a trend in its use. This study aimed investigate the annual use of CT for at first hospital visit.This was descriptive using nationwide claims data. extracted data children younger than 15 years who underwent imaging tests diagnose acute and suspected visit between January 2008 September 2018. summarized patient characteristics...
Previous randomized studies have shown a survival benefit of using regorafenib but high rate adverse events in unresectable colorectal cancer patients. To reduce these and improve the tolerability, we examined appropriate dose based on body weight.We used nationwide claims database Japan efficacy safety for patients with metastatic between groups divided by weight (60 kg) median average (120 mg) 2013 2018. We also assessed overall (OS) groups.We identified 2530 Japanese (heavy weight/high...
症例は64歳，男性．平成16年より黒色便を自覚し，上部・下部消化管内視鏡検査を施行されたが病変は指摘されなかった．その後も黒色便が持続していたため，平成18年12月，CT検査を施行した．骨盤内に10cm大のiso densityな腫瘤性病変を認めた．小腸腫瘍の診断で切除術の予定であったが，平成19年1月，嘔吐と腹部膨満感が出現し腹部単純X線写真で鏡面形成を認めたことから小腸腫瘍による腸閉塞と診断しイレウス管挿入した．しかし症状の改善を認めないため緊急手術を施行した．腫瘍はTreitz靱帯から270cm肛門側，回盲弁より240cm口側の回腸に存在し，同部位で回腸が時計周りに180°回転していた．小腸軸捻転症による腸閉塞と術前診断し腫瘍摘出術，回腸部分切除術を施行した．病理組織学的に中悪性度の回腸GISTと診断された．回腸GISTに起因する続発性小腸捻転症について文献的考察を加え報告した．
症例は55歳,女性.平成12年に子宮頸癌に対して子宮全摘術を施行され,その後術後補助化学療法,放射線療法を施行された.平成20年5月下旬,右下腹部痛が出現し救急外来を受診した.腹部全体に圧痛を認め,腹部レントゲン写真でFree airを認めた.CT上,腹水の貯留も認めたため,同日,上部消化管穿孔の疑いで緊急手術を施行した.術中所見では無臭で黄色透明の腹水貯留を認めたが,消化管の穿孔は認めなかった.術後3日目,尿道バルーンカテーテルを抜去した後,尿量の減少と黄色透明な腹水の増加を認めた.再度バルーンカテーテルを留置すると尿量の増加と腹水の減少を認め,放射線治療後の膀胱自然破裂と診断した.バルーン抜去後,定期的自己導尿を行い症状改善し術後28日に軽快退院となった.放射線治療後の膀胱自然破裂の報告は散見されるが,Free airを伴った症例は非常に稀であり,文献的考察を加えて報告する.
Background: Minimally invasive techniques have been applied with increasing frequency to stoma creation. A recent focus in the field of minimally surgery is laparoscopic single-site surgery. The aim this study was assess whether procedure a feasible option compared other Materials and Methods: We introduced fecal diversion April 2010 at Cancer Institute Hospital Japanese Foundation for Research. This technique performed on 53 patients, including 15 surgeries, from December 2011. Results: Of...
Abstract Background Bipolar disorder often emerges from depressive episodes and is initially diagnosed as depression. This study aimed to explore the effects of a prior depression diagnosis on outcomes in patients with bipolar disorder. Methods cohort analyzed data aged 18–64 years who received new Japan, using medical claims January 2005 October 2020 provided by JMDC, Inc. The index month was defined time diagnosis. assessed incidence psychiatric hospitalization, all-cause mortality,...
近年,高速道路敷地内外を問わず倒木事象が発生しており,効率的なリスク対策が求められている。倒木要因を特定することにより倒木リスクを未然に防止し,効率的な点検を行うため,緑地管理における倒木リスク対策に関する効率化を検討した。倒木事象に関しては,腐朽等の基本的な内的要因と強風等の環境に関する直接的な外的要因による影響がある場合に生じ易いことが推定される。このうち,腐朽等の内的要因の判定については樹木単位での点検が必要であるため,入手が容易な一般的な外的要因および過去に発生した倒木箇所の現地状況等を整理することにより,倒木事象が発生し易い箇所の推定を行うこととした。倒木事象が発生し易い傾向として,台風・大雪等の時期および道路方向と風力・雨量を伴う風向の関係等が傾向として認められた。
ストーマ造設術後のストーマ脱は,ストーマ関連合併症でしばしばみられる.その治療法は,標準的なものが確立されておらず,文献を検索しても少数の報告しかない.これまで,ボタン固定術,自動吻合器による修復術,腹腔鏡下での腸管切除術,Delorme手術を応用した治療,Altemeier法を応用した治療などの報告がある.今回われわれは,直腸脱のAltemeier手術を応用した方法を4例に施行したので報告する.1例は再発を認め,同手術を再度行った.4例とも大きな合併症なく施行することができた.本術式は簡便かつ低侵襲であり,嵌頓した症例に対応できる利点があった.欠点としては,再発する可能性があること,全身麻酔下で行っていること,ボタン法より侵襲が大きく時間が掛かることが挙げられる.ストーマ脱出には種々の状態があり,本術式も治療選択肢の一つとして有用であると思われた.