- Lung Cancer Diagnosis and Treatment
- Pleural and Pulmonary Diseases
- Vitamin D Research Studies
- Neuroendocrine Tumor Research Advances
- Tracheal and airway disorders
- Radiomics and Machine Learning in Medical Imaging
- Gastric Cancer Management and Outcomes
- Surgical Simulation and Training
- Metastasis and carcinoma case studies
- Ovarian cancer diagnosis and treatment
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Nutrition and Health in Aging
- Intraperitoneal and Appendiceal Malignancies
- Esophageal and GI Pathology
- Hepatocellular Carcinoma Treatment and Prognosis
- Augmented Reality Applications
- Cancer Risks and Factors
- Congenital Diaphragmatic Hernia Studies
- Lymphatic Disorders and Treatments
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Airway Management and Intubation Techniques
- Medical Imaging and Pathology Studies
- Surgical site infection prevention
- Studies on Chitinases and Chitosanases
- Neurofibromatosis and Schwannoma Cases
Jikei University Kashiwa hospital
2018-2025
Jikei University School of Medicine
2017-2025
The Jikei University Hospital
2024
Abstract Purpose: Higher serum 25-hydroxyvitamin D (25(OH)D) levels are reportedly associated with better survival in early-stage non–small cell lung cancer (NSCLC). Therefore, whether vitamin supplementation can improve the prognosis of patients NSCLC was examined (UMIN000001869). Patients and Methods: A randomized, double-blind trial comparing supplements (1,200 IU/day) placebo for 1 year after operation conducted. The primary secondary outcomes were relapse-free (RFS) overall (OS),...
Journal Article Wound Dehiscence and Chest Pain After Lobectomy Get access Takuya Akutsu, Akutsu Department of Respiratory Medicine, The Jikei University School Medicine Kashiwa Hospital, Kashiwa, Chiba, Japan Correspondence: K. Tone, 163-1 Kashiwashita, Chiba 277-8567, ([email protected]); T. protected]). Search for other works by this author on: Oxford Academic PubMed Google Scholar Kazuya Tone https://orcid.org/0000-0001-9898-4172 Mina Gochi, Gochi Yo Tsukamoto, Tsukamoto Surgery, Jun...
Abstract Background Distant metastases of ovarian cancer are rarely detected alone. The effectiveness surgical intervention for pulmonary from remains uncertain. This study aimed to investigate the clinicopathologic characteristics and outcomes patients undergoing resection metastasis cancer. Case presentation radical surgery were investigated. Out 537 who underwent at two affiliated hospitals between 2010 2021, four (0.74%) included. aged 67, 47, 21, 59 years; intervals primary detection...
For the purpose of simulating thoracoscopic surgery, we have conducted stepwise development a life-like chest model including thorax and intrathoracic organs.First, CT data human were obtained. First-generation model: based on data, each component was made from 3D printer. A hard resin used for bony rubber-like vessels bronchi. Lung parenchyma, muscles skin not created. Second-generation in addition to printer, cast moulding method used. Each part casted using printed master then assembled....
Difficult thoracoscopic surgery sometimes requires a long operative time. It is unclear whether patients benefit from such surgeries. We investigated for difficult cases contributed to improvements in perioperative outcomes. retrospectively reviewed of anatomical lung resection with surgery, including conversion thoracotomy, between January 2006 and December 2016 compared patient demographics outcomes the (≥360 min) normal time groups (<360 min). One hundred seventy-six were group 655 group....
Weight assessment is an easy-to-understand method of health checkup. The present study investigated the association between weight loss (WL) after lung cancer (LC) surgery and short-mid-term prognosis.The data patients who underwent radical lobectomy for primary LC were assessed December 2017 June 2021. Percentage gain or was determined at 3, 6 12 months postoperatively based on preoperative weight. timing decreased divided into 0-3, 3-6 6-12 months. We also evaluated relationship severe WL...
This study examined whether a resected lung lobe can affect the accuracy of postoperative forced expiratory volume in 1 s (FEV1) predicted using subsegment counting method and three-dimensional computed tomography (3D-CT) volumetry.Overall, 125 patients who underwent lobectomy through video-assisted thoracic surgery were enrolled this retrospective study. Pulmonary function tests performed preoperatively postoperatively at 3 months. We defined index as ratio FEV1 to measured compared 3D-CT...
<title>Abstract</title> Objective: Pulmonary metastases from ovarian cancer are rare, and the efficacy of surgical intervention is unclear. This study aimed to validate for pulmonary cancer. Methods: Cases were taken database Metastatic Lung Tumor Study Group Japan 1996 2021, which prospectively registers cases at participating centers. Only patients who underwent radical surgery included. Factors associated with overall survival (OS) analyzed. Results: The analysis included 48 a mean age...
An 84-year-old woman was referred to our institution with suspected right lung cancer. Subsequently, she underwent thoracoscopic lower lobectomy without mediastinal lymph node dissection. Postoperatively, complained of dyspnea and developed arterial oxygen desaturation after 12 h acute respiratory failure (ARF). emergency chest computed tomography revealed the upper bronchial stenosis hilar peribronchovascular soft tissue edema because middle lobe had been pushed upward forward twisted...
Esophagobronchial fistula (EBF) formation is a severe complication of advanced thoracic malignancies, that affects the prognosis and quality life patients. This study reports case an 80-year-old man with esophageal cancer, complicated by EBF in left main bronchus proximal to carina following chemoradiation therapy. A fully covered stent was placed but dislocated on oral side. The attempt place partially self-expandable metallic (SEMS) also failed due dislocation To avoid dislocation, SEMS...
The present study evaluated the impact of introduction thoracoscopic lung lobectomy (TL) for non-small cell cancer at our institution.This retrospectively compared surgical and oncological outcomes in period before after TL cancer. Propensity score-matched analysis was performed with respect to baseline patient variables tumor characteristics.Patients were divided into two groups: those who underwent (BI group, n=261) (AI TL. proportion TLs institution increased from 1.3% BI group 93% AI...
症例は66歳,女性.胸部レントゲン異常陰影を指摘され当院を紹介受診した.胸部CT検査で右胸腔尾側に長径12 cmの腫瘍を認めた.胸部MRI検査にてT1強調画像で高信号,T2強調画像で低信号を示し囊胞性腫瘍を疑う所見であった.腫瘍摘出術を施行し神経鞘腫と診断した.術翌日より約1,000 ml/dayの乳糜排液を認め乳糜胸と診断した.絶食・高カロリー輸液を行ったが改善を認めないため,術後7日目に胸腔鏡手術を施行した.腫瘍剥離面の横隔膜に近い胸壁から乳糜が漏出する索状物を見出しクリッピングした.腫瘍剥離部の頭尾側で胸管をクリッピングした.その後にも胸壁からわずかに乳糜漏を認めたため,可及的にクリッピングし漏出部位を閉鎖した.術後約200 ml/dayの乳糜漏が持続し,再手術後14日目にOK432 10KEで胸膜癒着術を施行し乳糜胸は停止した.右胸壁巨大神経鞘腫術後に胸壁から乳糜漏を来した稀な症例を経験した.
症例は46歳男性.2日前からの発熱および血痰を主訴に当院救急外来を受診した.胸部CTで右肺中葉に肺膿瘍および肺炎像を認め緊急入院した.第2病日に喀血を認め,胸部造影CTで径10 mmに拡張した血管影を認め,肺膿瘍に伴う感染性仮性肺動脈瘤と診断した.仮性肺動脈瘤に対してtranscatheter arterial embolization(TAE)を施行したが,不成功であった.喀血が持続するため,気管挿管下で気管支鏡検査を施行した.止血のため中葉気管支にEndobronchial Watanabe Spigot(EWS)を充填し止血を図った.第5病日に右肺中葉切除術を施行し肺膿瘍および仮性肺動脈瘤を切除した.術後,肺血栓塞栓症を発症したが第37病日に自宅退院した.今回,我々は肺膿瘍に合併した感染性仮性肺動脈瘤に対してTAE,EWSおよび肺葉切除術を施行し救命し得た1例を経験した.
This study evaluated the feasibility of performing non-intubated video-assisted thoracoscopic surgery (VATS) with local anesthesia for parapneumonic effusion and empyema resistant to conservative treatment.We retrospectively reviewed 80 patients who underwent effusions between 2015 2021. Patients were divided into those received general during surgery. Patient demographics, characteristics, laboratory findings, treatment progress, outcomes compared. The primary duration postoperative...
Abstract Background Whole-layer laparoscopic cholecystectomy (W-LC) has recently been advocated as a total biopsy for potentially malignant neoplasms of the gallbladder; however, it is not an injury-proof procedure. This study reports W-LC using segment IV approach (technique securing whole-layer gallbladder at medial origin cystic plate). Methods Twenty among twenty-five patients diagnosed with polyps underwent this technique. Results Mostly, was performed successfully (median operative...
Metastatic lung tumors rarely present with cystic formations. This is the first report of multiple formations in pulmonary metastases from mucinous borderline ovarian written English.A 41-year-old woman underwent left adnexectomy + partial omentectomy para-aortic lymphadenectomy for a tumor 4 years ago. The pathological finding was microinvasion. A chest computed tomography performed 3 after surgery revealed lesions both lungs. After 1-year follow-up, cysts increased size and wall thickness....
<p>Figure S1. Relapse-free survival curves (A) and overall (B) of patients stratified by 25(OH)D equal to or greater than 30 ng/mL. Figure S2. Kaplan-Meier restricted only adenocarcinoma, both early stages (IA - IIB) adenocarcinoma. S3. SNPs FokI. Mean (SD) in each genotype are as follows; FokI CC, 19.9 (6.2) ng/ml; CT, 21.8 (6.6) TT 21.4 (7.9) ng/ml. S4. BsmI. follows: BsmI AA, 15 (-) AG, 20.2 (6.4) GG 21.7 (6.8) S6. ApaI. ApaI GG, 21.2 (7.2) GT, (6.3) TT, 21.5 (7.7) S7. TaqI. TaqI...
<p>Figure S1. Relapse-free survival curves (A) and overall (B) of patients stratified by 25(OH)D equal to or greater than 30 ng/mL. Figure S2. Kaplan-Meier restricted only adenocarcinoma, both early stages (IA - IIB) adenocarcinoma. S3. SNPs FokI. Mean (SD) in each genotype are as follows; FokI CC, 19.9 (6.2) ng/ml; CT, 21.8 (6.6) TT 21.4 (7.9) ng/ml. S4. BsmI. follows: BsmI AA, 15 (-) AG, 20.2 (6.4) GG 21.7 (6.8) S6. ApaI. ApaI GG, 21.2 (7.2) GT, (6.3) TT, 21.5 (7.7) S7. TaqI. TaqI...