A5058064569- Hepatocellular Carcinoma Treatment and Prognosis
- Pancreatic and Hepatic Oncology Research
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Pancreatitis Pathology and Treatment
- Neuroendocrine Tumor Research Advances
- Gastric Cancer Management and Outcomes
- Gallbladder and Bile Duct Disorders
- Organ Transplantation Techniques and Outcomes
- MRI in cancer diagnosis
- Liver Disease Diagnosis and Treatment
- Surgical Simulation and Training
- Metastasis and carcinoma case studies
- Congenital Anomalies and Fetal Surgery
- Neuroblastoma Research and Treatments
- Gastrointestinal Tumor Research and Treatment
- Pediatric Hepatobiliary Diseases and Treatments
- Renal cell carcinoma treatment
- Biliary and Gastrointestinal Fistulas
- Esophageal and GI Pathology
- Lung Cancer Research Studies
- Cancer Diagnosis and Treatment
- Intraperitoneal and Appendiceal Malignancies
- Augmented Reality Applications
- Colorectal Cancer Treatments and Studies
- Vascular anomalies and interventions
Tokyo Women's Medical University
2022-2025
Tokyo Metropolitan Komagome Hospital
2018-2022
New Tokyo Hospital
2019-2021
Hakodate Central General Hospital
2020
Kurashiki Central Hospital
2010-2018
Creative Research Enterprises (United States)
2016
National Cancer Center Hospital East
2014
Abstract Background In the absence of randomized controlled data and even propensity-matched data, indications for, outcomes of, laparoscopic repeat liver resection for hepatocellular carcinoma (HCC) remain uncertain. This study aimed to clarify current HCC, evaluate outcomes. Methods Forty-two surgery centres around world registered patients who underwent HCC. Patient characteristics, preoperative function, tumour surgical method, short- long-term were recorded. Results Analyses showed that...
Pancreatic ductal adenocarcinoma (PDAC) with a diameter ≤10 mm and high-grade pancreatic intraepithelial neoplasia (HG-PanIN) require pre-operative diagnosis. Most cases present only indirect imaging findings without visible tumors on endoscopic ultrasound (EUS). Therefore, EUS-guided fine-needle aspiration/biopsy is not applicable. An alternative diagnostic method juice cytology (PJC) via naso-pancreatic drainage (ENPD-PJC), which the standard practice. This study aimed to investigate...
AIMTo evaluate a laparoscopic approach to gallbladder lesions including polyps, wall-thickening lesions, and suspected T1 T2 cancer (GBC).
Abstract Background A large amount of blood flows in and out the liver through inflow system consisting portal vein hepatic artery within Glissonean cord outflow constituted by veins. Methods During parenchymal dissection, useful methods to maintain a dry operative field are control with Pringle maneuver managing central venous pressure. Additionally, mature techniques dissecting parenchyma, which can prevent injury vessels appropriately promptly stop bleeding, fundamental. Similar...
Pancreaticobiliary maljunction (PBM) is a high risk factor for biliary tract cancer. In PBM, since the pancreatic duct and bile converge outside duodenal wall beyond influence of sphincter Oddi, juice are constantly mixed, producing variety harmful substances. Because this, mucosa repeatedly damaged repaired, which causes an acceleration cell proliferative activity multiple gene mutations. Histological changes such as hyperplasia, metaplasia, dysplasia ultimately result in incidence...
Obesity is generally reported to increase the risk of surgical complications. There have been few reports laparoscopic hepatectomy (LH) in obese patients. The purpose this study was compare safety and efficacy (1) LH versus open (OH) patients (2) non-obese patients.We introduced at our institution April 2014. performed 63 108 from 2014 May 2017. OH 79 January 2010 This retrospectively compared short-term outcomes group with those group.In patient characteristics, included a significantly...
In our process of standardizing laparoscopic right hemihepatectomy (Lap-RH), we found several advantages the caudate lobe first approach by using a unique caudodorsal view.Between April 2012 and October 2017, 21 patients underwent pure Lap-RH at hospital. The mean patient age was 62 years (range 36-75 years), there were more male than female (66.7%). Of patients, 11 had hepatocellular carcinoma, eight metastatic tumor, other two focal nodular hyperplasia refractory liver abscess. All...
Less morbidity is considered among the advantages of laparoscopic liver resection (LLR) for HCC patients. However, our previous international, multi-institutional, propensity score-based study emerging repeat (LRLR) failed to prove this advantage. We hypothesize that these results may be since included complex LRLR cases performed during procedure’s developing stage. To examine it, subgroup analysis based on score were performed, defining proximity tumors major vessels as indicator cases....
The ideal reconstruction method for pancreaticoduodenectomy following a gastrectomy with Billroth II or Roux-en-Y is unclear.We reviewed series of seven pancreaticoduodenectomies performed after the method.While preserving existing gastrojejunostomy esophagojejunostomy, pancreaticojejunostomy and hepaticojejunostomy were by using new Roux limb in all cases. Four patients experienced postoperative complications, although specific complications varied.A review literature revealed 13 cases...
Abstract Aim This study was performed to evaluate the efficacy of a multidisciplinary approach incorporating neoadjuvant chemoradiotherapy with S1 (S1‐NACRT) for resectable pancreatic ductal adenocarcinoma. Methods The medical records 132 patients who received S1‐NACRT adenocarcinoma from 2010 2019 were reviewed. regimen consisted at dose 80‐120 mg/body/day together 1.8 Gy radiation in 28 fractions. re‐evaluated 4 weeks after completion, and pancreatectomy then considered. Results Adverse...
Laparoscopic anatomic resection of S7 is challenging. Ome and colleagues described an intrahepatic approach to the Glissonean pedicles from dorsal side without dissection around hepatic hilum, allowing safe exposure right vein in same view. This offers advantages for later hepatectomy. None declared. Please note: The publisher not responsible content or functionality any supporting information supplied by authors. Any queries (other than missing content) should be directed corresponding...
Undifferentiated carcinomas with osteoclast-like giant cells (UC-OGCs) of the ampullary region are very rare, only a few cases reported to date. The clinicopathological features, treatment options, and prognosis UC-OGCs unclear. This report describes patient region.A 78-year-old male was admitted for epigastric pain fever. Contrast-enhanced computed tomography revealed 2.6-cm mass at duodenal papilla. Duodenoscopy smooth red protruding compressing orifice papilla Vater. Biopsy showed...
We report the short-term clinical outcomes of a delta-shaped (DS) anastomosis in laparoscopic distal gastrectomy (LDG), comparing Endo GIA™ Reinforced Reload (Reinforced GIA) with (GIA) staplers.This was retrospective analysis 40 patients who underwent totally LDG DS GIA (group A) and 90 same procedure B) for T1-T3 gastric cancer from May 2013 to December 2016. Operation time, intraoperative blood loss, hospital length stay, reconstruction complications were compared.No required conversion...
症例は74歳，女性．黄疸を主訴に前医を受診した．肝門部胆管癌が疑われ当科紹介となり，肝拡大右葉尾状葉切除・肝外胆管切除・門脈合併切除術を施行した．術後病理診断にてWHO分類の神経内分泌細胞癌（neuroendocrine cell carcinoma:NEC）G3と診断した．上下部消化管内視鏡検査・CT・MRI・術中所見などで他部位に病変を認めず，肝原発NECと考えられた．術後4カ月後に残肝再発をきたし，化学療法中である．神経内分泌腫瘍（neuroendocrine tumor:NET）は，消化管や膵などに多く，肝原発のものは非常に稀である．肝原発NECについて文献的考察を加え，報告する．
Whether albumin and bilirubin levels, platelet counts, ALBI, ALPlat scores could be useful for the assessment of permanent liver functional deterioration after repeat resection was examined, laparoscopic procedure evaluated. For 657 patients with segment or less in whom results plasma levels counts before 3 months surgery retrieved, indicators were compared surgery. There 268 who underwent open previous resection, 224 resection. The background factors, their changes between both groups....
Right umbilical portion (RUP) is a rare congenital anomaly associated with anomalous ramifications of the hepatic vessels and biliary system. As such, major hepatectomy requires careful approach. We describe usefulness Glissonean approach in two patients vessel anomalies, such as RUP. The first patient underwent right anterior sectionectomy for intrahepatic cholangiocarcinoma. encircled several pedicles that entered section along side temporarily clamped each pedicle, confirmed demarcation...