A5027990356- Lung Cancer Diagnosis and Treatment
- Tracheal and airway disorders
- Pleural and Pulmonary Diseases
- Medical Imaging and Pathology Studies
- Congenital Diaphragmatic Hernia Studies
- Trauma Management and Diagnosis
- Cancer Diagnosis and Treatment
- Lung Cancer Treatments and Mutations
- Airway Management and Intubation Techniques
- Metastasis and carcinoma case studies
- Salivary Gland Tumors Diagnosis and Treatment
- Neuroendocrine Tumor Research Advances
- Gastric Cancer Management and Outcomes
- Lung Cancer Research Studies
- Cardiac tumors and thrombi
- Pneumothorax, Barotrauma, Emphysema
- Sarcoma Diagnosis and Treatment
- Head and Neck Surgical Oncology
- Hepatocellular Carcinoma Treatment and Prognosis
- Multiple and Secondary Primary Cancers
- Myasthenia Gravis and Thymoma
- Head and Neck Cancer Studies
- Voice and Speech Disorders
- Radiomics and Machine Learning in Medical Imaging
- Oral and Maxillofacial Pathology
Maebashi Red Cross Hospital
2016-2025
Queen Elizabeth Hospital Birmingham
2019
University of Edinburgh
2019
Amosov National Institute of Cardiovascular Surgery
2019
National Heart Institute
2019
Medical University Plovdiv
2019
Hiroshima University
2017
Gunma University
2000-2016
Obayashi (Japan)
2015
National Hospital Organization
2015
General thoracic surgeons must be familiar with anatomical variations in the pulmonary bronchi and vessels. We analyzed bronchovascular pattern of right upper lung lobe using three-dimensional CT angiography bronchography then compared our results those previous reports.We reviewed bronchus vessels 263 patients 3DCT images obtained a 64-channel multidetector workstation running volume-rendering reconstruction software.Variations vein were classified into four types: "anterior-plus-central...
Thoracic surgeons must be erudite pulmonary vein variation when performing anatomical segmentectomy. We used three-dimensional CT (3DCT) to accumulate variations of the veins right upper lobe (RUL) and created a simplified RUL model.We reviewed 338 patients using 3DCT images, classified them by position related with bronchus.Of "anterior" "central" veins, all could into 4 types: 2 Anterior Central types (Iab Ib), 1 type, type. The type was observed in 273 (81 %), further two according origin...
Although early removal of postoperative chest drains in segmentectomy may be difficult due to the management air leakage intersegmental planes, patients can discharged earlier if it is successfully achieved. In segmentectomy, we evaluated feasibility day (POD) 1 discharge using a minimally invasive approach (MIA) after drain on surgery (DOS). Ninety who underwent via MIA between July 2021 and September 2023 were included this retrospective study. These divided into those received DOS or DOS....
Performing a bronchial sleeve resection followed by bronchoplasty is considered technically challenging. This procedure still frequently performed via thoracotomy, although thoracoscopic approaches are also used. Compared to the approach, robotic approach offers distinct advantages for performing demanding procedures. Additionally, anastomosis easier perform with due its unique characteristics, such as use of articulated forceps. In this video tutorial, we demonstrate intermediate trunk...
Many articles document the efficacy of fissureless technique, most which focus on a right upper lobectomy. However, there are few reports left lobectomy, especially using robotic approach. This report presents successful case lobectomy in patient with dense fissure. The total console time was 111 minutes. postoperative course uneventful, chest tube being removed day 1. successfully discharged 2. final pathology confirmed adenocarcinoma, staged as pT1cN1M0, stage IIB. Precise preoperative...
KRAS and epidermal growth factor receptor (EGFR) mutations are thought to play an important role in the carcinogenesis of lung adenocarcinoma. However, clinicopathological findings mutated adenocarcinoma cases have not yet been fully clarified. The authors analyzed relationship between mutation corresponding findings, focusing on nonmucinous mucinous bronchioloalveolar elements.EGFR were detected DNA samples extracted from 182 surgically resected tissues adenocarcinomas by Smart...
We describe the benefits of a three-dimensional multidetector computed tomography angiography and bronchography-guided segmentectomy technique. Preoperative determination anatomical intersegmental plane is possible by visualizing segmental branches pulmonary veins bronchi. This new technique may be useful in lung.
Video-assisted thoracoscopic surgery (VATS) has been recognized as a standard procedure, but whether uniport VATS (U-VATS) is more effective and minimally invasive approach compared with multiport (M-VATS) controversial.The medical records of 184 patients in the M-VATS group 69 U-VATS who underwent anatomical lung resection from April 2017 to July 2020 at our institution were retrospectively reviewed. Postoperative outcomes among M-VATS. Multivariate analysis was performed identify factors...
Most studies have shown that thoracic epidural analgesia reduces postoperative pain, but it carries potential risks. Recently, video-assisted thoracoscopic surgery has become an established technique causes minimal pain. This report shows is not always necessary after lobectomy. From January to December 2007, 30 consecutive patients who underwent lobectomy were examined retrospectively. We analyzed the necessity for routine analgesia. The continuous subcutaneous catheter morphine (2 mg in 48...
The appropriate lateral and posterior basal (S9 + 10) segmentectomy requires exposure recognition of common pulmonary vein branches located deeply in the lung parenchyma. Therefore, we applied intersegmental tunnelling method S9 10 to recognize dominant veins segment accurately. Between April 2014 December 2015, five patients underwent thoracoscopic using tunnelling. By this technique, can affected This technique let us perform segmentectomy.
Cross-clamping the main pulmonary artery (PA) is a risky, stressful procedure for general thoracic surgeon performing video-assisted major resection (VATS). However, converting VATS to thoracotomy each time PA clamping planned poor tactic. We present simpler technique than traditional method involving thoracotomy. In VATS, DeBakey vascular clamps with double angle jaws are inserted through 1-cm access incisions. clamped so as maintain limited visual field working port. Thus, we modified...
Prolonged air leakage after a lobectomy remains frequent complication in patients with dense fissures. To avoid postoperative leakage, we used the "thoracoscopic fissureless technique" for A thoracoscopic approach is useful technique because it gives good operative view from various angles without dividing fissure. In this study, compared peri- or intraoperative results of lobectomies to traditional fissure dissection pulmonary artery (PA) exposure order identify efficacy lobectomy.Between...
Although video-assisted thoracoscopic surgery (VATS) segmentectomy has become widespread, the advantage of uniportal VATS (U-VATS) over multiportal (M-VATS) remains controversial. The purpose this study was to verify safety and usefulness U-VATS compared with conventional hybrid/multiportal segmentectomy.Here, we retrospectively reviewed data from anatomical pulmonary cases in a single institution March 2010 2021. Patients were divided into (H/M-VATS) groups. Perioperative results between...
Few studies have described video-assisted thoracic surgery (VATS) to bronchoplasty with pulmonary resection. Here, we report the successful implementation of VATS bronchoplasty, as determined retrospectively. Between 2005 and 2010, 362 patients underwent elective lung resection for malignant or benign tumors. Of these patients, lobectomy was performed in seven (four men, three women; median age, 72.9 years). The medical records were retrospectively reviewed. six had primary cancer (PLC), one...