- Gastric Cancer Management and Outcomes
- Esophageal and GI Pathology
- Gastrointestinal Tumor Research and Treatment
- Metastasis and carcinoma case studies
- Esophageal Cancer Research and Treatment
- Cancer Immunotherapy and Biomarkers
- Congenital Diaphragmatic Hernia Studies
- Frailty in Older Adults
- Escherichia coli research studies
- Gastroesophageal reflux and treatments
- Tracheal and airway disorders
- Pelvic and Acetabular Injuries
- Colorectal Cancer Surgical Treatments
- Hernia repair and management
- Nutrition and Health in Aging
- Central Venous Catheters and Hemodialysis
- Gastrointestinal disorders and treatments
- Appendicitis Diagnosis and Management
- Pediatric Urology and Nephrology Studies
- Soft tissue tumor case studies
- Eosinophilic Esophagitis
- Urinary Tract Infections Management
- Enhanced Recovery After Surgery
- Lung Cancer Diagnosis and Treatment
- Food Allergy and Anaphylaxis Research
Fujita Health University
1991-2025
Fujita Health University Hospital
2016-2024
The Japanese Society of Gastroenterological Surgery
2024
Toranomon Hospital
2012-2022
Shiga University of Medical Science
2011
Abstract Background This study aimed to determine the safety and feasibility of minimally invasive gastrectomy in patients who underwent preoperative chemotherapy for highly advanced gastric cancer. Methods Preoperative was indicated with large tumors (≥ cT3 ≥ 5 cm) and/or bulky node metastasis 3 cm × 1 or 1.5 2). Between January 2009 March 2022, 150 followed by R0 resection, including conversion surgery (robotic, 62; laparoscopic, 88). The outcomes these were retrospectively examined....
Robotic gastrectomy (RG) for gastric cancer (GC) has gradually gained nationwide prominence following 2011 guidelines from the Japan Society Endoscopic Surgery (JSES), including surgeons' criteria and proctor system. In this retrospective study, we examined short-term outcomes of initial series RGs performed by second-generation operating surgeons trained within our institute.Between January 2017 April 2020, five each RG in 20 patients with clinical stage III or lower GC accordance JSES...
Esophagectomy represents the standard treatment strategy for superficial esophageal cancer diagnosed pathologically as submucosal disease (pT1b) following an endoscopic resection (ER). However, chemoradiotherapy (CRT) is expected to become alternative option. This study retrospectively compared outcomes of patients who underwent ER squamous cell carcinoma, and received additional in form surgery CRT. Data were collected from 83 pT1b (sm) between January 2002 December 2013. Of them, 52 (19...
Introduction. Gastrectomy considerably affects the gut microbiome; however, association between dysbiosis and post-gastrectomy syndrome remains to be explored. This study prospectively explored fecal microbiota alterations before 3 months after gastrectomy, investigating their potential with weight loss. Methods. The microbiome of 21 patients gastric cancer scheduled for gastrectomy in April–October 2022 was analyzed using 16S rRNA gene Next-Generation Sequencing. Their profiles were...
Postoperative chylothorax is a rare but well-known complication of general thoracic surgery. Medical treatment was reported in the past, there still considerable controversy on appropriate management strategies. Two patients with esophageal cancer underwent esophagectomy, 2-field lymph node dissection, and resection duct together ileocolic reconstruction via retrosternal route at our hospital. Chylothorax developed 32nd postoperative day (POD) 1 patient 12th POD other, manifesting as change...
For proximal gastric cancer invading the greater curvature, concomitant splenectomy is frequently performed to secure clearance of lymph node metastases. However, prognostic impact prophylactic remains unclear. The aim this study was clarify oncological significance for advanced curvature. Retrospective review 108 patients who underwent total or subtotal gastrectomy involving curvature performed. Short-term and long-term outcomes were compared between (n = 63) those did not 45). Patients...
Pseudoprogression refers to a specific pattern of response sometimes observed in malignant melanoma patients receiving treatment with immune-checkpoint inhibitors. Although cases pseudoprogression documented once have been reported previously, there no case reports yet events twice during treatment.A 55-year-old man underwent surgery for locally advanced esophageal and received postoperative adjuvant interferon therapy. However, he presented multiple liver bone metastases at 6 months after...
We aimed to investigate the efficacy of postoperative early intervention with an elemental diet reduce weight loss and enhance recovery after gastrectomy. Nutritional status gastrointestinal immune function tend worsen, is inevitable in these patients; therefore, improvement their condition important, especially gastric cancer patients aged ≥80 years. Clinical outcomes nutritional were compared between 21 22 consecutive elderly years who underwent distal gastrectomy before introduction oral...
The aim of this study was to investigate the efficacy postoperative scheduled intravenous acetaminophen reduce opioid use and enhance recovery after gastrectomy. Opioid is reportedly associated with delayed gastrointestinal (GI) peristalsis nausea/vomiting (PONV) despite acceptable for pain control. Of 147 96 consecutive patients who underwent gastrectomy gastric cancer before introduction acetaminophen, propensity score matched population created short-term clinical outcomes were compared....
To investigate the value of thoracoscopic surgery in radical esophagectomy with three-field lymphadenectomy. The subjects were 329 consecutive patients who, without preoperative chemoradiotherapy, underwent R0 lymphadenectomy for thoracic squamous cell esophageal cancers during 1998–2013. Open thoracotomy was applied 212 (O), and 117 (V). Survivals according to TNM Stages Efficacy index (EI) analyzed. Hospital death rates O/V 1.9/0%. survivals V had significantly better prognosis TNM6th...
Abstract Background The advantages of robot‐assisted minimally invasive esophagectomy (RA‐MIE) over conventional (C‐MIE) are unknown. This nationwide large‐scale study aimed to compare surgical outcomes between RA‐MIE and C‐MIE using rigorous propensity score methods, including detailed covariates relevant outcomes. Methods Japanese retrospective cohort included or for esophageal malignant tumors performed October 2018 December 2019 registered in the National Clinical Database. primary...