A5073492974- Esophageal and GI Pathology
- Congenital Diaphragmatic Hernia Studies
- Tracheal and airway disorders
- Congenital Anomalies and Fetal Surgery
- Pediatric Hepatobiliary Diseases and Treatments
- Gallbladder and Bile Duct Disorders
- Hernia repair and management
- Urological Disorders and Treatments
- Foreign Body Medical Cases
- Intestinal and Peritoneal Adhesions
- Intestinal Malrotation and Obstruction Disorders
- Congenital gastrointestinal and neural anomalies
- Abdominal Surgery and Complications
- Urinary and Genital Oncology Studies
- Fetal and Pediatric Neurological Disorders
- Eosinophilic Esophagitis
- Clinical Nutrition and Gastroenterology
- Pleural and Pulmonary Diseases
- Helicobacter pylori-related gastroenterology studies
- Dysphagia Assessment and Management
- Minimally Invasive Surgical Techniques
- Pelvic floor disorders treatments
- Muscle and Compartmental Disorders
- Gastroesophageal reflux and treatments
- Biliary and Gastrointestinal Fistulas
Nagoya University
2022-2025
Abstract Background In Japan, the administration of extra‐hypotonic fluids (approximately 35 mmol/L sodium) as maintenance fluid is still mainstream practice, and there have been relatively few reports on intravenous therapy. Since 2014, our institution has administered containing 83 Na (HALF) after diuresis achieved post‐Kasai portoenterostomy for biliary atresia (BA). We investigated whether hyponatremia induced by half saline during postoperative infants with BA. Methods Patients who...
Robot-assisted surgery (RS) has gained popularity due to its potential advantages over conventional laparoscopic (LS). However, the specific suturing steps that benefit most from RS in terms of efficiency remain unclear. This study aimed compare performance and learning curves LS during hepaticojejunostomy. We retrospectively analyzed surgical videos patients who underwent hepaticojejunostomy performed by same surgeon between 2016 2023. Cases with incomplete data or conversion open were...
Abstract Background: Laparoscopic gastrostomy has improved surgical and cosmetic outcomes. Our approach involves a strategy of reduced port surgery, wherein only the umbilicus tube insertion site were incised, with an additional inserted if manipulation is difficult. This study aimed to investigate outcomes our strategy. Patients Methods: The paediatric patients who underwent at institution from July 2013 March 2023 reviewed retrospectively. Surgical compared between those multiport or...
Abstract Purpose The surgical indication of thoracoscopic primary repair for esophageal atresia with tracheoesophageal fistula is under debate. current study aimed to investigate the outcome in patients weighing < 2000 g and those who underwent emergency surgery at age 0 day. Methods outcomes were compared between > day ≥ 1 Results In total, 43 fistula. according body weight similar. Patients more likely develop anastomotic leakage than (2 vs. case, p = 0.02). Anastomotic was treated...
Abstract Purpose The prognostic factors of subsequent liver transplantation (LT) in patients with biliary atresia (BA) who presented jaundice-free native survival were investigated. Methods This study retrospectively reviewed underwent portoenterostomy (PE) for BA. Patients at 1 year postoperatively divided into the autologous survivor and transplant recipient groups. Peri- postoperative data compared between two Results Among 97 BA, 29 received LT within after PE excluded from analysis....
Background We present the surgical technique and outcomes of reduced-port laparoscopic restorative proctocolectomy with ileal-J-pouch anal canal anastomosis (IPACA) without diverting ileostomy for total colonic extensive aganglionosis (TCA+). Methods retrospectively reviewed TCA+ cases between 2014 2022. Preoperative was performed when transanal bowel irrigation ineffective. Radical surgery at approximately 6 kg. The using laparoscopy through a multi-channel trocar or an additional 3-mm...
BACKGROUND:Kluth demonstrated that esophageal atresia/tracheoesophageal fistula (EA/TEF) has several anatomical variations and thus requires a preoperative imaging study to determine the surgical strategy. We routinely perform contrast examination with iodixanol assess location of TEF upper end pouch most appropriate approach. herein present two cases type C EA/TEF who successfully underwent radical surgery by cervical approach based on information from examination. CASE REPORT:Case 1 was...
Abstract Background Preoperative management of Hirschsprung’s disease (HD) is currently being conducted with the goal performing single-stage radical surgery without ileostomy. Methods We retrospectively reviewed HD cases between 2013 and 2022, as well their outcomes related to preoperative management. Results Thirty-nine patients were included in this study, including short-segment (30 cases), long-segment (4 total colonic aganglionosis (5 cases). Among these 39 patients, 95% (37 patients)...
Bile lake, of the postoperative complications after Kasai portoenterostomy (PE) for biliary atresia, causes cholangitis that may induce progressive fibrosis liver. Standard treatment bile lakes has not yet been established, but there are reports surgical internal intestinal drainage effectively prevents and maintains jaundice-free status. In this case, insertion percutaneous transhepatic into lake allowed continuous large volumes juice. However, reoperation following laparotomy increases...
Abstract Background Omphalocele is a congenital abdominal wall defect of the umbilical cord insertion site. A giant omphalocele, with fascial > 5 cm in diameter and/or containing 50% liver within hernia sac, can be challenging for pediatric surgeons. Recently, negative pressure wound therapy has been reported as an effective management omphaloceles; however, it not recommended infected necrotic tissue may exacerbate infection. We adopted irrigation and dwell time (NPWTi-d) case ruptured...
We encountered two cases of a new type retroperitoneal hernia. herein report the unique features these cases.Case 1: A Japanese girl was born at gestational age 37 weeks, weighing 2550 g. She underwent laparotomic left diaphragmatic hernia repair for Bochdalek one day. The postoperative course uneventful; however, chest radiography 35 days revealed bowel gas in mediastinum, while computed tomography exhibited intestinal prolapses from medial side mesh into thoracic cavity. Reoperation...
An esophageal anastomotic stricture (EAS) after an atresia surgery occurs in approximately 4-60% of the cases, and its first-line therapy includes balloon dilatation. Oral dilatation cannot be performed some EAS cases; conversely, even if is possible, these strictures recur necessitating a surgical procedure for repairing stenosis. However, procedures are invasive have short- long-term complications. If recurs repeatedly multiple dilations, gastroesophageal reflux disease (GERD) may...
<title>Abstract</title> <italic><bold>Background</bold></italic>:<bold> </bold>In Japan, the administration of extra-hypotonic fluids (approximately 35 mEq/L sodium) as maintenance fluid is still mainstream practice, and there have been relatively few reports concerning intravenous therapy. At our institution, since 2014, containing 83 Na (HALF) administered after diuresis was achieved post-Kasai portoenterostomy for biliary atresia. We investigated whether hyponatremia induced by half...
Duodenal duplication cysts (DDC) are rare duplications of the alimentary tract. Their treatment depends on their size and location. A radical is total resection, if possible. However, partial excision, puncture, marsupialization can be selected to prevent surgical injury pancreaticobiliary tract despite risk recurrence. There some reports pancreaticoduodenectomy for DDC because recurrent symptoms malignancy. this considered excessively invasive DDC, particularly in pediatric cases, its...
Abstract Purpose The surgical indication of thoracoscopic primary repair for esophageal atresia with tracheoesophageal fistula is under debate. current study aimed to investigate the outcome in patients weighing < 2000 g and those who underwent emergency surgery at age 0 day. Methods outcomes were compared between > surgery, day ≥ 1 Results In total, 43 fistula. according body weight similar. Patients more likely develop anastomotic leakage than (2 vs. case, p = 0.02). Anastomotic was...
<title>Abstract</title> Purpose The prognostic factors of subsequent liver transplantation (LT) in patients with biliary atresia (BA) who presented jaundice-free native survival were investigated. Methods This study retrospectively reviewed underwent portoenterostomy (PE) for BA. Patients at 1 year postoperatively divided into the autologous survivor and transplant recipient groups. Peri- postoperative data compared between two Results Among 97 BA, 29 received LT within after PE excluded...
Retropancreatic fascia hernia is a novel internal originating from the retropancreatic fascial defect, which subsequently expands toward dorsal aspect of pancreatic body and migrates into retroperitoneal space. We encountered rare case concomitant Bochdalek hernias. Here, we describe imaging characteristics this type its surgical strategies.
Congenital duodenal atresia with situs inversus is occasionally accompanied by a preduodenal portal vein (PDPV), which incidentally diagnosed during surgery. Duodenoduodenostomy the most common and effective treatment. However, some patients require other anastomoses. Here, we present two cases of laparoscopic gastrojejunostomy for congenital PDPV describe reason selecting gastrojejunostomy. The optimal surgical strategy patient specific should be determined based on patient's general...
Abstract Background We aimed to determine whether our policy of selecting the appropriate urachal remnant (UR) resection approach is valid. performed preoperative imaging examine UR continued toward bladder apex. If apex, then we excised and apex using trans-umbilical adding laparoscopy in needed. indicated that ended near umbilicus, resected from umbilicus duct end. Pathological evaluations were appropriateness surgical by imaging. Methods retrospectively reviewed pediatric patients who...
Abstract We report a case of hepatolithiasis 30 years after congenital biliary dilatation (CBD) surgery. A 31‐year‐old woman presented with fever and epigastric pain. She had history radical surgery for type I CBD at the age 1 year no significant symptoms approximately Laboratory imaging results showed common trunk segments II III cholangitis. was admitted to our hospital antibiotics underwent double‐balloon endoscopic retrograde cholangiography (DBERC) treat hepatolithiasis. Roux‐limb...