Noritsugu OGAWA

Ashiya University

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Tadasu MORI

Kishiwada City Hospital

Yukiyasu Takeuchi

Toneyama National Hospital

Shin Mizutani

Ashiya University

Shigeo Soda

Nippon Life Hospital

Hiroaki Takenaka

Tokyo Institute of Technology

Yasuhiro Tanaka

Dokkyo Medical University

Masahiko Miyata

Kyoto Medical Center

Yasunaru Kawashima

National Cerebral and Cardiovascular Center

Kazuyasu Nakao

National Cerebral and Cardiovascular Center

Kazuhiro Iwase

Osaka Prefectural Medical Center

Cooperative Institutions

Osaka University

Osaka Prefectural Institute of Public Health

Nippon Life Hospital

Kinan Hospital

Osaka Police Hospital

Kure Medical Center

Kawasaki Hospital

Osaka City General Hospital

National Hospital Organization

National Hospital

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A long-term survivor after total pancreatectomy simultaneously reconstructed portal vein and hepatic artery for pancreatic cancer.

The Japanese Journal of Gastroenterological Surgery (1988)

Noritsugu OGAWA Masahiko Miyata Kazuyasu Nakao Hajime Hirose Tsuguo Sakamoto

Total pancreatectomy

Distal pancreatectomy

10.5833/jjgs.21.2172

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Citations (2)

Laparoscopic deroofing for symptomatic liver systs: Report of a case

Surgery Today (1994)

Kazuhiro Iwase Tetsuto Takao Hirotoshi Watanabe Yasuhiro Tanaka Tetsuo Kido

Surgical oncology

Histopathological examination

10.1007/bf01833732

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Citations (12)

A CASE OF INTUSSUSCEPTION ASSOCIATED WITH SCHONLEIN-HENOCH PURPURA

The journal of the Japanese Practical Surgeon Society (1990)

Shin Mizutani Shigeo Soda Hiroaki Takenaka Noritsugu OGAWA Yukiyasu Takeuchi

We experienced a case of intussusception associated with Schonlein-Henoch purpura. A one-year-old boy who had been admitted with complaints of abdominal pain and tarry stool was diagnosed as Schonlein-Henoch purpura. During medical treatment he had a sudden ileus and was diagnosed as intussusception by a barium enema study. Operation revealed an ilio-colic type intussusception. The postoperative couse was uneventful by giving blood coagulation factor XIII. Recently there were some reports of a specific decrease of coagnulation factor XIII in children with Schonlein-Henoch purpura, and this case also showed a remarkable decrease. Thus it was suggested that the blood coagulation factor XIII regimen was effective for surgical complication of Schonlein-Henoch purpura.

Purpura (gastropod)

Barium enema

10.3919/ringe1963.51.1515

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A CLINICAL STUDY OF MUCINOUS CARCINOMA OF THE BREAST IN OUR DEPARTMENT

The journal of the Japanese Practical Surgeon Society (1990)

Tadasu MORI Noritsugu OGAWA Yukiyasu Takeuchi Shin Mizutani Shigeo Soda

Mucinous carcinoma of the breast is a relatively rare histological type of breast cancer and its prognosis is believed to be better than other types. Mucinous carcinoma was found in only six (4.5%) of 134 patients with breast cancer who underwent surgery in our hospital from 1983 to 1988. Neither lymph node metastasis nor remote metastasis was observed in any of the six. Carcinoma did not recur in any of them up to now. However, it has been reported by some groups that prognosis of mucinous carcinoma is not always favorable. In mixed type with ductal carcinoma, the lymph node metastasis rate was generally high, and there were no differences in prognosis from other histological types of breast cancer. We presumed, therefore, that preoperative classification into subtypes would be useful for determining operative procedure and prognosis, and carried out to classify mucinous carcinomas into subtypes by means of ultrasonography for a discussion.

Mucinous carcinoma

Breast carcinoma

Distant metastasis

10.3919/ringe1963.51.75

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A CASE REPORT OF ADVANCED BREAST CANCER TREATED WITH WIDE LOCAL RESECTION AND OMENTAL FLAP

The journal of the Japanese Practical Surgeon Society (1990)

Shigeo SOHDA Tadasu MORI Shin Mizutani Noritsugu OGAWA Yukiyasu Takeuchi

We report an advanced breast cancer infiltrating into the axillar area in a 38-year-old woman. The patient who had noticed a right breast tumor 5 years ago visited our hospital complaining of enlargement of the mass at the right breast with the right arm swollen and hardened severely. Venography showed that this tumor infiltrated into the axillar vessels, and bone scincigram revealed metastasis to the right 3rd, 4th and 5th ribs. By CAF treatments for 7 courses associated with hormone and immunotherapy, this tumor was reduced remarkably, and then operation was performed. Excision of wide locality and chest wall, and reconstruction using Lesin covered with dermal flap, omental flap and mesh skin graft were carried out. Histological examination showed invasive ductal adenocarcinoma, solid tubular type. This patient is doing well 9 months after surgery.

Wide local excision

Right breast

10.3919/ringe1963.51.941

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A case of gastric cancer arising from aberrant pancreas in the stomach.

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) (2000)

Noritsugu OGAWA Masanobu GOTOH Yohji SEIKE Taisei Yasuda

胃迷入膵の癌化症例は極めて稀で現在までに本邦で23例の報告をみるにすぎない.胃迷入膵より発生したと考えられる胃癌症例を経験したので報告する.症例は46歳女性である.7年前,胃内視鏡検査で胃角部の粘膜下腫瘍と診断されていた.今回,同部位に3型胃癌を認め,幽門側胃切除を行った.病理所見はacinar cell carcinomaであった.術中,膵に特記すべき異常所見は認めなかった.さらに胃癌にこのような組織型は知られていないことなどより,胃迷入膵が癌化したと診断した.術後21カ月時,胃癌の転移性肝癌に対し肝部分切除を行った.また胃切除前後および肝切除前後の血中トリプシン値に興味ある変動を認めた.

10.3919/jjsa.61.2642

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MULTIPLE PRIMARY CANCERS ASSOCIATED WITH ESOPHAGEAL CANCER

The journal of the Japanese Practical Surgeon Society (1986)

Shin’ichi Takeda Keiji Kuwata Y Seike Yoshiro Yamazaki S. Tan

Twelve cases of multiple primary cancer associated with esophageal cancer were registered at Osaka Koseinenkin Hospital from 1968 to 1985. The frequency was 8.7% of all esophageal cancers treated within the same period. Synchronous cancers numbered nine, metachronous cancers three. Eight cases were opearted on for both esophageal and another cancer. The operative results were not satisfactory, including two operative deaths and one hospital death, and a mean survival for the other five cases of 8.4 months. The prognosis of multiple cancers associated with esophageal cancer is extremely poor due to the difficulty of treating esophageal cancer compounded by cancer of other organs, particularly in synchronous cases. A one-stage radical operation for both cancers should be strictly decided upon in consideration of the patient's age, choice of organ for reconstruction, and cardiorespiratory reserve. A two-stage operation may be desirable for reducing the operative burden.

Primary cancer

10.3919/ringe1963.47.1280

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A Case of Resection for Solitary Lung Metastasis of Hepatocellular Carcinoma (HCC) 12 Years after Hepatectomy.

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) (2002)

Kazunori Shimada Noritsugu OGAWA Yasushi Tanaka Shin Mizutani

症例は83歳,男性,平成元年7月に他院にて肝細胞癌に対する右葉切除術の既往がある. 18×16×11cmの巨大腫瘍で,肉眼および組織学的所見ではEg, Fc(+), Fc-Inf(+), Sf(-), S1, IM0, P0, VP1, VVO, B0, Edmondson III型,進行度T3NOMOStage 3であった.当院内科通院中に平成12年8月胸部レントゲンで右肺野に異常陰影を認め,胸部CTでは右肺S6に径約3cm大の腫瘤を認めた.血液検査ではAFP 122.8ng/mlと高値であり, CT下針生検にてclass V, 肝細胞癌の転移が疑われた.転移性肺癌の診断で同年9月18日右肺S6部分切除術を施行した.病理組織診断では肝細胞癌の転移であった.術後AFPは正常化し,肺転移切除後1年4カ月経過した現在,再発の兆候なく生存中である. 肝細胞癌は早期に肝内再発し,肺転移に対して手術適応となることは稀である.特に遠隔期の切除報告は極めて稀で今回われわれは肝細胞癌術後12年目に発見された症例を経験したので若干の文献的考察を加えて報告する.

10.3919/jjsa.63.2240

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Citations (1)

CLINICOPATHOLOGIC STUDY OF EIGHT CASES OF RETROPERITONEAL TUMOR

The journal of the Japanese Practical Surgeon Society (1987)

Takao TSUMORI Kazuyasu Nakao Masahiko Miyata Noritsugu OGAWA Tsukuru HASHIMOTO

Eight patients (seven men and one woman), ranging in age from 42 to 69 years, with malignant retroperitoneal tumors comprised this series. Marginal excision was performed in four patients. In the other four, a noncurative resection or no resection was carried out because of wide infiltration to the surrounding tissue and distant metastases. The lesions were solitary mutilobulated fleshy masses between 6 cm and 30 cm in diameter. Histologically, there were two liposarcoma, four malignant fibrous histiocytoma, one leiomyosarcoma and one rhabdomyosarcoma. The histologic grade of surgical specimens was stage I in one, II in one, III in four and IV in two. Adjuvant chemotherapy was presecribed postoperatively for four patients. The prognosis was not good (one is alive and seven have died).

Adjuvant Chemotherapy

Infiltration (HVAC)

10.3919/ringe1963.48.1653

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A CASE OF CHOLECYSTOGASTRIC FISTULA

The journal of the Japanese Practical Surgeon Society (1992)

Yukiyasu Takeuchi Tadasu MORI Noritsugu OGAWA Hiroaki Takenaka Shigeo SOUDA

A 69-year-old woman was found to have a pneumobilia on an abdominal ultrasonographic examination while she was undergoing treatments for diabetes. There was a history of cholelithiasis which was diganosed at the age of 40 and was left untreated. A cholecystogastric fistula was recognized by gastric endoscopic fistulography. Blood chemistry revealed mild abnormalities of liver function. At the operation, the gallbladder was found to be severely atrophic, leaving only the cholecystic duct, with a fistula formation to the antrum. The gastric wall around the fistula was removed together with the gallbladder. Food residues were found in the common bile duct. Marked inflammation of the cholecystic duct was observed.In Japan, 14 cases of cholecystogastric fistula have been reported in the literature. However, no previous case has been reported that food residues are in the biliary duct. Some have the opinion that if there are no symptoms of cholangitis, fistulas to the upper gastrointestinal tracts may be left intact. However, since food residues which get into the biliary tract may cause serious cholangitis, surgical therapy at an early stage is recommended even for asymptomatic patients in principle.

Biliary fistula

10.3919/ringe1963.53.1413

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Citations (1)