Hiroto Hayashi

Kindai University

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Akira Tangoku

Tokushima University

Toshihiro Abe

Hosei University

Noboru Yahara

Shimonoseki City Hospital

T Murakami

Osaka Ohtani University

Masaaki Oka

Yamaguchi University

Hiroshi Kusanagi

Kameda Medical Center

Takashi Suzuki

Tohoku University Hospital

H Uchisako

Iwakuni Medical Center

Yukiko Nagashima

Tokyo Women's Medical University Adachi Medical Center

Takashi Suzuki

Tohoku University Hospital

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Yamaguchi University

104

National Institute of Diabetes and Digestive and Kidney Diseases

102

ProQuest (United States)

The University of Tokyo

Osaka University

Kyoto University

Kanazawa University

Tohoku University

National Hospital Organization

Nihon University

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[A Case of Laparoscopic Gastric Local Resection for Simultaneous Multiple Gastric GIST Discovered Owing to Gastrointestinal Bleeding].

PubMed (2019)

Kei Furuya Masahiro Kitahara Junya Kondo Yoshinari Maeda Hideaki Somura

An 80-year-old woman with anemia presented to our hospital. Upper gastrointestinal endoscopy revealed a 4 cm submucosal tumor(SMT)with a delle and 2 cm SMT in the upper part of the stomach. CT revealed sustained enhancement of both tumors. The posterior tumor was an intraductal growth, and the anterior tumor was an extravascular growth. We performed a laparoscopic gastric local excision for the multiple SMTs. The anterior tumor was resected with an automatic suture instrument. However, the posterior tumor could not be identified from within the abdominal cavity because it was resected while confirming using an endoscope, and all layers were sutured. On histopathological examination, the posterior tumor was 40mm in size, with spindle-shaped atypical cells growing in the submucosal layer. Immunostaining was c-kit(+), CD34(+), S-100(-), and desmin(-). The Ki-67 level was<1%. The anterior wall tumors showed similar findings, but some showed smooth muscle differentiation. From the results, a diagnosis of simultaneous multiple gastric GIST(low risk)was made.

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A case of probable primary double lung cancer associated with sarcoid-like reaction.

Haigan (1987)

Satoshi Tanigawa Yoshifumi Yamaguchi Masayuki Masutani Hiroto Hayashi Masahito Okayasu

慢性閉塞性肺疾患の経過中に肺扁平上皮癌を併発し, 切除肺の病理学的検索で肺組織と所属リンパ節にサルコイド様反応を認めた症例を経験した. 本症例は, 右B6入口部にpolyp状の腫瘤と, 右S8に直径約4cmの腫瘤が存在し, 両者とも扁平上皮癌であったが, 組織学的に分化度が異なり, 肉眼的, 病理学的に連続性や転移を疑わせる所見がないことから原発性肺重複癌と思われた. 症例を呈示し, 若干の文献的考察を加えた.

Primary (astronomy)

10.2482/haigan.27.805

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A Case of a Conservatively Treated Penetrating Gastric Ulcer in an Oldest-old Patient

Yamaguchi Medical Journal (2007)

Masayuki Nakano Hideo Yanai Eiki Sakaguchi Yukari Tanioka Hiroto Hayashi

手術リスクが高いと推定される97歳女性の超高齢者穿通性潰瘍例を，保存的に加療した．超高齢者での穿通性胃潰瘍の治療においては，外科的治療のリスクの観点から，治療法の選択が問題となる．筋性防御などの腹膜炎症状が乏しい事と，腹水が見られない事が保存的加療の選択に重要と考えられた．今後の高齢化社会において，貴重な経験と考え報告する．

10.2342/ymj.56.161

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Risk assessment of sudden cardiac death based on Kalman filtering Technique

弘人林 Hiroto Hayashi

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Analysis of lymph node metastasis in patients with thoracic esophageal cancer.

The Japanese Journal of Gastroenterological Surgery (1986)

T Murakami K Ishigami Eishi Mizuta Masaki Oka Yasushi Masaki

CEを除いた食道癌227例に主病巣切除とリンパ節郭清を行い, これらのリンパ節転移率は65.6%であった.今回とくに胸部食道癌 (Iu, Im, Ei) についてのリンパ節転移状態を検討した.われわれは昭和55年以降より積極的に上縦隔および頸部 (左側) の郭清を行い, 術後T字型後照射および化学療法剤に加え免疫療法を併用している.術後4年生存率において, 26.6%から59.1%と向上しており, また肺合併症に関しては, 33.3%から19.2%とむしろ減少した.胸部食道癌に対して, 積極的な上縦隔リンパ節郭清を行っても, 慎重な術後管理を行えば, 肺合併症も少なくでき, 予後の向上につながるものと思われた.

10.5833/jjgs.19.2184

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A Case of Recurrent Esophageal Carcinoma in the Remnant Esophagus which was Resected Six Years after the Operation for Thoracic Esophageal Carcinoma.

The Japanese Journal of Gastroenterological Surgery (1992)

Masayuki Nakamura T Murakami Akira Tangoku Hiroto Hayashi H Uchisako

われわれは胸部食道癌切除後6年3か月経過して発見された遺残食道再発と思われる1例を経験したので報告する.症例は52歳男性で, 6年3か月前に当科にて胸部食道癌に対して右開胸.開腹胸部食道全摘, 胸壁前食道胃吻合を施行されている.術後経過は良好であり, 近医にて経過観察されていたが, 再び嚥下困難が生じるようになった.上部消化管造影および内視鏡検査にて吻合部付近の狭窄が指摘され, 精査目的で当科再入院となった.前回の摘出標本の病理組織学的検討より遺残食道再発と思われた.頸部食道切除および胃管上部部分切除, 両側頸部郭清を行い, 手術用顕微鏡を用いた血管吻合法を併用して遊離空腸を用いて再建した.術後経過は良好で, 再手術後4年経過したが再発の兆候を認めていない.

10.5833/jjgs.25.1056

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[A case of multiple small pulmonary arteriovenous fistulas associated with hepatic abscess (author's transl)].

PubMed (1979)

Sadao Ishikawa Kenjiro Sawada Yukichi Tanahashi Jinnosuke Tsuzuki Mitsuo Hattori

Hepatic abscess

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Esophageal perforation and mediastinal abscess following placement of a covered self-expanding metallic stent and radiation therapy in a cancer patient