Hiroko Sasahara

Omuta hospital

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Susumu Sueyoshi

Omuta hospital

Kazuo Shirouzu

Japan Community Healthcare Organization

Toshiaki Tanaka

Sapporo Medical University

Hideaki Yamana

Kurume University

Satoru Matono

Yanagawa Rehabilitation Hospital

Hiromasa Fujita

Hirosaki University

Yuichi Tanaka

Kokura Memorial Hospital

Hiromasa Fujita

Jichi Medical University

Naoki Mori

Kurume University

Regine Schneider‐Stock

Friedrich-Alexander-Universität Erlangen-Nürnberg

Cooperative Institutions

Kurume University

Omuta hospital

Kurume University Hospital

The University of Tokyo

Kurume University Medical Center

Otto-von-Guericke University Magdeburg

Tohoku University

Kyushu University

Kyoto Prefectural University of Medicine

Kyoto University

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Contents Vol. 53, 2007

Chemotherapy (2007)

Iris Spiliopoulou Sofia Zografou Amalia Goula George Dimitracopoulos Isabel Escribano

Thesaurus

10.1159/000111093

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Citations (0)

A Pylorus-Retaining Pancreatic Head Duodenectomy for Cancers of the Duodenal Papilla and the Lower Bile Duct.

The Kurume Medical Journal (1996)

Motoichi IWAMOTO Hiroko Sasahara Shinji Kawabata Masaru Hoshiko Kenji Yasumoto

With the development of diagnostic technology, the surgical methods of cancer therapy have been expanded, and operations have been performed using a procedure corresponding to the stage of cancer to improve the postoperative QOL. A 79-year-old man with cancer of the duodena' papilla and obstructive jaundice, and a 63-year-old woman with cholangiocarcinoma in the lower region complicated by cholangitis caused by Candida underwent resections of the pancreatic head and duodenum, and pancreaticogastrostomies retaining the pylorus. Satisfactory results were obtained in both cases. The merits of the procedure were that there were few complaints, sufficient food could be ingested and the QOL was maintained. The benefits of pancreaticogastrostomy are that the anastomosis procedure is simple, the gastric wall is thicker than the jejunum and blood flow is plentiful. The dorsal gastric wall is located close to the pancreatic cut-end, therefore tension is not created, and the pancreatic enzymes are not activated because the anastomosis site does not contact the intestinal fluid. These characteristics should decrease the rate of anastomosis failure which can be a fatal complication. A safer operation is desirable, particularly for elderly patients or patients who have complications.

Major duodenal papilla

Jejunum

Whipple Procedure

Ampulla of Vater

10.2739/kurumemedj.43.325

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Superficial Esophageal Cancer Coexisting just on the Esophageal Granular Cell Tumor

The Japanese Journal of Gastroenterological Surgery (2009)

Satoru Matono Toshiaki Tanaka Yuichi Tanaka Kohei Nishimura Kazutaka Murata

顆粒細胞腫の表面に併存した食道表在癌を経験したので報告する．症例は50歳の男性で，表在型食道癌の診断で当院紹介となった．上部消化管内視鏡検査で，長径12 mm大の粘膜下腫瘍様の病変で，頂部にヨード不染を示すびらんを認め，生検で高分化型扁平上皮癌と診断された．超音波内視鏡検査では，sm3の診断であった．食道癌Lt，0-Isep，T1bN0M0 Stage Iと診断し，根治的化学放射線療法を施行した．治療後，頂部のルゴール不染は消失したが，粘膜下腫瘍様の腫瘤は，丈は低くなったものの残存した．超音波内視鏡検査にて残存腫瘤は粘膜下層主体の粘膜下腫瘍と診断し，内視鏡的粘膜切除術を施行した．病理組織学的検査より食道顆粒細胞腫と診断された．最終的に顆粒細胞腫の表面に0-IIc型食道癌を合併したものと診断した．

10.5833/jjgs.42.1762

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Subject Index Vol. 53, 2007

Chemotherapy (2007)

Iris Spiliopoulou Sofia Zografou Amalia Goula George Dimitracopoulos Isabel Escribano

Thesaurus

10.1159/000111091

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Author Index Vol. 53, 2007

Chemotherapy (2007)

Iris Spiliopoulou Sofia Zografou Amalia Goula George Dimitracopoulos Isabel Escribano

Thesaurus

10.1159/000111090

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A CASE OF ARTERIOVENOUS FISTULA OF THE LOWER EXTREMITY CAUSED BY BLUNT TRAUMA

The journal of the Japanese Practical Surgeon Society (1997)

Shinichi Hiromatsu Kihaku SUGA Hideki Kamei Kenta Koike Hiroko Sasahara

We report a intersting case of arteriovenous fisula of the lower extremity caused by blunt trauma. A 34-year-old man presented to a hospital because of a left lower leg tumor. At age 32, he had sustained a bruise on his lower leg with a soft ball while playing baseball. He had noticed an elastic, hard, large tumor about 8×7cm in the medial porfrom of the lower leg on the left. The tumor showed no pulsation but we detected blood flow in the tumor with color Doppler imaging. Angiography revealed a microfistula type of arteriovenous fistula suppled by feeding arteries from muscle branches of the posterior tibial and peroneal arteries. CT scan of the lower leg revealed a remarkably dilated vessel including an arteriovenous communication. Under an Esmarch bandage, a 15cm longitudinal skin incision was made inthe sural region. The arteriovenous fistula was easily removed. The patient has has an uneventful course for one year and eight months, to date. We describe this interesting case of arteriovenous fistula of the lower extremity caused by trauma.

Bruise

Blunt trauma

Peroneal Artery

10.3919/ringe1963.58.2704

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Evaluation of an aortic stent graft for use in surgery on esophageal cancer involving the thoracic aorta

The Japanese Journal of Thoracic and Cardiovascular Surgery (2004)

Hiroko Sasahara Susumu Sueyoshi Toshiaki Tanaka Hiromasa Fujita Kazuo Shirouzu

Cardiothoracic surgery

Surgical oncology

Thoracic aorta

Vascular surgery

10.1007/s11748-004-0116-x

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Outcome of Stent Placement for Advanced and Recurrent Thoracic Esophageal Cancer

The Japanese Journal of Gastroenterological Surgery (2006)

Toshiaki Tanaka Susumu Sueyoshi Hiroko Sasahara Yuichi Tanaka Naoki Mori

はじめに: 切除不能食道癌症例における食道・気道狭窄あるいは瘻孔形成はその予後およびquality of life(以下, QOL)を著しく低下させる要因となる. 現在, これらの症例に対してQOL向上を目的にステント留置術が広く行われている. そこで, 当科で施行した胸部食道癌に対する食道・気管ステント留置術の成績を検討した. 対象と方法: 1995年から2003年までにステント治療を施行した食道癌61症例を対象とした. 内訳は食道ステント: 36例, 気管・気管支ステント: 17例, 食道と気管・気管支のダブルステント留置8例である. 食道ステント留置は化学放射線療法(以下, CRTxと略記)後の最終治療として施行したが, 気管・気管支ステント症例のうち7例ではステント留置後にCRTxを施行した. これらの症例における予後, 経口摂取状況を含むQOLについて検討した. 結果: ステント留置後の平均生存期間は, 食道ステント例で2.5か月, 気管・気管支ステント例で9.6か月, ダブルステント例で3.4か月であった. 食道ステント症例の80%で経口摂取が改善し, 半数の症例が在宅療養が可能となった. また, ステント留置前にPS3であった17例のうち3例ではステント留置によりPSがさらに悪化した. 気管・気管支ステント症例では17例中15例で呼吸状態改善によりPSならびにQOLも向上し, ステント留置後のCRTx奏効例では長期生存も認めた. 考察: 進行食道癌に対する食道ステント留置はPS1～2の症例では経口摂取が増加しQOL改善が期待できるが, PS3症例では必ずしもQOL改善にはつながらない. 気管・気管支ステント症例では概ねQOLは向上し, CRTxが奏功した症例では長期予後も期待できる.

10.5833/jjgs.39.1465

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[A case of advanced gastric cancer with giant lymph node metastasis responding to S-1/CDDP neoadjuvant chemotherapy].

Satoru Matono Hiroyuki Horiuchi Yukiya Kishimoto Hiroko Sasahara Mitsutoshi Ureshino

The patient was a 66-year-old man with advanced gastric cancer and bulky lymph node metastases. Since a radical resection appeared impossible, we tried neoadjuvant chemotherapy (NAC) with S-1/CDDP, expecting down staging of the tumor. S-1 (120 mg/body) was orally administered for 21 days and CDDP (40 mg/body) was administered by intravenous drip on day 8, 15 and 22. Partial response (PR) was obtained after 2 courses, and distal gastrectomy with D2 lymph node dissection was performed. The histological diagnosis revealed complete disappearance of cancer cells in stomach and a few regional lymph node metastasis (3/30). The patient was administered S-1 for one year after operation, and he is well without recurrence at one year and four months postoperatively. We considered the S-1 and CDDP in combination useful as preoperative chemotherapy for advanced gastric cancer.

Neoadjuvant Therapy

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A CASE OF LARGE ESOPHAGEAL HIATAL HERNIA WITH THE HERNIATED STOMACH AMD COLON SUCCESSFULLY TREATED BY LAPAROSCOPIC NISSEN FUNDOPLICATION

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) (2005)

Toshiaki Tanaka Susumu Sueyoshi Hiroko Sasahara Yuichi Tanaka Kazuo Shirouzu

症例は75歳の女性.嚥下障害,繰り返す肺炎・腸閉塞症状を主訴に入院となった. 7年前より食道裂孔ヘルニア,逆流性食道炎の診断にて他医にて加療を受けていた.今回,精査により食道裂孔ヘルニアに伴って胸腔内に脱出した胃および横行結腸による食道圧排を原因とする嚥下障害と誤嚥性肺炎ならびに脱出した横行結腸の閉塞と診断され入院した.手術は腹腔鏡下に行った.まずヘルニア嚢を可及的口側まで切除し,胃および横行結腸を腹腔内に還納した.食道裂孔を縫縮した後, Nissen法による噴門形成術を施行した.その際,胃底部はスリップ防止のため横隔膜および脚に縫合固定した.術後経過は良好で,食事も十分に摂取でき,胃・横行結腸が腹腔内に位置することを確認し術後12日目に退院した.胃・横行結腸の胸腔内脱出を伴った巨大食道裂孔ヘルニアに対し,腹腔鏡下食道裂孔縫縮術,噴門形成術を施行し,良好な経過をとった1例を経験したので報告する.

Nissen fundoplication

Hiatal Hernia

Esophageal sphincter

10.3919/jjsa.66.2930

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Citations (2)