Yukihiro Tatekawa

Gunma Children's Medical Center

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Hiromichi Kanehiro

Nara Medical University

Yoshiyuki Nakajima

Tokyo Women's Medical University Yachiyo Medical Center

Hiroshige Nakano

National Agriculture and Food Research Organization

Michio Kaneko

Ibaraki Prefectural University of Health Sciences

Hideki Kanokogi

Nara Medical University

Toshihiro Muraji

Kagoshima University

Tetsuo Hori

Mitsubishi Kyoto Hospital

Toshimichi Hasegawa

Tottori University

Michiyoshi Hisanaga

National Archives and Records Administration

Hiroaki Yamanaka

Osaka University

Cooperative Institutions

Nara Medical University

University of Tsukuba

National Archives and Records Administration

The University of Tokyo

Nara Medical University Hospital

Osaka University

University of Tsukuba Hospital

Boston Children's Hospital

Kyoto University

Gunma Children's Medical Center

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Multistaged esophageal elongation technique for long gap esophageal atresia: experience with 7 cases at a single institution

Journal of Pediatric Surgery (2005)

Satoshi Takamizawa Eiji Nishijima Chikara Tsugawa Toshihiro Muraji Shiiki Satoh

Esophageal stricture

10.1016/j.jpedsurg.2005.01.041

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Citations (34)

Laparoscopic Extracorporeal Ligation of Hernia Defects Using an Epidural Needle and Preperitoneal Hydrodissection

Journal of Endourology (2011)

Yukihiro Tatekawa

This article presents the extracorporeal ligation of inguinal hernia defects using an epidural needle and preperitoneal hydrodissection.Thirteen children underwent laparoscopic extracorporeal ligation of their hernia defect using an epidural needle and preperitoneal hydrodissection. A 5-mm trocar for an operative laparoscope was placed through an infraumbilical incision, a Veress needle for forceps was inserted halfway between the umbilicus and the anterior superior iliac spine on the contralateral side of the hernia, and a 17-gauge epidural needle was inserted at the point of the internal inguinal ring. The hernia defect was closed extracorporeally by a nonabsorbable suture, which was introduced into the abdomen through the epidural needle on the lower half of the hernia defect and withdrawn on the opposite side by a wire-loop through the epidural needle going along the upper half side of the hernia defect in a series of movements. When a contralateral hernia defect is present, laparoscopic-assisted extracorporeal ligation of the contralateral hernia defect is performed during the same operation.All patients were discharged uneventfully from the hospital within 24 hours postoperatively. The mean follow-up period is 6.1 months (range 2-12 mos), and no recurrence has been observed to date.This article describes a unique technique of extracorporeal circuit suturing of inguinal hernia defects using a minimally invasive technique as afforded by an epidural needle.

Extracorporeal

Veress needle

10.1089/end.2011.0498

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Citations (31)

Abdominoperineal anoplasty with use of a rectal fistula as a substitute vagina in a cloacal malformation associated with absence of the vagina: short-term follow-up

Journal of Surgical Case Reports (2020)

Yukihiro Tatekawa

Abstract We report herein a patient with a cloacal malformation and an absent vagina. The patient underwent colostomy on Day 1 of life. At 7 months of age, fistulography of the cloaca showed a common channel >3 cm in length; a vagina was not visible. At the age of 11 months, the patient underwent abdominoperineal anoplasty with the repurposing of her rectal fistula as a substitute vagina. Intraoperative examination revealed a bicornuate uterus and bilateral ovaries. The rectum was resected 7 cm at the confluence of the cloaca. The colonic stump was pulled through a newly created anal canal and an anoplasty was performed. Two months after this procedure, the patient experienced anal prolapse. At the age of 17 months, she underwent partial urogenital mobilization and a modified Delorme operation, and 5 months later the colostomy was closed. At present, this patient is 3 years old and doing well.

Cloaca

10.1093/jscr/rjaa608

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Perforated bile duct in a case of acute pancreatitis associated with pancreaticobiliary maljunction.

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

Yukihiro Tatekawa Hiromichi Kanehiro Hideki Kanokogi Yoshiyuki Nakajima Hiroshige Nakano

症例は1歳5カ月,男児.嘔吐を主訴に近医入院.血清アミラーぜが高値であり,腹部エコー, CTにて膵腫大,腹水を認め急性膵炎と診断.症状改善みられず当院へ転院となり,保存的治療にて血清アミラーゼは下降したが,閉塞性黄疸が出現した.入院後13日目に腹満が増強し, 14日目の腹部CTで総胆管の拡張,膵頭部の腫大,著明な腹水を認めた.腹腔穿刺にて,腹水中に胆汁を認め,胆汁性腹膜炎と診断し緊急手術を施行した.開腹所見で,膵上縁の胆管穿孔が疑われたが, T-tubeドレナージ術のみ行った.術後造影にて,総胆管の円筒状拡張と膵管胆道合流異常を認めた.初回手術後30日目に,胆嚢摘出術,胆管切除,肝管空腸吻合術を施行した.術後,総ビリルビン,血清アミラーゼは正常化し退院となった.小児の場合,膵炎や閉塞性黄疸を主訴とした場合には,その原因として膵管胆道合流異常を念頭に入れ,胆道穿孔の危険性について配慮する必要がある.

10.3919/jjsa.61.2757

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Ileus associated with mesenterium ileocolicum commune: two case reports and review of the literature

Journal of Surgical Case Reports (2019)

Yukihiro Tatekawa

Two cases of ileus associated with mesenterium ileocolicum commune are reported herein. Case 1 was a 6-year-old girl who was admitted with bilious vomiting and abdominal distension. Plain computed tomography (CT) suggested intestinal volvulus or intussusception. A barium enema revealed an incomplete obstruction or stricture. She underwent a laparotomy. The intra-operative findings revealed midgut volvulus associated with mesenterium ileocolicum commune with normal rotation of the intestine. The volvulus was 180 degrees of counter-clockwise torsion. Case 2 was a 3-year-old boy who was admitted with bilious vomiting. Enhanced CT suggested a duodenal obstruction. A barium meal revealed malrotation and it was difficult to insert an enteral feeding tube into the small intestine. He underwent a laparotomy, and the intra-operative findings revealed Ladd's bands associated with mesenterium ileocolicum commune and malrotation of the intestine. At present, both patients are doing well and there have been no recurrences.

Ileus

Barium enema

Intestinal Malrotation

Abdominal distension

Barium meal

10.1093/jscr/rjz100

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Citations (2)

Composite pheochromocytoma associated with adrenal neuroblastoma in an infant: a case report

Journal of Pediatric Surgery (2006)

Yukihiro Tatekawa Toshihiro Muraji Eiji Nishijima Makiko Yoshida Chikara Tsugawa

Vanillylmandelic acid

Abdominal ultrasonography

10.1016/j.jpedsurg.2005.11.024

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Citations (30)

A refractory right cervical mediastinal lymphangioma with medication and insertion of a Denver shunt

Journal of Surgical Case Reports (2024)

Yukihiro Tatekawa Yukihiro Tsuzuki Yoshimitsu Fukuzato

Abstract The Denver shunt is used for persistent chylothorax as a pleuroperitoneal shunt. Insertion of a Denver shunt was attempted in the current case involving a 3-year-old male with a refractory right cervical mediastinal lymphangioma. He was medicated with Eppikajutsuto® (0.65 g/kg) and underwent a Denver shunt for volume reduction of the cervical cyst to prevent airway obstruction. However, revision surgery for hemorrhage in the lymphangioma revealed that the tip of the shunt catheter had penetrated the cyst wall. The rounded tip of the catheter was placed back into the cyst. Oral administration of sirolimus (1 mg) was added. The Denver shunt was removed due to a catheter infection and administration of sirolimus was temporarily stopped because of an elevated blood concentration. Six months postoperatively from the third operation, neck swelling was negligible and radiologic findings showed complete regression of the lymphangioma.

Chylothorax

Lymphangioma

10.1093/jscr/rjae799

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A technical surgery for refractory gastroparesis in a patient with a mitochondrial disorder

Pediatric Surgery International (2010)

Yukihiro Tatekawa Hiroaki Komuro

Gastroparesis

10.1007/s00383-010-2611-8

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Citations (6)

A case of ultrashort-segment Hirschsprung’s disease discovered after taking polyethylene glycol electrolyte solution for chronic constipation

Journal of Surgical Case Reports (2021)

Yukihiro Tatekawa

Abstract We report a case of ultrashort-segment Hirschsprung’s disease (HD) involving a 4-year-old girl. She was born at 29 weeks gestation from a twin pregnancy. She weighed 1013 g. After birth, she received glycerin enemas and sodium picosulfate hydrate to facilitate defecation. She passed stool once every 4–5 days. When she was 4 years old, she was medicated with polyethylene glycol electrolyte solution. After she drank the solution twice, the abdomen distended rapidly without passage of stool. An abdominal X-ray showed a stored stool mass and a barium enema study revealed dilatation from the rectum to the sigmoid colon due to the stool mass. She underwent anorectal manometry and a rectal biopsy, and was suspected to have HD. She underwent a Soave endorectal pull-through with an oblique anastomosis. She passed stool 4–10 times a day for 6 months postoperatively, but the frequency of passing stool gradually deceased without medications.

Barium enema

Hirschsprung's disease

Bisacodyl

Enema

Ileostomy

10.1093/jscr/rjab390

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Airway management in surgical correction of severe kyphoscoliosis associated with tethered cord and multiple malformations: A method of tracheostomaplasty by partial resection of the cricoid cartilage

Journal of Pediatric Surgery Case Reports (2017)

Yukihiro Tatekawa

In patients with factors leading to potentially difficult tracheostomy placement, including neck stiffness, obesity, cephalad displacement of the brachiocephalic artery, short neck, or thyroid disease, tracheostomaplasty by partial resection of the cricoid cartilage is a safe and effective method. The case of a 13-year-old boy with congenital kyphoscoliosis associated with a tethered cord and multiple malformations is reported herein. Tracheostomy was necessary for him to undergo extensive surgery, but failed to keep his airway secure as the tracheal tube readily dropped out of the tracheal lumen due to the spinal malformation. A tracheostoma was created by suturing the cricothyroid membrane and skin as a tracheostomaplasty by partial resection of the cricoid cartilage. After tracheostomaplasty, the patient successfully underwent detethering of the cord and corrective scoliosis surgery. After discharge, he had successful postoperative management of the tracheostomaplasty.

Cricoid cartilage

Kyphoscoliosis

10.1016/j.epsc.2017.07.008

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Citations (1)