論文 - 北川 雄光

A Hybrid Technique to Manage a Large Perigraft Seroma after an Open Abdominal Aortic Aneurysm Repair: A Case Report

Ono S., Obara H., Hagiwara K., Saida F., Oshiro K., Matsubara K., Shibutani S., Kitagawa Y.

Annals of Vascular Surgery （Annals of Vascular Surgery）  56   352.e1 - 352.e4 2019年04月

ISSN  08905096

　概要を見る

© 2018 Elsevier Inc. Perigraft seroma (PGS) is a relatively rare complication of aortoiliac reconstructive surgery. We, herein, describe a case of a large PGS that was managed by using a hybrid technique of relining the original graft with simultaneous open drainage. An 86-year-old man with a 17.3-cm diameter PGS after prosthetic bifurcated graft replacement for abdominal aortic aneurysm was admitted to our hospital. He presented with abdominal distension and discomfort and had difficulty in taking food. The entire relining of the original covered stent graft with GORE ® EXCLUDER ® using aortic extension cuff and iliac extenders and simultaneous open evacuation of PGS were successfully performed. The symptoms of the patient totally improved, and no recurrence was detected at 2 years after the operation. This technique would be a feasible treatment option for this rare complication.

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The impact of the mesorectal apparent diffusion coefficient value on surgical difficulty in laparoscopic anterior resection for rectal cancer

Suzumura H., Tsuruta M., Hasegawa H., Okabayashi K., Ishida T., Asada Y., Makino A., Okuda S., Kitagawa Y.

Surgery Today （Surgery Today）  49 （ 3 ） 239 - 244 2019年03月

ISSN  09411291

　概要を見る

© 2018, Springer Nature Singapore Pte Ltd. Purpose: We aimed to clarify the impact of the apparent diffusion coefficient (ADC) value of the mesorectum from preoperative magnetic resonance imaging (MRI) on surgical difficulty in laparoscopic anterior resection (Lap-AR) for rectal cancer. Methods: In total, 67 patients who had undergone curative Lap-AR for rectal cancer in our hospital from January 2008 to March 2015 and had preoperative MRI findings available were included. We randomly calculated the average ADC in three regions of the mesorectum at the level of the upper edge of the superior border of the femur. Univariate and multivariate analyses were performed to evaluate the correlation between the patients’ clinicopathological characteristics, including the ADC value and short-term surgical outcomes. Results: The univariate analysis revealed that a lower ADC value was associated with a significantly increased operative blood loss (p = 0.008) and prolonged operative time (p < 0.001). The multivariate analysis adjusted for the body mass index, anal verge, tumor location, covering stoma, clinical T factor and conversion revealed that the ADC value was an independent risk factor for a prolonged operative time (R 2 = 0.6003, p < 0.001). Furthermore, the multivariate analysis adjusted for the body mass index, anal verge, covering stoma, clinical T factor and conversion revealed that the ADC value was an independent risk factor for an increased blood loss (R 2 = 0.4345, p = 0.008). Conclusion: A lower ADC value of the mesorectum might be a predictor of surgical difficulty in Lap-AR for rectal cancer.

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Analysis of the Effect of Early Versus Conventional Nasogastric Tube Removal on Postoperative Complications After Transthoracic Esophagectomy: A Single-Center, Randomized Controlled Trial

Hayashi M., Kawakubo H., Shoji Y., Mayanagi S., Nakamura R., Suda K., Wada N., Takeuchi H., Kitagawa Y.

World Journal of Surgery （World Journal of Surgery）  43 （ 2 ） 580 - 589 2019年02月

ISSN  03642313

　概要を見る

© 2018, Société Internationale de Chirurgie. Background: Although esophagectomy is the only curative option for esophageal cancer, the associated invasiveness is high. Nasogastric (NG) tube use may prevent complications; however, its utility remains unclear, and the decompression period depends on the doctor. This study aimed to reveal the effect of conventional versus early NG tube removal on postoperative complications after esophagectomy. Methods: This single-center prospective randomized controlled clinical trial enrolled patients aged 20–80 years with histologically proven primary esophageal squamous cell carcinoma. Eighty patients admitted for transthoracic first-stage esophagectomy reconstructed with gastric conduit were randomly assigned (1:1) to the conventional and early NG tube removal groups. In the conventional NG tube removal group, the tube was removed on postoperative day (POD) 7; in the other, it was removed on POD 1. The occurrence rate of major complications, length of postoperative hospital stay, and NG tube reinsertion rate were compared between the groups. Results: The incidence of postoperative major complications such as pneumonia, anastomotic leakage, recurrent nerve palsy and gastrointestinal bleeding, and the NG tube reinsertion rate was not different between the groups. However, recurrent nerve palsy was more commonly observed in the conventional removal group; this difference was not significant. In terms of postoperative pneumonia, tumor location and field of lymph node dissection were significant risk factors. Conclusion: Although early NG tube removal did not reduce the rate of postoperative pneumonia, it could be performed safely. Hence, the NG tube can be removed earlier than conventional methods.

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【炎症性腸疾患アップデート-いま外科医に求められる知識と技術】潰瘍性大腸炎の手術手技 潰瘍性大腸炎の手術適応

長谷川 博俊, 岡林 剛史, 鶴田 雅士, 石田 隆, 浅原 史卓, 北川 雄光

臨床外科 73 （ 12 ） 1334 - 1338 2018年11月

研究論文（学術雑誌）, 共著

Postoperative Pneumonia is Associated with Long-Term Oncologic Outcomes of Definitive Chemoradiotherapy Followed by Salvage Esophagectomy for Esophageal Cancer

Takeuchi M, Kawakubo H, Mayanagi S, Yoshida K, Fukuda K, Nakamura R, Suda K, Wada N, Takeuchi H, Kitagawa Y

Journal of Gastrointestinal Surgery 22 （ 11 ） 1881 - 1889 2018年11月

研究論文（学術雑誌）, 共著

Evaluation of Pancreatic Fibrosis With Acoustic Radiation Force Impulse Imaging and Automated Quantification of Pancreatic Tissue Components

Fujita Y, Kitago M, Abe T, Itano O, Shinoda M, Abe Y, Yagi H, Hibi T, Ishii M, Nakano Y, Okuma K, Hashimoto M, Takeuchi A, Masugi Y, Jinzaki M, Sakamoto M, Kitagawa Y

Pancreas 47 （ 10 ） 1277 - 1282 2018年11月

研究論文（学術雑誌）, 共著

Clinical Status and Treatment of Liver Metastasis of Differentiated Thyroid Cancer Using Tyrosine Kinase Inhibitors

Saito Y, Sugino K, Takami H, Matsuzu K, Uruno T, Ohkuwa K, Kitagawa W, Nagahama M, Kawakubo H, Ito K, Kitagawa Y

World Journal of Surgery 42 （ 11 ） 3632 - 3637 2018年11月

研究論文（学術雑誌）, 共著

【嚥下障害と誤嚥性肺炎】 誤嚥性肺炎について各論的に学ぶ　反復性誤嚥性肺炎と胃瘻造設、気管切開、気管食道分離

眞柳 修平, 川久保 博文, 北川 雄光

診断と治療 106 （ 10 ） 1255 - 1259 2018年10月

研究論文（学術雑誌）, 共著

A Pre-Clinical Large Animal Model of Sustained Liver Injury and Regeneration Stimulus

Inomata K, Tajima K, Yagi H, Higashi H, Shimoda H, Matsubara K, Hibi T, Abe Y, Tsujikawa H, Kitago M, Shinoda M, Obara H, Itano O, Soto-Gutierrez A, Kitagawa Y

Scientific Reports 8 （ 1 ） 14987 2018年10月

研究論文（学術雑誌）, 共著

The effect of an elemental diet on oral mucositis of esophageal cancer patients treated with DCF chemotherapy: a multi-center prospective feasibility study (EPOC study)

Tanaka Y, Ueno T, Yoshida N, Akutsu Y, Takeuchi H, Baba H, Matsubara H, Kitagawa Y, Yoshida K

Esophagus 15 （ 4 ） 239 - 248 2018年10月

研究論文（学術雑誌）, 共著

Hyponatremia in patients with esophageal cancer treated with chemotherapy including cisplatin

Shimada A, Takeuchi H, Fukuda K, Suda K, Nakamura R, Wada N, Kawakubo H, Kitagawa Y

Esophagus 15 （ 4 ） 209 - 216 2018年10月

研究論文（学術雑誌）, 共著

【食道・頭頸部表在癌の診断と治療】 頭頸部表在癌に対する経口的内視鏡下手術ELPS(endoscopic laryngo-pharyngeal surgery)

川久保 博文, 大森 泰, 北川 雄光

日本消化器病学会雑誌 115 （ 10 ） 856 - 861 2018年10月

研究論文（学術雑誌）, 共著

Reduced Port Surgery　制限克服のための達人からの提言 RPSによる鼠径ヘルニア手術　単孔式TEP

和田 則仁, 古川 俊治, 北川 雄光

臨床外科 73 （ 9 ） 1149 - 1157 2018年09月

研究論文（学術雑誌）, 共著

Landscape of immune microenvironment in hepatocellular carcinoma and its additional impact on histological and molecular classification

Kurebayashi Y, Ojima H, Tsujikawa H, Kubota N, Maehara J, Abe Y, Kitago M, Shinoda M, Kitagawa Y, Sakamoto M

Hepatology 68 （ 3 ） 1025 - 1041 2018年09月

研究論文（学術雑誌）, 共著

Technical feasibility and oncologic safety of diagnostic endoscopic resection for superficial esophageal cancer

Takeuchi M, Suda K, Hamamoto Y, Kato M, Mayanagi S, Yoshida K, Fukuda K, Nakamura R, Wada N, Kawakubo H, Takeuchi H, Yahagi N, Kitagawa Y

Gastrointestinal Endoscopy 88 （ 3 ） 456 - 465 2018年09月

研究論文（学術雑誌）, 共著

Reduced-port surgery for rectal cancer

Ishida T, Shigeta K, Okabayashi K, Tsuruta M, Hasegawa H, Kitagawa Y

Mini-invasive Surgery 2018年09月

研究論文（学術雑誌）, 共著

A Highly Advanced Gastric Cancer Maintaining a Clinical Complete Response after Chemoradiotherapy Comprising S-1 and Cisplatin

Yura M, Takahashi T, Fukuda K, Nakamura R, Wada N, Fukada J, Kawakubo H, Takeuchi H, Shigematsu N, Kitagawa Y

Case Reports in Gastroenterology 12 （ 3 ） 578 - 585 2018年09月

研究論文（学術雑誌）, 共著

診療ガイドラインの再評価　今後の方向性　食道癌診療ガイドラインのあり方に関する考察と今後の方向性

藤 也寸志, 北川 雄光, 丹黒 章, 松原 久裕

日本外科学会雑誌 119 （ 5 ） 569 - 571 2018年09月

研究論文（学術雑誌）, 共著

サブスペシャル領域を見据えた新専門医制度のあり方　専門医制度のあるべきグランドデザイン構築と外科医の将来像

北川 雄光

日本外科学会雑誌 119 （ 5 ） 534 - 536 2018年09月

研究論文（学術雑誌）, 単著

手術のtips and pitfalls　内臓動脈瘤に対する外科的血行再建術

尾原 秀明, 北川 雄光

日本外科学会雑誌 119 （ 5 ） 525 - 528 2018年09月

研究論文（学術雑誌）, 共著