Seiichiro Eto
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View article: Evaluation of the Outcome of Local Surgery for Stomal Prolapse
Evaluation of the Outcome of Local Surgery for Stomal Prolapse Open
We reviewed the results of local surgical treatment of stoma prolapse, a long-term complication of stoma construction. Fifteen patients treated for stomal prolapse between 2009 and 2020 at the authors’ and affiliated hospitals were include…
View article: A Case Report of Laparoscopic-assisted Surgery for Intussusception Caused by Peutz-Jeghers-type Polyps
A Case Report of Laparoscopic-assisted Surgery for Intussusception Caused by Peutz-Jeghers-type Polyps Open
症例は18歳，女性．腹痛，嘔気，嘔吐を主訴に前医を受診し，小腸イレウスの疑いで当院へ転院搬送となった．腹部造影CT検査で，遠位回腸に腸管重積所見を認め，小腸ポリープなどの器質的疾患に伴う小腸腸重積の診断のもと，同日緊急手術の方針となった．術中所見にて回腸末端から160cm口側腸管に約30cmにわたる腸管重積を認めた．腹腔鏡補助下での重積解除後に小腸部分切除を施行した．摘出検体の病理組織像もあわせて最終的にPeutz-Jeghers症候群と診断した．今回，われわれはPeutz…
View article: A Case of Small Intestinal Gastrointestinal Stromal Tumor That was Difficult to Distinguish from an Ovarian Tumor: A Case Report
A Case of Small Intestinal Gastrointestinal Stromal Tumor That was Difficult to Distinguish from an Ovarian Tumor: A Case Report Open
術前に卵巣腫瘍と鑑別が困難であった小腸Gastrointestinal stromal tumor（GIST）の手術症例を経験したので報告する．症例は67歳の女性．健診にて貧血を指摘され，近医で上下部消化管内視鏡検査を施行するも，異常所見なく，婦人科疾患の精査目的に当院産婦人科を紹介受診となった．骨盤部造影CT検査にて右卵巣に一致して内部造影不良域を伴う長径51mmの境界明瞭な腫瘤を認め，骨盤部造影MRI検査では子宮右側に53×38×48mm大の内部非造影領域と辺縁造影効果…
View article: The Experience that Enforced Elective Laparoscopic Surgery for Rectal Neuroendocrine Carcinoma which Caused a Hemorrhagic Shock: A Case Report
The Experience that Enforced Elective Laparoscopic Surgery for Rectal Neuroendocrine Carcinoma which Caused a Hemorrhagic Shock: A Case Report Open
血便に伴う出血性ショックを契機に発見されて腹腔鏡下手術にて切除し，診断された直腸神経内分泌癌の１例を経験したので文献的考察を加えて報告する．症例は71歳，男性．血便に伴う出血性ショックの病態で当院へ救急搬送となった．直腸RSに20mm大の２型腫瘤を認め，活動性出血を伴う露出血管を認めた．内視鏡下に止血後，待機的に手術施行した．腹腔鏡下高位前方切除術，２群リンパ節郭清を施行した．術後経過良好で術後第14病日に退院となった．病理学的診断として直腸神経内分泌癌pT2N2aM0 f…
View article: Preoperative Neutrophil–Lymphocyte Ratio Is a Predictor of Bowel Obstruction Due to Colorectal Cancer Growth
Preoperative Neutrophil–Lymphocyte Ratio Is a Predictor of Bowel Obstruction Due to Colorectal Cancer Growth Open
Preoperative NLR seems to be a useful predictor of bowel obstruction due to colorectal cancer growth.
View article: An Esophageal Hiatal Hernia with Upside-down Stomach Treated with Elective Laparoscopic Surgery: A Case Report
An Esophageal Hiatal Hernia with Upside-down Stomach Treated with Elective Laparoscopic Surgery: A Case Report Open
腹腔鏡下手術にて良好な治療結果が得られた横行結腸脱出を伴うupside-down stomachに対する腹腔鏡下手術例を経験したので報告する．症例は72歳の女性，身長150cm，体重52kg，BMI 23.1kg/m2．既往歴に腰椎圧迫骨折がある．白内障の手術目的に胸部レントゲンを撮影したところ，縦隔内に胃泡を認め，食道裂孔ヘルニア疑いにて消化器内科へ紹介となった．胸腹部CT検査では，全胃と横行結腸の一部の縦隔内脱出を認めた．上部消化管エックス線造影検査では，食道は左側へ大…
View article: Duration of Preoperative Biliary Drainage as a Prognostic Factor After Pancreaticoduodenectomy for Pancreatic Head Cancer
Duration of Preoperative Biliary Drainage as a Prognostic Factor After Pancreaticoduodenectomy for Pancreatic Head Cancer Open
Duration of PBD is an independent prognostic factor after PD for pancreatic head cancer with obstructive jaundice.