Tadahiro Kamiya
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View article: Risk factors for residual liver recurrence of colorectal cancer after resection of liver metastases and significance of adjuvant chemotherapy
Risk factors for residual liver recurrence of colorectal cancer after resection of liver metastases and significance of adjuvant chemotherapy Open
Risk factors for liver recurrence after resection of synchronous liver metastases were positive lymph nodes, ≥3 liver metastases, and no postoperative adjuvant chemotherapy. Adjuvant chemotherapy is recommended after hepatic resection of s…
View article: Establishment of the menthol test as a clinical evaluation method for oxaliplatin-induced neuropathy.
Establishment of the menthol test as a clinical evaluation method for oxaliplatin-induced neuropathy. Open
By performing a menthol test in oxaliplatin-treated patients, it may be possible to objectively predict the exacerbation of peripheral neuropathy at an early stage.
View article: Bacterial composition analysis of colorectal tissue is affected by the degree of mucus adhesion
Bacterial composition analysis of colorectal tissue is affected by the degree of mucus adhesion Open
The outer mucus layer of the colorectal epithelium is easily removable and colonized by commensal microbiota, while the inner mucus layer is firmly attached to the epithelium and devoid of bacteria. Although the specific bacteria penetrati…
View article: Robotic low anterior resection for rectal cancer with side-to-end anastomosis in a patient with anal stenosis
Robotic low anterior resection for rectal cancer with side-to-end anastomosis in a patient with anal stenosis Open
BackgroundColorectal anastomosis using the double stapling technique (DST) has become a standard procedure. However, DST is difficult to perform in patients with anal stenosis because a circular stapler cannot be inserted into the rectum t…
View article: Primary Liposarcoma in Ascending Colon with Appearance of Pedunculated Submucosal Tumor
Primary Liposarcoma in Ascending Colon with Appearance of Pedunculated Submucosal Tumor Open
症例は72歳の男性で，貧血を主訴に当院を受診した．CTで回盲部に辺縁のみ造影効果を有する比較的境界明瞭な長径10 cmの類円形腫瘍を認めた．内視鏡では上行結腸の内腔に充満するように粘膜下腫瘍の発育を認め，腫瘍部の粘膜にびらんを認めた．生検結果は腫瘍成分陰性であったが，同部位からの出血が貧血の原因と考え，結腸右半切除を施行した．腫瘍は漿膜面に露出はしていなかったが，炎症が強く，後腹膜との剥離に難渋した．摘出標本を検討すると，腫瘍は10×8 cmで，上行結腸から発生した有茎性の…
View article: Novel use of the Nathanson liver retractor to prevent postoperative transient liver dysfunction during laparoscopic gastrectomy
Novel use of the Nathanson liver retractor to prevent postoperative transient liver dysfunction during laparoscopic gastrectomy Open
Introduction The Nathanson liver retractor (N) has been known to cause postoperative transient liver dysfunction (POTLD) in laparoscopic gastrectomy (LG). To reduce the incidence of POTLD, specifically we added to the retractor the use of …
View article: A Case of Pneumatosis Cystoides Interstinalis during Panitumumab Treatment for Sigmoid Colon Cancer
A Case of Pneumatosis Cystoides Interstinalis during Panitumumab Treatment for Sigmoid Colon Cancer Open
症例は52歳，男性．同時性肝・肺転移を伴う閉塞性S状結腸癌に対してS状結腸切除術を施行した．術後にmFOLFOX6+Pmabを8コース施行した．効果判定の胸腹部CT検査で，上行結腸から横行結腸の気腫状変化と腹腔内遊離ガス，後腹膜ガス，縦隔気腫を認め，腸管嚢腫様気腫症と診断した．全身状態は良好であり，腹部症状も認めなかったため保存的治療を開始した．気腫状変化は次第に改善し，第11病日に軽快退院した．第31病日にmFOLFOX6を再開し，その後，腸管嚢腫様気腫症の再燃はなかった…
View article: A Case of Transcutaneous Drainage and Percutaneous Transluminal Treatment for Perforation of the Small Intestine Caused by Pressure Caused by Accidental Package Ingestion in a Patient with a History of Bypass Surgery for Radiation Intestinal Stenosis
A Case of Transcutaneous Drainage and Percutaneous Transluminal Treatment for Perforation of the Small Intestine Caused by Pressure Caused by Accidental Package Ingestion in a Patient with a History of Bypass Surgery for Radiation Intestinal Stenosis Open
症例は71歳の女性で，1999年に子宮頸癌に対して広汎子宮全摘+リンパ節廓清を行い術後は放射線治療も行った．その後腸閉塞を繰り返し，2009年に小腸－横行結腸側々バイパス術を施行した．2014年に右鼠径部痛を主訴に当院受診しCT上，バイパス吻合部より肛門側の小腸内にpress through package（以下，PTPと略記）を確認し，その周囲に膿瘍を認めた．放射線性腸炎により外科的にPTP除去は困難で，PTPは回腸末端から50 cm以上あり大腸内視鏡下での摘出も困難と判…
View article: A Case of Inguinal Hernia Sac Abscess after Surgery for Idiopathic Small Intestinal Perforation
A Case of Inguinal Hernia Sac Abscess after Surgery for Idiopathic Small Intestinal Perforation Open
症例は60歳，男性．10年前から左鼠径ヘルニアを自覚していた．半年前に十二指腸穿孔による汎発性腹膜炎に対して大網充填術を施行した既往があった．腹痛で受診し，腹部全体に反跳痛と筋性防御を認め，腹部CT検査でfree airと腹腔内液体貯留があった．汎発性腹膜炎の診断で緊急手術を行った．小腸に約15mm大の穿孔部を認め，小腸切除を施行した．術後に微熱と炎症反応高値が継続し，術後6日目のCT検査で左陰嚢内に径55mmの膿瘍を認めた．穿刺培養で腸球菌が検出され，抗菌薬治療を行った．…
View article: A Case of Left Fallopian Tubal Abscess Secondary to Colon Diverticulitis
A Case of Left Fallopian Tubal Abscess Secondary to Colon Diverticulitis Open
An 80-year-old woman with left abdominal pain was referred to our hospital following unsuccessful treatment with antimicrobial agents.An abdominal contrast-enhanced CT scan showed sigmoid colon diverticulitis and the collection of fluid an…
View article: A case of gastric glomus tumor resection using laparoscopy endoscopy cooperative surgery (LECS)
A case of gastric glomus tumor resection using laparoscopy endoscopy cooperative surgery (LECS) Open
Glomus tumors are rare submucosal tumors of the stomach, and they should be considered in the differential diagnosis of gastric submucosal tumors. LECS could be a less invasive and effective method for treatment of gastric glomus tumor.
View article: A Case of T1 Sigmoid Colon Cancer with Solitary Thoracic Spinal Metastasis
A Case of T1 Sigmoid Colon Cancer with Solitary Thoracic Spinal Metastasis Open
症例は49歳，女性．検診の便潜血検査陽性を認め，下部消化管内視鏡検査を施行したところ，S状結腸に2cm大の0-I sp型ポリープを認め，EMRを施行した．EMRを施行し，病理組織学的所見は中分化管状腺癌，深達度SMで垂直断端陽性だった．約2カ月後に腹腔鏡下S状結腸切除術（D2郭清）を施行した．EMR瘢痕部に腫瘍の残存は認めず，第1群リンパ節に4個の転移を認めた（pT1N2aM0，Stage IIIA）．周術期より認めた背部痛が悪化したため，骨シンチグラフィーとMRIを施行し…