Takanori Kurogochi
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View article: Prognostic Impact of Bone Mineral Density Reduction During Neoadjuvant Chemotherapy (NAC) in Patients Undergoing NAC Followed by Esophagectomy for Esophageal Cancer
Prognostic Impact of Bone Mineral Density Reduction During Neoadjuvant Chemotherapy (NAC) in Patients Undergoing NAC Followed by Esophagectomy for Esophageal Cancer Open
Background Our previous study suggested that low bone mineral density (BMD), known as osteopenia, was a poor prognostic factor in patients who underwent esophagectomy for esophageal cancer (EC). Meanwhile, the association between BMD reduc…
View article: Effect of Intraoperative Posture on Accurate Diagnostic Rate of Intraoperative Nerve Monitoring During Esophagectomy
Effect of Intraoperative Posture on Accurate Diagnostic Rate of Intraoperative Nerve Monitoring During Esophagectomy Open
Background The benefits of intraoperative nerve monitoring for identifying recurrent laryngeal nerves during esophageal cancer surgery have recently been reported. However, no standardized procedures have been established for the use of th…
View article: Clinical impact of low fornix perfusion on devascularized whole stomach as a risk factor for anastomotic leakage after esophagectomy
Clinical impact of low fornix perfusion on devascularized whole stomach as a risk factor for anastomotic leakage after esophagectomy Open
Backgrounds We previously reported poor vascularity of narrow gastric tube evaluated by thermography was associated with anastomotic leakage (AL) after esophagectomy. Meanwhile, the association between the fornix low perfusion on devascula…
View article: 580. ESTABLISHMENT OF A RAT MODEL OF GASTROESOPHAGEAL REFLUX DISEASE INDUCED CHRONIC MICROASPIRATION
580. ESTABLISHMENT OF A RAT MODEL OF GASTROESOPHAGEAL REFLUX DISEASE INDUCED CHRONIC MICROASPIRATION Open
Background Gastroesophageal reflux disease (GERD) is a common gastrointestinal disorder in Japan, the world’s first super-aging society. Occult microaspiration due to GERD can cause respiratory infections especially in frail elderly indivi…
View article: The impact on obesity‐related quality of life and eating satisfaction in the early period after laparoscopic sleeve gastrectomy
The impact on obesity‐related quality of life and eating satisfaction in the early period after laparoscopic sleeve gastrectomy Open
Introduction Obesity impairs patients' quality of life (QoL). Laparoscopic sleeve gastrectomy (LSG) is a common procedure for patients with severe obesity; however, studies reporting changes in obesity‐related QoL are limited. The aim of t…
View article: Transperineal Repair of Secondary Perineal Hernia Using a Mesh with a Memory-recoil Ring
Transperineal Repair of Secondary Perineal Hernia Using a Mesh with a Memory-recoil Ring Open
TPR using a mesh with a memory-recoil ring is safe, feasible and promising technique for SPH repairs.
View article: Anatomical and anastomotic viability indexes for stratifying the risk of anastomotic leakage in esophagectomy with retrosternal reconstruction
Anatomical and anastomotic viability indexes for stratifying the risk of anastomotic leakage in esophagectomy with retrosternal reconstruction Open
Background Risk prediction of anastomotic leakage using anatomical and vascular factors has not been well established. This study aimed to assess the anatomical and vascular factors affecting the hemodynamics of the gastric conduit and dev…
View article: Thoracoscopic repair of iatrogenic diaphragmatic hernia following multiple abdominal surgeries: a case report
Thoracoscopic repair of iatrogenic diaphragmatic hernia following multiple abdominal surgeries: a case report Open
Iatrogenic diaphragmatic hernia (IDH) is a rare complication that has been reported after various interventions, including liver transplantation, liver resection and nephrectomy. A surgical procedure for IDH has not been optimized. A 56-ye…
View article: A Case of Obstruction Due to a Giant Diverticulum in the Sigmoid Colon
A Case of Obstruction Due to a Giant Diverticulum in the Sigmoid Colon Open
症例は65歳男性.便潜血陽性の精査のため下部消化管内視鏡検査を予定したが,検査当日下剤服用後より腹痛,腹部膨満を認めた.CT検査にて,S状結腸に腸管の狭小化を認めた.腫瘍性病変は明らかではなく,便塊による腸閉塞が疑われたため内視鏡による腸閉塞解除を試みたが,内視鏡処置中に腹痛が増悪し,緊急手術に移行した.術中所見では,S状結腸に4cm大の巨大憩室を認めた.同部位に便塊が貯留し,一部肛門側腸管が内反し,腸閉塞をきたしていた.開腹ハルトマン手術を施行し,術後3週間で人工肛門閉鎖…
View article: A Case of Esophageal Cancer with Severe Respiratory Condition which Could be Treated by Operation after Preoperative Combined-modality Therapy
A Case of Esophageal Cancer with Severe Respiratory Condition which Could be Treated by Operation after Preoperative Combined-modality Therapy Open
症例は61歳の女性．つかえ感と体重減少を主訴に他院受診し，食道癌と診断され加療目的にて当科へ転院された．精査の結果，食道扁平上皮癌LtAe，cT4a（No111-横隔膜）N2M0，cStage Ⅲと診断した．併存疾患に高度な肺拡散能低下による呼吸障害と甲状腺機能低下症を認めた．全身状態改善のため内視鏡的胃瘻造設術（PEG）を施行し栄養補助を，呼吸障害に対して気管支拡張薬や抗炎症薬の投与と呼吸リハビリテーション，在宅酸素療法の導入を行った．また，甲状腺機能低下症に対しレボチロ…
View article: New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage
New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage Open
Background The surgical difficulty of laparoscopic cholecystectomy (LC) after percutaneous transhepatic gallbladder drainage (PTGBD) remains unknown. This study aimed to establish a scoring system (SS) to predict the necessity of a bailout…
View article: A Case of Heparin-induced Thrombocytopenia after Surgery for Esophageal Cancer
A Case of Heparin-induced Thrombocytopenia after Surgery for Esophageal Cancer Open
症例は63歳女性．脳梗塞の既往があり，抗血小板薬を内服していた．cStage Ⅲ食道扁平上皮癌に対し，術前補助化学療法施行後に鏡視下食道亜全摘術を施行した．術前検査時や術直前には抗血小板薬をヘパリン置換していた．術後３日目よりヘパリン持続投与を再開した．その後，ヘパリン再開後，血小板の低下，胸腔ドレーン排液量の増加を認めた．造影CTにて，腹腔動脈起始部，左総腸骨動脈，上大静脈に多発する血栓を認めた．経過およびHIT抗体陽性からヘパリン起因性血小板減少症（HIT）と診断した．…
View article: A Strategy for Using Intraoperative Nerve Monitoring During Esophagectomy to Prevent Recurrent Laryngeal Nerve Palsy
A Strategy for Using Intraoperative Nerve Monitoring During Esophagectomy to Prevent Recurrent Laryngeal Nerve Palsy Open
In esophageal cancer surgery, identification of the RLN using IONM can be carried out safely, simply, and promptly. Using IONM systematically, the prediction of RLN palsy and detection of nerve injury point seems feasible.