JaLCDOI 10.18926/AMO/54419
フルテキストURL 70_3_197.pdf
著者 Takagi, Kosei| Yagi, Takahito| Yoshida, Ryuichi| Shinoura, Susumu| Umeda, Yuzo| Nobuoka, Daisuke| Kuise, Takashi| Watanabe, Nobuyuki| Sui, Kenta| Fuji, Tomokazu| Fujiwara, Toshiyoshi|
抄録 The operative mortality and morbidity of pancreaticoduodenectomy (PD) remain high. We analyzed PD patientsʼ clinical characteristics and surgical outcomes and discuss how PD clinical outcomes could be improved. We retrospectively reviewed the cases of 400 patients who underwent a PD between January 1998 and April 2014 at Okayama University Hospital, a very-high-volume center. We identified and compared the clinical outcomes between two time periods (period 1: 1998-2006 vs. period 2: 2007-2014). The total postoperative mortality and major complication rates were 0.75 and 15.8 , respectively, and the median postoperative length of stay (LOS) was 32 days. Subsequently, patients who underwent a PD during period 2 had a significantly shorter LOS than those who underwent a PD during period 1 (29 days vs. 38.5 days, p<0.001). The incidence of mortality and major complications did not differ between the two periods. In our multivariate analysis, period 1 was an independent factor associated with a long LOS (p<0.001). The improvement of the surgical procedure and perioperative care might be related to the shorter LOS in period 2 and ot the consistently maintained low mortality rate after PD. The development of multimodal strategies to accelerate postoperative recovery may further improve PDʼs clinical outcomes.
キーワード pancreaticoduodenectomy surgical outcome mortality major complication length of stay
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2016-06
70巻
3号
出版者 Okayama University Medical School
開始ページ 197
終了ページ 203
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2016 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 27339209
Web of Science KeyUT 000379406100007
JaLCDOI 10.18926/AMO/54594
フルテキストURL 70_5_363.pdf
著者 Takagi, Kosei| Yagi, Takahito| Yoshida, Ryuichi| Shinoura, Susumu| Umeda, Yuzo| Nobuoka, Daisuke| Kuise, Takashi| Watanabe, Nobuyuki| Fujiwara, Toshiyoshi|
抄録 Sarcopenia following liver surgery has been reported as a predictor of poor prognosis. Here we investigated predictors of outcomes in patients with hepatocellular carcinoma (HCC) and attempted to establish a new comprehensive preoperative assessment protocol. We retrospectively analyzed the cases of 254 patients who underwent curative hepatectomy for HCC with Child-Pugh classification A at our hospital between January 2007 and December 2013. Sarcopenia was evaluated by computed tomography measurement. The influence of sarcopenia on outcomes was evaluated. We used multivariate analyses to assess the impact of prognostic factors associated with outcomes, including sarcopenia. Of the 254 patients, 118 (46.5%) met the criteria for sarcopenia, and 32 had an American Society of Anesthesiologists (ASA) physical status ≥3. The sarcopenic group had a significantly lower 5-year overall survival rate than the non-sarcopenic group (58.2% vs. 82.4% , p=0.0002). In multivariate analyses of prognostic factors, sarcopenia was an independent predictor of poor survival (hazard ratio [HR]=2.28, p=0.002) and poor ASA status (HR=3.17, p=0.001). Sarcopenia and poor ASA status are independent preoperative predictors for poor outcomes after hepatectomy. The preoperative identification of sarcopenia and ASA status might enable the development of comprehensive approaches to assess surgical eligibility.
キーワード sarcopenia American Society of Anesthesiologists physical status hepatectomy hepatocellular carcinoma prognostic factor
Amo Type Original Articles
出版物タイトル Acta Medica Okayama
発行日 2016-10
70巻
5号
出版者 Okayama University Medical School
開始ページ 363
終了ページ 370
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2016 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 27777428
Web of Science KeyUT 000388098700005
JaLCDOI 10.18926/AMO/62818
フルテキストURL 75_6_755.pdf
著者 Takagi, Kosei| Kuise, Takashi| Umeda, Yuzo| Yoshida, Ryuichi| Yoshida, Kazuhiro| Nagai, Yasuo| Noma, Kazuhiro| Tanabe, Shunsuke| Maeda, Naoaki| Yagi, Takahito| Fujiwara, Toshiyoshi|
抄録 Approximately 4% of patients with esophageal cancer develop a second primary malignancy in the upper gastrointestinal trunk. However, hepatectomy following esophagectomy for esophageal cancer has rarely been reported. We report the case of a 70-year-old man who underwent an esophagectomy for esophageal cancer with retrosternal gastric tube reconstruction. Nine years later, he developed hepatocellular carcinoma with tumor thrombus involving the left portal vein, and was successfully treated with left hemihepatectomy. Special attention should be paid to avoiding incidental injury of the gastric tube as well as the right gastroepiploic artery during the hepatectomy.
キーワード liver resection, esophagectomy, retrosternal gastric tube reconstruction
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2021-12
75巻
6号
出版者 Okayama University Medical School
開始ページ 755
終了ページ 758
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2021 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 34955546
Web of Science KeyUT 000735319800004
NAID 120007180274
著者 Takagi, Kosei| Yagi, Takahito| Shinoura, Susumu| Umeda, Yuzo| Yoshida, Ryuichi| Nobuoka, Daisuke| Watanabe, Nobuyuki| Kuise, Takashi| Fuji, Tomokazu| Araki, Hiroyuki| Fujiwara, Toshiyoshi|
発行日 2017-02
出版物タイトル Acta Medica Okayama
71巻
1号
資料タイプ 学術雑誌論文
JaLCDOI 10.18926/AMO/54830
フルテキストURL fulltext.pdf
著者 Takagi, Kosei| Kuise, Takashi| Umeda, Yuzo| Yoshida, Ryuichi| Teraishi, Fuminori| Yagi, Takahito| Fujiwara, Toshiyoshi|
キーワード Laparoscopic Liver Segment seven
発行日 2020
出版物タイトル International Journal of Surgery Case Reports
73巻
出版者 Elsevier
開始ページ 168
終了ページ 171
ISSN 2210-2612
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © 2020 The Author(s).
論文のバージョン publisher
PubMed ID 32688239
DOI 10.1016/j.ijscr.2020.06.107
Web of Science KeyUT 000558775100010
関連URL isVersionOf https://doi.org/10.1016/j.ijscr.2020.06.107
フルテキストURL fulltext.pdf
著者 Takagi, Kosei| Umeda, Yuzo| Kuise, Takashi| Yoshida, Ryuichi| Yoshida, Kazuhiro| Yasui, Kazuya| Tani, Yuma| Yagi, Takahito| Fujiwara, Toshiyoshi|
キーワード Hanging maneuver Laparoscopic Liver resection
発行日 2020-10-08
出版物タイトル International Journal of Surgery Case Reports
76巻
出版者 Elsevier
開始ページ 251
終了ページ 253
ISSN 2210-2612
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © 2020 The Author(s).
論文のバージョン publisher
PubMed ID 33053483
DOI 10.1016/j.ijscr.2020.10.002
関連URL isVersionOf https://doi.org/10.1016/j.ijscr.2020.10.002
フルテキストURL fulltext.pdf
著者 Yoshida, Kazuhiro| Umeda, Yuzo| Iwamuro, Masaya| Matsumoto, Kazuyuki| Kato, Hironari| Uka, Mayu| Matsui, Yusuke| Yoshida, Ryuichi| Kuise, Takashi| Yasui, Kazuya| Takagi, Kosei| Araki, Hiroyuki| Yagi, Takahito| Fujiwara, Toshiyoshi|
キーワード Hemobilia Bile duct resection Hepatectomy Endoscopic balloon tamponade Case report
発行日 2020-12-01
出版物タイトル BMC Surgery
20巻
1号
出版者 BMC
開始ページ 307
ISSN 1471-2482
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © The Author(s) 2020.
論文のバージョン publisher
PubMed ID 33261613
DOI 10.1186/s12893-020-00981-8
Web of Science KeyUT 000595042700001
関連URL isVersionOf https://doi.org/10.1186/s12893-020-00981-8
フルテキストURL fulltext.pdf
著者 Tamaki, Ayano| Tani, Yuma| Sato, Hiroki| Yoshida, Ryuichi| Yasui, Kazuya| Horiguchi, Shigeru| Kuise, Takashi| Umeda, Yuzo| Yoshida, Kazuhiro| Fuji, Tomokazu| Kumano, Kenjiro| Takagi, Kosei| Yagi, Takahito| Fujiwara, Toshiyoshi|
キーワード Mixed neuroendocrine-non-neuroendocrine neoplasm Adjuvant chemotherapy Ampulla of vater Distal bile duct
発行日 2022-03-02
出版物タイトル Surgical Case Reports
8巻
1号
出版者 Springer
開始ページ 38
ISSN 2198-7793
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © The Author(s) 2022.
論文のバージョン publisher
PubMed ID 35235080
DOI 10.1186/s40792-022-01386-w
Web of Science KeyUT 000763394800001
関連URL isVersionOf https://doi.org/10.1186/s40792-022-01386-w