Misc - 木村　康利

Hand-assisted laparoscopic pylorus-preserving pancreaticoduodenectomy for pancreas head disease

Y Kimura, K Hirata, M Mukaiya, T Mizuguchi, K Koito, T Katsuramaki

AMERICAN JOURNAL OF SURGERY ( EXCERPTA MEDICA INC )  189 ( 6 ) 734 - 737  2005年06月

　概要を見る

Laparoscopic procedures for pancreatic surgery have been significantly improved recently; however, the number of successful laparoscopic or laparoscopy-assisted pancreaticoduodenectomies (PDs) has been limited. The limitations could be attributed to the complexity of the reconstruction procedures under laparoscopic observations and the high incidence of critical morbidity with PDs. To overcome the shortcomings, we developed the first hand-assisted laparoscopic pylorus-preserving PD and, in this report, present the case of a patient with a low-grade malignant tumor on the pancreas head. (c) 2005 Excerpta Medica Inc. All rights reserved.

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Pancreas-sparing duodenectomy for a recurrent retroperitoneal liposarcoma: Report of a case

Y Kimura, M Mukaiya, T Honma, K Okuya, E Akizuki, C Kihara, T Furuhata, F Hata, T Katsuramaki, T Tsukamoto, K Hirata

SURGERY TODAY ( SPRINGER )  35 ( 1 ) 91 - 93  2005年01月

　概要を見る

Pancreas-sparing duodenectomy (PSD), which allows preservation of the pancreas in its entirety, is a promising procedure for low-grade malignancies of the duodenum, the periampullary region, and the neighboring retroperitoneum. We report a case of recurrent retroperitoneal liposarcoma involving the second and third parts of the duodenum, which was extirpated using PSD, after a right hemicolectomy for tumor invasion of part of the colonic hepatic flexura. The Roux-en-Y jejunal limb was sutured to the duodenal bulb in an end-to-end fashion, and the biliary and pancreatic duct systems were reconstructed with end-to-side anastomoses, placing the jejunal limb distal to the bulbo-jejunostomy after a septoplasty to repair the adjacent pancreatic and biliary ducts. Because retroperitoneal liposarcoma has a low incidence of lymph node metastasis, pancreaticoduodenectomy may be inappropriate, especially if minimally extensive surgery can ensure organ preservation. Pancreas-sparing duodenectomy could be the most appropriate procedure for nonepithelial malignant tumors located around the duodenum distal to the pylorus, which have no involvement with the pancreatic parenchyma or periduodenal lymph nodes.

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The management of SSIs in the biliary and pancreatic surgery

Surgery   67   185 - 190  2005年

【外科領域の感染制御】 胆・膵切除における感染対策

外科   67   185 - 190  2005年

IV-C. 急性膵炎

消化器疾患最新の治療 2005-2006    2005年

Endo-bowel clamp (PL540S) for safe rectal irrigation in laparoscopy-assisted rectal resection

T Furuhata, F Hata, T Tsuruma, H Nishimori, K Yamaguchi, T Mizuguchi, Y Kimura, T Katsuramaki, M Mukaiya, K Sasaki, K Hirata

SURGERY TODAY ( SPRINGER )  34 ( 10 ) 882 - 884  2004年10月

　概要を見る

We describe a technique of rectal irrigation using an endo-bowel clamp (PL540S) in laparoscopy-assisted rectal resection. One of the major concerns associated with current techniques of laparoscopy-assisted rectal resection is accidental tumor spillage because it is difficult to perform the necessary procedures without grasping and manipulating the bowel and mesorectum near the tumor. Therefore, sufficient intraoperative rectal irrigation is essential for preventing intraluminal implantation of rectal cancer. However, this can be difficult, especially if the tumor is located in the rectum. By placing a PL540S before transection, it is possible to occlude the rectum completely and irrigate it effectively. We think that the PL540S is a valuable device in laparoscopic surgery for rectal cancer.

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Surgical anatomy in the periampullary region and its application to the limitted pancreatectomy

The Hokkaido Journal of Surgery   49   3 - 8  2004年

膵頭十二指腸領域の解剖と縮小手術

北海道外科雑誌   49   3 - 8  2004年

Successful management of severe acute pancreatitis with multiple organ failure.

Pancreas   28   211 - 3  2004年

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Quantification of vascular endothelial growth factor-C and its receptor-3 messenger RNA with real-time quantitative polymerase chain reaction as a predictor of lymph node metastasis in human colorectal cancer

M Kawakami, T Furuhata, Y Kimura, K Yamaguchi, F Hata, K Sasaki, K Hirata

SURGERY ( MOSBY, INC )  133 ( 3 ) 300 - 308  2003年03月

　概要を見る

Background. This study was undertaken to determine whether vascular endothelial growth factor-C (VEGF-C) and the expression of its receptor VEGF receptor-3 (VEGFR-3) are correlated with lymph node metastasis in human colorectal cancer and whether their expression levels might be used to predict lymph node metastasis. Methods. Fifty-three surgical specimens of colorectal cancer with (n = 24) or without (n = 29) lymph node metastasis were studied. The messenger RNA (mRNA) expression of VEGF-C and VEGER-3 was quantified with a new method for kinetic quantitative polymerase chain reaction (PCR), real-time quantitative (RTQ) reverse transcriptase-PCR. In addition, their protein expressions were assessed immunohistochemically. Results. The VEGF-C mRNA level in primary tumors correlated with VEGF-C protein expression, lymph node metastasis, and lymphatic invasion. Sixteen of 24 patients with lymph node metastasis showed VEGF-C mRNA overexpression. Morphologically, VEGF-C protein expression in primary tumors showed a statistically significant relationship with lymph node metastasis and lymphatic invasion. Conclusion. Real-time quantitative reverse transcriptase-PCR is a sensitive method for detection and quantification of VEGF-C and VEGER-3 mRNA expression. Furthermore, the expression levels of VEGF-C mRNA and protein in colorectal cancer are correlated with lymph node metastasis and lymphatic invasion.

DOI

Frequent beta-catenin alteration in gallbladder carcinomas

J Exp Clin Cancer Res   22   321 - 8  2003年

Emergency medicine and guideline; Acute pancreatitis

The Japanese journal of cute medicine   27   1769 - 1774  2003年

The Conventional Pancreaticoduodenectomy with gastrectomy

Gastrointestinal Surgery   26   1715 - 1724  2003年

The procedures for standard pancreaticoduodenectomy

Gastroenterological surgery   26   1715 - 1724  2003年

【アトラスでみる膵癌の手術手技 】 胃切除を伴う標準的膵頭十二指腸切除術

消化器外科   26   1715 - 1724  2003年

Preoperative estimation of risk in hepatectomy using technetium-99m-galactosyl human serum albumin receptor amount by nonlinear 3-compartment model.

Hepatogastroenterology   50   174 - 7  2003年

Expression analysis of vascular endothelial growth factors and their relationships to lymph node metastasis in human colorectal cancer.

J Exp Clin Cancer Res   22   229 - 37  2003年

救急医療のコンセンサス 】 救急医療とガイドライン 急性膵炎

真弓 俊彦, 荒田 慎寿, 浦 英樹

救急医学 ( へるす出版 )  27 ( 12 ) 1769 - 1774  2003年

CiNii

【アトラスでみる膵癌の手術手技】 胃切除を伴う標準的膵頭十二指腸切除術

消化器外科   26   1715 - 1724  2003年

Traumatic transection of the pancreas head: report of a case with santorini duct injury treated by damage-control surgery.

Pancreas   26   205 - 7  2003年

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