Details of a Researcher - NISHIDA Sachiyo

Papers - NISHIDA Sachiyo

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大腿骨頸部骨折における前立腺癌内分泌治療の臨床的意義

西田幸代, 立木仁, 長汐亮, 田仲紀明

泌尿器外科 ( 医学図書出版(株) ) 24 ( 1 ) 120 - 120 2011.01

腹腔鏡手術の技術向上に経尿道的手術および開放手術の経験はどの程度寄与するか? LapVRを用いて

西田幸代, 北村寛, 舛森直哉, 塚本泰司

Japanese Journal of Endourology and ESWL ( (一社)日本泌尿器内視鏡学会 ) 23 ( 3 ) 248 - 248 2010.10

腹腔鏡下根治的前立腺摘除術における術中迅速診断の意義

西田幸代, 河源, 木下秀文, 松田公志

Japanese Journal of Endourology and ESWL ( (一社)日本泌尿器内視鏡学会 ) 23 ( 1 ) 112 - 115 2010.04

2006年1月から2008年8月までに当科で施行した167例の腹腔鏡下根治的前立腺摘除術のなかで、術中迅速病理診断(IFS;intra operative frozen section)を行った100例についてretrospectiveに検討した。IFSで癌陽性だった症例は18例(18.0%)であった。提出部位別に見ると、膀胱頸部の提出頻度が38.6%と他部位に比べ高かった。一方、尿道の提出頻度は17.6%であるものの、癌陽性率は28.6%と最も高く、尿道断端の切除の意義についてさらに検討を重ねる必要があると考えられた。(著者抄録)

尿管ポリープに合併した尿管重積の1例

西田幸代, 河源, 井上貴昭, 大口尚基, 木下秀文, 松田公志

泌尿器科紀要 ( 泌尿器科紀要刊行会 ) 56 ( 3 ) 192 - 192 2010.03

OP-149 膀胱癌に対する拡大骨盤リンパ節郭清術における転移分布の検討(膀胱腫瘍/手術1,一般演題口演,第98回日本泌尿器科学会総会)

北村寛, 武居史泰, 西田幸代, 村中貴之, 舛森直哉, 塚本泰司

日本泌尿器科学会雑誌 ( 一般社団法人日本泌尿器科学会 ) 101 ( 2 ) 270 - 270 2010

DOI CiNii

腹腔鏡下腎・腎尿管手術において開放移行となった症例の臨床的特徴

西田幸代, 舛森直哉, 高橋聡, 伊藤直樹, 塚本泰司

Japanese Journal of Endourology and ESWL ( (一社)日本泌尿器内視鏡学会 ) 22 ( 3 ) 223 - 223 2009.11

Urethral mobility at catheter removal predicts early recovery of urinary continence after radical prostatectomy.

Sachiyo Nishida, Noriaki Utsunomiya, Hiroyuki Nishiyama, Toshiyuki Kamoto, Osamu Ogawa, Hidefumi Kinoshita

International journal of urology : official journal of the Japanese Urological Association 16 ( 4 ) 375 - 8 2009.04 [International journal]

OBJECTIVES: To analyze the clinical parameters correlated with early recovery of urinary continence after radical prostatectomy, focusing especially on urethral mobility during voiding at catheter removal. METHODS: At the time of catheter removal, a voiding cystourethrography was performed in 58 men (median age 69 years, range 55-76) who had undergone radical prostatectomy. The vertical length of urethral movement between voiding and standstill was measured.The correlation between continence status and various clinical parameters, including age, prostate volume, International Prostate Symptom Score, quality of life score and the length of urethral movement was analyzed. RESULTS: An inverse correlation was observed between length of urethral movement and urinary incontinence volume rate (defined as [leakage volume/daily total urine volume] x 100%) on day 7 after catheter removal (r = -0.388, P < 0.05). Classifying patients into two groups according to the length of urethral movement of 2 mm gave the best accuracy for the prediction of postoperative recovery of urinary incontinence with receiver operating characteristic analysis. A statistically significant difference was observed between group 1 (length >or=2 mm) and group 2(<2 mm) for the leakage rate until day 7 after the catheter was removed (P < 0.01). Urethral movement at the time of catheter removal was significantly correlated with early recovery of continence in the two groups (P < 0.05). CONCLUSIONS: Urethral mobility after radical prostatectomy, which can be easily evaluated using voiding cystourethrography, may be a good predictor of early recovery of urinary continence.

PubMed

前立腺全摘術施行症例の生検前MRI所見と全摘標本の比較検討

西田幸代, 木下秀文, 井上貴昭, 谷口久哲, 三島崇生, 増田朋子, 矢西正明, 大口尚基, 河源, 松田公志

日本泌尿器科学会雑誌 ( (一社)日本泌尿器科学会 ) 100 ( 2 ) 416 - 416 2009.02

OP-397 腹腔鏡下前立腺全摘術後の下部尿路症状の検討(前立腺腫瘍/腹腔鏡手術2,一般演題口演,第97回日本泌尿器科学会総会)

大口尚基, 三島崇生, 谷口久哲, 井上貴昭, 増田朋子, 矢西正明, 西田幸代, 河源, 木下秀文, 松田公志

日本泌尿器科学会雑誌 ( 一般社団法人日本泌尿器科学会 ) 100 ( 2 ) 288 - 288 2009

DOI CiNii

PP-225 評価用紙を用いた術者と指導者による腹腔鏡手術技術評価(体腔鏡/その他,一般演題ポスター,第97回日本泌尿器科学会総会)

吉田健志, 井上貴昭, 谷口久哲, 三島崇生, 増田朋子, 矢西正明, 西田幸代, 大口尚基, 河源, 木下秀文, 松田公志

日本泌尿器科学会雑誌 ( 一般社団法人日本泌尿器科学会 ) 100 ( 2 ) 373 - 373 2009

DOI CiNii

VP-013 Intrafascial Nerve Sparing techniqueによる腹腔鏡下前立腺全摘出術の初期経験(一般ビデオ「前立腺・後腹膜」,一般演題ビデオ,第97回日本泌尿器科学会総会)

木下秀文, 河源, 三島崇生, 谷口久哲, 増田朋子, 矢西正明, 井上貴昭, 西田幸代, 大口尚基, 松田公志

日本泌尿器科学会雑誌 ( 一般社団法人日本泌尿器科学会 ) 100 ( 2 ) 312 - 312 2009

DOI CiNii

腹腔鏡下前立腺全摘除術における術中迅速診断の有用性

西田幸代, 木下秀文, 井上貴昭, 谷口久哲, 三島崇生, 矢西正明, 増田朋子, 大口尚基, 河源, 松田公志

Japanese Journal of Endourology and ESWL ( (一社)日本泌尿器内視鏡学会 ) 21 ( 4 ) 198 - 198 2008.11

関西医大における前立腺多数ヶ所生検の臨床的検討

西田幸代, 木下秀文, 三島崇生, 谷口久哲, 井上貴昭, 矢西正明, 増田朋子, 大口尚基, 河源, 松田公志

日本癌治療学会誌 ( (一社)日本癌治療学会 ) 43 ( 2 ) 704 - 704 2008.10

転移性腎細胞癌に対し天然型IFNαの製剤変更後1年以上の寛解を得た2症例

西田幸代, 五十嵐学, 立木仁

臨床泌尿器科 ( (株)医学書院 ) 62 ( 8 ) 621 - 624 2008.07

転移性腎癌に対し天然型IFNαの製剤変更を行い,効果の得られた2症例を経験した。変更理由は,それぞれ転移巣増大と副作用である皮膚病変の出現だった。変更後転移巣は増大なく,また皮膚病変は出現せず,いずれも1年以上寛解状態にあった。近年,IFNα製剤間の抗腫瘍効果・副作用の違いに関する報告が増えているが,それぞれの患者に対し,より適切なIFNαが存在する可能性があると考えられた。(著者抄録)

Adrenocortical carcinoma: retrospective study of 14 patients experienced at a single institution over 34 years.

Sachiyo Nishida, Naoki Itoh, Takumi Sasao, Naoya Masumori, Keisuke Taguchi, Taiji Tsukamoto

International journal of urology : official journal of the Japanese Urological Association 14 ( 7 ) 581 - 4 2007.07 [International journal]

Authorship： Lead author

OBJECTIVE: To review clinical outcome of patients with adrenocortical carcinoma experienced at a single institute over 34 years. METHODS: The study included 14 patients who were diagnosed as having the disease and were treated at the Department of Urology, Sapporo Medical University Hospital between 1973 and 2006. Their clinical features and outcomes were reviewed. RESULTS: Of the 14 patients, there were nine men and five women. The median follow-up period was 13.0 months (range, 1-213). Two patients were classified as having stage II disease, seven as stage III and five as stage IV. The disease was completely removed in eight patients and incompletely in three. Two other patients received exploratory laparotomy only. The remaining one patient had no indication for surgery. The median survival periods were 2 months in patients with stage IV and 108 months in those with stages II and III (P = 0.136). Mitotane treatment in the adjuvant setting did not clearly affect the clinical courses of patients without metastasis. However, the treatment was effective for metastasis that was repeatedly developed as late recurrence in one patient. Three patients with metastasis at diagnosis received combination chemotherapy with etoposide, doxorubicin and cisplatin (EDP) with or without mitotane treatment, to which lung metastasis completely responded in one patient. CONCLUSIONS: Adrenocortical carcinoma is a rare disease but frequently recurs. The best chance of survival may be achieved by early detection and complete surgical removal. There may be patients who possibly benefit from mitotane treatment with or without EDP, although this remains to be conclusively determined.

PubMed

OP-100 PSA2-4ng/mlで施行した根治的前立腺摘除術23例の臨床的検討(第95回日本泌尿器科学会総会)

西田幸代, 進藤哲哉, 前鼻健志, 宮本慎太郎, 村中貴之, 鈴木一弘, 柳瀬雅弘

日本泌尿器科学会雑誌 ( 一般社団法人日本泌尿器科学会 ) 98 ( 2 ) 315 - 315 2007

DOI CiNii

[Clinical course of patients with negative initial prostate biopsy].

Sachiyo Nishida, Naoya Masumori, Fumimasa Fukuta, Atsushi Takahashi, Naoki Itoh, Taiji Tsukamoto

Hinyokika kiyo. Acta urologica Japonica 52 ( 7 ) 523 - 6 2006.07 [Domestic journal]

Of 227 men with a negative initial biopsy, the clinical course of 99 men who could be regularly followed using prostate specific antigen (PSA) determination was retrospectively analyzed. A repeat biopsy was recommended if the men showed persistent elevation of PSA > 10 ng/ml, PSA velocity (PSAV) > 0.75 ng/ml/year, or persistent abnormality on digital rectal examination and/or transrectal ultrasonography. A repeat biopsy was performed on 43 men. Because of the indication for a repeat biopsy, the PSAV of the 43 men who received a repeat biopsy was higher than that of the 56 men who did not. Clinically organ-confined cancer was detected in 18 patients (detection rate 41.9%). The patients having cancer had a higher PSAV (median 1.950) than those without the disease (median 0.900). Of 19 men aged 75 years and older at the initial biopsy, a repeat biopsy revealed organ-confined cancers in 4 out of 10 men. During follow-up of the 19 elderly men, 11 developed co-morbid illnesses such as cerebral infarction, ischemic heart diseases and other malignancies, and 4 died of the diseases. Thus, PSAV seems to be the best parameter for a repeat biopsy. Elderly men may not benefit from a repeat biopsy because they are unlikely to have lethal prostate cancer and highly likely to develop co-morbid illness that would affect their life-span.

PubMed

MP-097 シリコン製腎盂バルーンカテーテルにおけるバルーン自然収縮現象(一般演題ポスター,第94回日本泌尿器科学会総会)

西田幸代, 舛森直哉, 久滝俊博, 国島康晴, 高橋敦, 伊藤直樹, 塚本泰司

日本泌尿器科学会雑誌 ( 一般社団法人日本泌尿器科学会 ) 97 ( 2 ) 391 - 391 2006

DOI CiNii

初回経直腸的前立腺生検にて悪性所見を認めなかった症例の臨床経過(第93回日本泌尿器科学会総会)

西田幸代, 舛森直哉, 福多史昌, 久滝俊博, 北村寛, 松川雅則, 高橋敦, 伊藤直樹, 塚本泰司

日本泌尿器科学会雑誌 ( 一般社団法人日本泌尿器科学会 ) 96 ( 2 ) 299 - 299 2005

DOI CiNii

腎癌との鑑別が困難であった腎門部Schwannomaの1例

西田幸代, 木下秀文, 沖波武, 国島康晴, 清川岳彦, 伊藤哲之, 山本新吾, 賀本敏行, 羽渕友則, 小川修

泌尿器科紀要 ( 泌尿器科紀要刊行会 ) 50 ( 6 ) 445 - 447 2004.06

58歳女.心窩部痛を主訴に受診した.血液生化学検査,尿検査とも異常を認めなかった.腹部造影CT検査で,左腎門部に突出し,不均一な造影効果のある腫瘍を認めた.MRI検査で腫瘍は,T1強調画像で低信号,T2強調画像では高信号を呈し,造影MRI検査で周囲に不均一な増強効果を認めた.腎細胞癌と診断し,腹腔鏡下根治的腎摘除術を施行した.HE染色で紡錘型の細胞の増殖が認められ,Schwannomaと診断したが,核異型,クロマチン濃縮,核分裂像などの悪性所見は認められなかった.術後経過は良好で再発を認めない

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Papers - NISHIDA Sachiyo