{"title":"Delayed emergence with remimazolam after laparoscopic subsegmental hepatectomy including the intermittent pringle maneuver in a patient with preserved liver function.","authors":"Reina Miyazaki, Satoru Sekiya, Hiromu Okano, Shunsaku Goto, Hiroshi Okamoto","doi":"10.1186/s40981-026-00847-7","DOIUrl":"10.1186/s40981-026-00847-7","url":null,"abstract":"","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"12 1","pages":"12"},"PeriodicalIF":1.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12873038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146118537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Disc-FX versus L'DISQ for percutaneous disc decompression: pilot comparative study using the minimal clinically important difference.","authors":"Haruka Takaoka, Reon Kobayashi, Ichiro Okano, Asae Taketomi, Eiko Hara, Hitoshi Mera, Masaki Ishikawa, Yoshifumi Kudo, Katsunori Oe","doi":"10.1186/s40981-026-00846-8","DOIUrl":"10.1186/s40981-026-00846-8","url":null,"abstract":"<p><strong>Background: </strong>Lumbar disc herniation often causes disabling radicular pain and impaired quality of life (QOL). Disc-FX and L'DISQ are minimally invasive percutaneous disc decompression devices, but their comparative efficacy remains uncertain.</p><p><strong>Methods: </strong>We retrospectively reviewed adults with single-level lumbar disc herniation treated with Disc-FX or L'DISQ at a single centre (October 2018-August 2023). Eligibility required radicular pain consistent with magnetic resonance imaging and either positive provocative discography or pain relief after intradiscal injection. Pain intensity (Numerical Rating Scale [NRS]) and QOL (EuroQOL 5-Dimension 5-Levels [EQ-5D-5 L]) were assessed at baseline and up to 6 months. The primary outcome was the between-group difference in change in NRS from baseline to 6 months. Secondary outcomes included 6-month change in EQ-5D-5 L and minimal clinically important difference (MCID) attainment (NRS ≥ 2-point reduction; EQ-5D-5 L ≥ 0.08 increase).</p><p><strong>Results: </strong>Forty-two patients were included (Disc-FX n = 16; L'DISQ n = 26). Both procedures reduced NRS pain scores over 6 months, and the primary outcome showed no statistically significant between-group difference (mean difference 1.32 points; 95% CI - 0.36 to 3.01). Among patients with baseline EQ-5D-5 L data (n = 38), Disc-FX showed greater 6-month EQ-5D-5 L improvement (mean difference 0.134; 95% CI 0.013 to 0.255) and higher EQ-5D-5 L MCID attainment (83.3% vs. 50.0%), but these are secondary results from a small retrospective cohort.</p><p><strong>Conclusions: </strong>In this pilot study, Disc-FX and L'DISQ had comparable short-term pain outcomes. Any apparent QOL advantage with Disc-FX should be interpreted cautiously as exploratory and potentially confounded, and requires confirmation in adequately powered prospective comparative studies.</p>","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":" ","pages":"14"},"PeriodicalIF":1.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12886625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145951943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Increase in the end-tidal carbon dioxide concentration during mediastinoscopic esophagectomy: a comment to a report of Haraguchi et al.","authors":"Katsuhide Masui, Tomoyuki Saito, Takero Arai, Takashi Asai","doi":"10.1186/s40981-025-00837-1","DOIUrl":"10.1186/s40981-025-00837-1","url":null,"abstract":"","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"12 1","pages":"4"},"PeriodicalIF":1.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12779863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-reported poor sleep quality on the day of delivery is a potential risk factor for postpartum depression after cesarean delivery: a retrospective cohort study.","authors":"Kaede Watanabe, Shohei Noguchi, Yuki Shiko, Daisuke Sakamaki, Yohei Kawasaki, Yusuke Mazda","doi":"10.1186/s40981-025-00833-5","DOIUrl":"10.1186/s40981-025-00833-5","url":null,"abstract":"","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"11 1","pages":"70"},"PeriodicalIF":1.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12748453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145856281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incidence and risk factors of intubation-related vocal cord paralysis after unilateral thyroidectomy.","authors":"Takumi Harata, Ryosuke Yamamoto, Takashi Fujiwara, Kazuyoshi Ishida","doi":"10.1186/s40981-025-00842-4","DOIUrl":"10.1186/s40981-025-00842-4","url":null,"abstract":"<p><strong>Background: </strong>Vocal cord paralysis (VCP) is a recognized complication of endotracheal intubation, but its true incidence may be underestimated because many asymptomatic cases remain undetected. Previous studies have focused primarily on VCP affecting the surgical side after unilateral thyroidectomy, whereas the non-surgical side has received less attention. The present study determines the incidence and risk factors of intubation-induced VCP on the non-surgical side in patients undergoing hemithyroidectomy.</p><p><strong>Results: </strong>This retrospective cohort included 339 patients who underwent hemithyroidectomy at a single institution between 2010 and 2018. All patients underwent routine pre- and postoperative laryngeal examinations using flexible endoscopy. The incidence of intubation-induced VCP on the non-surgical side was 2.4% (8/339). Patients who developed VCP had significantly lower body weight and body mass index than those without VCP, suggesting that underweight individuals may be more vulnerable. Most cases were transient, resolving within two months of surgery. No significant associations were identified between age, duration of surgery, endotracheal tube size, or intubation method. All cases of intubation-related VCP occurred in patients anesthetized with total intravenous anesthesia. However, this finding should be interpreted with caution because the retrospective design precludes establishing causality and potential confounders.</p><p><strong>Conclusions: </strong>Intubation-induced VCP was observed more frequently than previously reported, particularly among underweight patients. Routine perioperative laryngeal assessment enables detection of asymptomatic cases and may help clarify risk factors. Careful preoperative evaluation and vigilant intraoperative management remain essential to reduce the risk of this underrecognized complication.</p>","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":" ","pages":"11"},"PeriodicalIF":1.0,"publicationDate":"2025-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12855656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}