T. Shibata, N. Katada, Masayuki Nemoto, H. Mieno, K. Yamashita, S. Sakuramoto, Shirou Kikuchi, M. Watanabe
{"title":"Neoadjuvant Chemotherapy for Resectable Esophageal Cancer ; JCOG9907 to DCF","authors":"T. Shibata, N. Katada, Masayuki Nemoto, H. Mieno, K. Yamashita, S. Sakuramoto, Shirou Kikuchi, M. Watanabe","doi":"10.4030/JJCS.37.680","DOIUrl":"https://doi.org/10.4030/JJCS.37.680","url":null,"abstract":"","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121341232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Matsuhashi, K. Kunieda, A. Ikawa, C. Tanaka, N. Nagao, M. Kawai
{"title":"A Case of Cecal Cancer Recurrence Survival with Trousseau Syndrome Postoperatively Combined Multimodality Treatment","authors":"N. Matsuhashi, K. Kunieda, A. Ikawa, C. Tanaka, N. Nagao, M. Kawai","doi":"10.4030/JJCS.37.795","DOIUrl":"https://doi.org/10.4030/JJCS.37.795","url":null,"abstract":"","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122278931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Sagawa, T. Katsube, M. Murayama, K. Yamaguchi, Shin-ichi Asaka, T. Shimakawa, Kazuhiko Yoshimatu, S. Shiozawa, Y. Naritaka, K. Ogawa
{"title":"The Index of Nutritional Screening for Patients with Gastroenterological Cancers Undergoing Cancer Surgery","authors":"M. Sagawa, T. Katsube, M. Murayama, K. Yamaguchi, Shin-ichi Asaka, T. Shimakawa, Kazuhiko Yoshimatu, S. Shiozawa, Y. Naritaka, K. Ogawa","doi":"10.4030/JJCS.37.760","DOIUrl":"https://doi.org/10.4030/JJCS.37.760","url":null,"abstract":"第36回日本外科系連合学会学術集会ワークショップ4 連絡先 佐川まさの 〒116-8567 東京都荒川区西尾久2-1-10 東京女子医科大学東医療センター外科 臓器別の指標についても考察した. 栄養スクリーニングの指標 栄養スクリーニングにあたっては,subjective global assessment(SGA)が重要とされ,様々な 指標が用いられている.年齢,Body mass index (BMI),体重減少,活動状態(Performance Status;PS)などは,消化器癌手術における栄養ス クリーニングの基本的な指標である.また,血清 アルブミン値(Alb値)やそれを基にした様々な 指数やScore(小野寺式栄養指数,Controlling Nutritional Status(CONUT),Glasgow Prognostic Score(GPS))も有用な指標である.さら に,手術に際して糖尿病(DM)併存や肺機能障 害(%肺活量(VC)や一秒率(FEV1.0%)の低 下)の影響は無視できず,これらも指標として 用いるべきである. 年 齢:高齢者では肺合併症の危険が高く,譫 妄の頻度も高率で,低侵襲手術を選択しても術 後死亡率が高いと報告されている. BMIおよび体重減少:BMI:18.5未満はやせを 日外科系連会誌 37(4):760–764,2012","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114457104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"S・Rs大腸癌に対する腹腔鏡下手術と開腹手術― Case-Matched Control Studyによる比較 ―","authors":"淳 鶴田, 博斉 池田, 道雄 岡部, 雅子 伊藤","doi":"10.4030/JJCS.37.765","DOIUrl":"https://doi.org/10.4030/JJCS.37.765","url":null,"abstract":"","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"212 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133679466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Terakura, Saori Hiki, K. Yoshimoto, H. Ogata, N. Hashizume, S. Kawabata
{"title":"Significance of Pre and Postoperative Administration of, Rikkunshito for the Children of Gastroesophageal Reflux Disease","authors":"H. Terakura, Saori Hiki, K. Yoshimoto, H. Ogata, N. Hashizume, S. Kawabata","doi":"10.4030/JJCS.37.707","DOIUrl":"https://doi.org/10.4030/JJCS.37.707","url":null,"abstract":"","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133492906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Shiba, T. Misawa, T. Gocho, S. Wakiyama, Y. Ishida, Yujin Koike, Masafumi Suzuki, K. Yanaga
{"title":"Early Recurrence by Liver Metastasis and Peritoneal Carcinomatosis After Curative Resection of Carcinoma of the Ampulla of Vater","authors":"H. Shiba, T. Misawa, T. Gocho, S. Wakiyama, Y. Ishida, Yujin Koike, Masafumi Suzuki, K. Yanaga","doi":"10.4030/JJCS.37.848","DOIUrl":"https://doi.org/10.4030/JJCS.37.848","url":null,"abstract":"症例は68歳男性.尿濃染,黄疸に気づき当院受診.閉塞性黄疸の診断で内視鏡的胆道ドレナージを 施行.超音波内視鏡では十二指腸乳頭部の2cm径の腫瘍と1.5cm径のリンパ節腫脹を認めた.CT, MRI,USでは明らかな転移巣,腹膜播種巣は認めなかった.生検はadenomaの診断だったが,十二指 腸乳頭部癌を強く疑い,幽門輪温存膵頭十二指腸切除術を施行.病理診断は非露出型乳頭部癌で,20 ×15×5mm,低分化型腺癌,od,ply0,pv1,pn0,pPanc0,pDu2,pN1,pStage III,根治度Aであ った.術後経過は良好で合併症なく術後第15病日に退院.術後3カ月頃より全身倦怠感,背部痛が出 現,黄疸のため緊急入院.多発肝転移,癌性腹膜炎で,術後4カ月で癌死した.十二指腸乳頭部癌は 膵頭部領域癌では比較的予後良好な疾患だが,極めて急速に多発肝転移,癌性腹膜炎をきたした症例 を経験したので報告する.","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123199946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Goto, Yusuke Shinoda, Y. Tsuda, Kiyofumi Yamakawa, T. Hozumi
{"title":"Significance of Preoperative Therapy in Bone and Soft-Tissue Sarcomas and Its Present Status","authors":"T. Goto, Yusuke Shinoda, Y. Tsuda, Kiyofumi Yamakawa, T. Hozumi","doi":"10.4030/JJCS.37.223","DOIUrl":"https://doi.org/10.4030/JJCS.37.223","url":null,"abstract":"Neoadjuvant or preoperative chemotherapy in musculoskeletal sarcomas began in 1970s for the pur-pose of preventing tumour growth and distant metastasis in patients with osteosarcoma while custom-made endoprosthesis for limb-saving surgery was manufactured. The purposes of neoadjuvant chemotherapy are to prevent distant metastases, to reduce the tumour size and to evaluate the efficacy of the chemotherapy. Reducing the tumour size facilitates easier excision with less risk of local recur-rence. In addition, not only limb-saving but also function-preserving surgery is made possible. Evalu-ating the efficacy of the chemotherapeutic agents in preoperative chemotherapy facilitates rational se-lection of postoperative chemotherapeutic agents. Chemosensitive sarcomas, such as osteosarcoma and Ewing’s sarcoma, are absolute indication of neoadjuvant chemotherapy. On the other hand, because efficacy of chemotherapy is not statistically demonstrated in most of non-round cell high-grade sarcomas, such as malignant fibrous histiocytoma, adjuvant chemotherapy is relatively indicated for these sarcomas. Neoadjuvant chemotherapy in musculoskeletal oncology, where efficacy of chemo therapy is unclear in most sarcomas, is important because efficacy of chemotherapy can be evaluated by reduction of tumour size as a surrogate marker and indication of postoperative chemotherapy can be determined, and because good limb function can be preserve postoperatively.","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128598922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Umemoto, K. Yokomizo, G. Kigawa, H. Nemoto, K. Hibi
{"title":"A Case of Terminal Ileum Endometriosis with Symptoms of Acute Appendicitis","authors":"T. Umemoto, K. Yokomizo, G. Kigawa, H. Nemoto, K. Hibi","doi":"10.4030/JJCS.37.284","DOIUrl":"https://doi.org/10.4030/JJCS.37.284","url":null,"abstract":"Abstract The patient was a 40-year-old woman with right lower abdominal pain that occurred during menstruation only who had no history of endometriosis. Her McBurney’s point was positive with abdominal guarding and rigidity. Gynecological examinations showed normal results. Her menstrual cycles were regular. Abdominal computed tomography and ultrasonography showed a 30 mm mass involving the ileocecal junction that was suggestive of an appendiceal abscess. The patient underwent resection of the bowel segment affected by the disease, followed by anastomosis of the ileum and ascending colon for immediate restoration of intestinal transit. Histological analysis confirmed the diagnosis of endometriosis. The patient remains asymptomatic in 20 months of follow-up after surgery.","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127324417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"局所進行子宮頸部扁平上皮がんに対する術前化学療法(NAC)の位置付け","authors":"忠宏 庄子, 髙取 恵里子, 徹 杉山","doi":"10.4030/JJCS.37.214","DOIUrl":"https://doi.org/10.4030/JJCS.37.214","url":null,"abstract":"","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115566457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Nishina, S. Morita, Takamitsu Masuda, H. Suga, T. Yokoyama, Takayuki Sato, Shunshi Nishikubo
{"title":"A Case of Subclavian Artery Injury Due to Blunt Trauma Treated Successfully by Endovascular Repair","authors":"M. Nishina, S. Morita, Takamitsu Masuda, H. Suga, T. Yokoyama, Takayuki Sato, Shunshi Nishikubo","doi":"10.4030/JJCS.37.244","DOIUrl":"https://doi.org/10.4030/JJCS.37.244","url":null,"abstract":"Subclavian artery injury is rare, but can cause both limb-and life-threatening conditions by rupture into the thoracic cavity. We report the case of a 59-year-old man with subclavian artery injury due to blunt trauma that was successfully treated by endovascular repair. Computed tomography showed a small aneurysm in the left subclavian artery close to the fractured left clavicle. We initially attempted conservative treatment because the aneurysm was small and signs of ischemia were absent. However, the aneurysm continued to increase in size and showed a risk of rupture into the thoracic cavity, which would have been life-threatening. A covered stent was placed 2 weeks after injury following a rapid increase in size of the aneurysm with relapsed pain. The aneurysm disappeared following stent placement and patency of the subclavian artery was preserved. Endovascular repair should be consid-ered in the early phase after subclavian artery injury, even if the lesion is small.","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130728129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}