Kyushu University · Medicine
마사후미 나카무라 교수의 연구실은 복합성장·췌장외과 분야에서 라식적·로봇수술을 중심으로 한 최신 수술 기법의 임상적 유효성과 안정성을 평가하는 데 중점을 두고 있습니다. 특히 복강경 복합성장절제술(Laparoscopic Distal Pancreatectomy, LDP)과 개방성 복합성장절제술의 비교 분석을 통해 수술 후 회복과 합병증 등 주요 임상 결과를 정량적으로 분석하고 있습니다. 또한 수술의 학습곡선 분석을 통해 초보 수술의 질적 안정성을 확보하기 위한 임상적 기준을 제시하고 있습니다.
Figures are computed from collected data and may differ slightly.
A novel human protein with a molecular mass of 55 kD, designated RanBPM, was isolated with the two-hybrid method using Ran as a bait. Mouse and hamster RanBPM possessed a polypeptide identical to the human one. Furthermore, Saccharomyces cerevisiae was found to have a gene, YGL227w, the COOH-terminal half of which is 30% identical to RanBPM. Anti-RanBPM antibodies revealed that RanBPM was localized within the centrosome throughout the cell cycle. Overexpression of RanBPM produced multiple spots
This meta-analysis included the largest number of patients and number of articles comparing LDP and ODP, and LDP showed significantly better perioperative outcomes. This meta-analysis suggests that LDP is a reasonable operative method for benign tumors and some ductal carcinomas in the pancreas.
Laparoscopic distal pancreatectomy was associated with more favorable perioperative outcomes than open distal pancreatectomy.
The EGUMIPS evidence-based guidelines on laparoscopic and robotic MIPS can be applied in current clinical practice to provide guidance to patients, surgeons, policy-makers, and medical societies.
Hepatopancreatobiliary surgeons need more than 30 cases until LPD becomes stable. Lymph node dissection and patients with high visceral fat area and concomitant pancreatitis should be avoided during the introductory period of the learning curve.
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