大阪大学 · 医学
Ushimaru教授の研究室は、消化器がんの治療における外科的手術の最適化と、高齢患者を対象とした個別化された術前ケアの確立を柱としています。特に、早期および進行 gastric 癌に対する腹腔鏡下胃切除術（LG）の安全性と長期的成績の向上に注力しており、高齢者における呼吸器合併症の低減や、術前評価基準（CPAS）の導入による合併症削減の有効性を明らかにしています。また、内視鏡的アプローチの視認性向上のための内腔内圧測定技術の開発にも取り組んでいます。
Figures are computed from collected data and may differ slightly.
PG group exhibited better perioperative performance. Furthermore, better nutritional results were obtained in the PG group. Although the late stenosis and reflux symptoms must be addressed, the PG is a preferable surgical procedure for the treatment of early proximal gastric cancer.
LG for resectable advanced gastric cancer was not inferior to OG in terms of both short-term and long-term outcomes regardless of patient age. In elderly patients, LG may improve overall survival by reducing mortality from respiratory diseases.
In flexible gastrointestinal (GI) endoscopy, endoscopic insufflation is crucial and directly affects visualization. Optimal visualization enables endoscopists to conduct better examinations and administer optimal treatments. However, endoscopic insufflation is typically performed manually and is subjective. We aimed to measure the GI endoluminal pressure during flexible GI endoscopy. Participants underwent esophagogastroduodenoscopy (EGD) at our endoscopy center. Pressure measurement was conduct
Hiatal hernia was found in 20.7% of patients who received surgical treatment for achalasia, but no cases were diagnosed prior to surgery.
In elderly gastric cancer patients, managing advanced age, low BMI, high CCI, and minimizing postoperative complications are essential for reducing non-cancer-related mortality following curative surgery.
Implementing CPAS significantly enhances surgical safety and reduces complication rates in elderly gastric cancer patients, emphasizing the critical role of personalized preoperative care in surgical oncology for this demographic.
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