Nagoya University · 의학
Shoji Kawakatsu 교수의 연구실은 위장강역외과 및 복강경 수술을 중심으로 한 고위험 병변, 특히 간장암, 신장암, 담도암 등에서의 정확한 수술적 절제와 장기 보존 수술에 중점을 두고 있습니다. 특히 복강경 위절제술, 이환부위의 안전한 수술 마진 확보 전략, 그리고 전이성 병변에 대한 다학제적 접근이 핵심 연구 방향입니다. 또한, 희귀 전이 병변의 기전 규명과 장기 보존 수술의 임상적 유용성에 대한 기반 연구를 지속적으로 수행하고 있습니다.
표시된 성과는 수집된 데이터 기준으로 산출되며, 일부 차이가 있을 수 있습니다.
The CR-PF rate was not significantly different between patients treated with Kakita versus Blumgart anastomosis.
Preoperative placement of marking clips and intraoperative endoscopy is helpful in the determination of a safe surgical margin in patients with gastric cancer who undergo laparoscopic gastrectomy.
Cumulative postoperative complications after resection of perihilar cholangiocarcinoma only moderately deteriorate long-term survival, and should not be an argument to deny surgery in this high-risk population.
An extremely rare case of intrapancreatic bile duct metastasis from sigmoid colon adenocarcinoma is herein presented. Sigmoid colon cancer (T3, N0, M0, stage IIA) had been diagnosed and treated by sigmoidectomy in October 1993. In December 2002, a liver metastasis with intrabiliary growth was found, and this was treated by extended right hepatic lobectomy and caudate lobectomy with extrahepatic bile duct resection. In February 2014, intrapancreatic bile duct metastasis was found, and this was tr
Laparoscopic simultaneous resection of SCRLM with the primary tumor by simple hepatectomy is safe and may enhance patients' postoperative recovery, especially in patients with colon cancer.
Although diagnostic sensitivity for SPN before hepatectomy is low, timing of diagnosis does not affect OS. Conclusive lung resection offers OS similar to that of patients without lung metastases.
症例は55歳の女性で，2009年7月初旬に急性腸炎に罹患した際に施行した腹部造影CTで，偶然に肝内門脈枝分岐異常を認めた．門脈右枝から分岐した一つの大きなアーチ状の肝内門脈枝が左方へ転回し，肝左葉を還流していた．門脈本幹から直接に左葉へ向かう枝は認めず，門脈左右分岐部の欠如と診断した．この門脈枝異常はまれな先天奇形ではあるが，肝円索，胆嚢の位置を含め，肝臓に外観上の異常を伴わず，肝切除術，特に肝右葉切除術を施行すると致死的合併症を生じる可能性があるため注意が必要である．肝切除術を施行する際にはこのようにまれな先天奇形も念頭に置いて術前画像検査を詳細に検討することが重要であると考える．
