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Surgery Today OnlineFirst articles

11.01.2018 | Letter to the Editor

Frequency of cerebral infarction after pulmonary resection: a multicenter, retrospective study in Japan

Autoren:
Keitaro Matsumoto, Shuntaro Sato, Meinoshin Okumura, Hiroshi Niwa, Yasuhiro Hida, Kichizo Kaga, Hiroshi Date, Jun Nakajima, Jitsuo Usuda, Makoto Suzuki, Takahiro Souma, Masanori Tsuchida, Yoshihiro Miyata, Takeshi Nagayasu

09.01.2018 | How To Do It

Segmental clamp and distal perfusion technique for reducing myocardial ischemia during coronary onlay grafting on a beating heart

We present a segmental clamp with distal perfusion technique to reduce myocardial ischemia during onlay grafting, on a beating heart. After a proximal coronary arteriotomy for 2–3 cm, the distal artery is perfused through a cannula, with femoral …

Autoren:
Naoki Minato, Takayuki Okada, Shinya Kanemoto, Nobuya Zempo

29.12.2017 | Original Article Open Access

Laparoscopic surgery for locally advanced T4 colon cancer: the long-term outcomes and prognostic factors

Laparoscopic surgery for advanced colorectal cancer has become widespread, with demonstrated short-term benefits and better long-term oncological outcomes than open surgery [ 1 – 10 ]. However, for locally advanced pathological T4 (pT4) colon …

Autoren:
Takahiro Yamanashi, Takatoshi Nakamura, Takeo Sato, Masanori Naito, Hirohisa Miura, Atsuko Tsutsui, Masashi Shimazu, Masahiko Watanabe

28.12.2017 | Original Article

Correlation between the skeletal muscle index and surgical outcomes of pancreaticoduodenectomy

Pancreaticoduodenectomy is an abdominal operation commonly performed for pancreatic head malignancies and periampullary lesions. While improvements in surgical technique, surgical experience, anesthesia, intensive care, and parenteral nutrition …

Autoren:
Kenta Sui, Takehiro Okabayshi, Jun Iwata, Sojiro Morita, Tatsuaki Sumiyoshi, Tatsuo Iiyama, Yasuhiro Shimada

26.12.2017 | Review Article

Outcomes of surgery for hepatocellular carcinoma with tumor thrombus in the inferior vena cava or right atrium

The prognosis of hepatocellular carcinoma (HCC) patients with tumor thrombus (TT) in the inferior vena cava (IVC) or right atrium (RA) is extremely poor. We reviewed the recent surgical treatments and outcomes of this form of advanced HCC. TT is …

Autoren:
Kazuhiko Sakamoto, Hiroaki Nagano

18.12.2017 | Original Article

Robust vascular invasion concurrent with intense EGFR immunostaining can predict recurrence in patients with stage IB node-negative gastric cancer

Gastric cancer is the fourth most common malignancy and the second leading cause of cancer-related death worldwide, with 952,000 cases and 723,000 deaths recorded in 2012 [ 1 ]. Through the nationwide availability of a surveillance system in Japan …

Autoren:
Ippeita Araki, Marie Washio, Keishi Yamashita, Kei Hosoda, Akira Ema, Hiroaki Mieno, Hiromitsu Moriya, Natsuya Katada, Shiro Kikuchi, Masahiko Watanabe

18.12.2017 | Original Article

Development of a new surgical sheet containing both silk fibroin and thermoplastic polyurethane for cardiovascular surgery

In the surgical treatment of congenital cardiovascular diseases, surgical sheets are often placed as a patch to correct various anatomical abnormalities. Both an expanded polytetrafluoroethylene (ePTFE) sheet and glutaraldehyde-treated bovine …

Autoren:
Ryo Shimada, Hayato Konishi, Hideki Ozawa, Takahiro Katsumata, Ryou Tanaka, Yasumoto Nakazawa, Shintaro Nemoto

18.12.2017 | Original Article

Nectin-1 expression in cancer-associated fibroblasts is a predictor of poor prognosis for pancreatic ductal adenocarcinoma

Cancer-associated fibroblasts (CAF) are activated fibroblasts or myofibroblasts that surround nests of cancer cells [ 1 ]. CAFs are large spindle-shaped cells with indented nuclei, which have been shown to express molecules such as α-smooth muscle …

Autoren:
Misuzu Yamada, Kenichi Hirabayashi, Aya Kawanishi, Atsuko Hadano, Yumi Takanashi, Hideki Izumi, Yoshiaki Kawaguchi, Tetsuya Mine, Naoya Nakamura, Toshio Nakagohri

16.12.2017 | Original Article

Predictors of the need for pacemaker implantation after the Cox maze IV procedure for atrial fibrillation

Atrial fibrillation (AF) is the most common cardiac arrhythmia and affects up to 1% of the general population and 8% of those older than 80 years of age [ 1 ]. In Japan, where the elderly population is rapidly growing, the incidence of AF is …

Autoren:
Naoki Masaki, Shunsuke Kawamoto, Naotaka Motoyoshi, Osamu Adachi, Kiichiro Kumagai, Satoshi Kawatsu, Yukihiro Hayatsu, Shintaro Katahira, Katsuhiro Hosoyama, Masatoshi Akiyama, Yoshikatsu Saiki

12.12.2017 | Original Article

The functional outcome and factors influencing the quality of life after ileal pouch anal anastomosis in patients with ulcerative colitis

Total proctocolectomy with ileal pouch anal anastomosis (IPAA) has been established as the standard surgical treatment for patients with ulcerative colitis (UC) [ 1 , 2 ]. This operation removes all of the diseased large intestine and enables the …

Autoren:
Kazuhiro Watanabe, Munenori Nagao, Hideyuki Suzuki, Hideaki Karasawa, Shinobu Ohnuma, Hiroaki Musha, Yuji Funayama, Takashi Kamei, Takeshi Naitoh, Michiaki Unno

12.12.2017 | Original Article

A new postoperative pain management (intravenous acetaminophen: Acelio®) leads to enhanced recovery after esophagectomy: a propensity score-matched analysis

Growing attention is being paid to perioperative management using the enhanced recovery after surgery (ERAS) protocol, which aims to reduce surgical invasiveness and postoperative complications and shorten the hospital stay. As a postoperative …

Autoren:
Yu Ohkura, Junichi Shindoh, Masaki Ueno, Toshiro Iizuka, Shusuke Haruta, Harushi Udagawa

12.12.2017 | Original Article

Risk and incidence of perioperative deep vein thrombosis in patients undergoing gastric cancer surgery

Venous thromboembolism (VTE) includes both pulmonary thromboembolism (PTE) and deep vein thrombosis (DVT). Sakuma et al. [ 1 ] reported that in Japan, the estimated number of new patients with PTE per year was 7864, with an incidence of 61.9 …

Autoren:
Tomohiro Osaki, Hiroaki Saito, Yoji Fukumoto, Yusuke Kono, Yuki Murakami, Yuji Shishido, Hirohiko Kuroda, Tomoyuki Matsunaga, Kengo Sato, Yasuaki Hirooka, Yoshiyuki Fujiwara

08.12.2017 | Original Article

The preoperative HbA1c level is an independent prognostic factor for the postoperative survival after resection of non-small cell lung cancer in elderly patients

All-cancer incidence is continuously increasing, with annual percent changes of 0.6% [95% confidence interval (CI): 0.5, 0.8] between 1985 and 2005 and 1.8% (95% CI: 0.6, 2.9) between 2005 and 2010 in Japan [ 1 ]. Similarly, the incidence rates of …

Autoren:
Makoto Motoishi, Satoru Sawai, Tetsuo Hori, Naoki Yamashita

06.12.2017 | Review Article

Regenerative medicine for the esophagus

Advances in tissue engineering techniques have made it possible to use human cells as biological material. This has enabled pharmacological studies to be conducted to investigate drug effects and toxicity, to clarify the mechanisms underlying …

Autoren:
Kengo Kanetaka, Shinichiro Kobayashi, Susumu Eguchi

23.11.2017 | Original Article

An analysis of the risk factors of anastomotic stricture after esophagectomy

Esophageal cancer is the fifth-most common cause of cancer-related death in males and the eighth-most common in females worldwide [ 1 ], and esophagectomy is considered to be the standard treatment. Anastomotic stricture after esophagectomy is not …

Autoren:
Koji Tanaka, Tomoki Makino, Makoto Yamasaki, Takahiko Nishigaki, Yasuhiro Miyazaki, Tsuyoshi Takahashi, Yukinori Kurokawa, Kiyokazu Nakajima, Shuji Takiguchi, Masaki Mori, Yuichiro Doki

13.11.2017 | Review Article

Systematic review of the feasibility and future of laparoscopic liver resection for difficult lesions

Laparoscopic liver resection (LLR) is now performed widely, but is difficult to accomplish in some anatomical locations, such as the posterosuperior segments (S7 and S8) and caudate lobe (S1). An international survey revealed that lesions in these …

Autoren:
Kenichiro Araki, Norio Kubo, Akira Watanabe, Hiroyuki Kuwano, Ken Shirabe

09.11.2017 | Original Article

What factors determine the survival of patients with an acute exacerbation of interstitial lung disease after lung cancer resection?

Interstitial lung diseases (ILDs) [ 1 ] are known to be associated with an increased risk of lung cancer. Patients with ILDs sometimes develop acute exacerbation (AE) after pulmonary resection [ 2 , 3 ], which is a serious complication, and the …

Autoren:
Masahiro Miyajima, Atsushi Watanabe, Toshihiko Sato, Satoshi Teramukai, Masahito Ebina, Kazuma Kishi, Yukihiko Sugiyama, Haruhiko Kondo, Satoru Kobayashi, Yutaka Takahashi, Hiroyuki Ito, Ryoji Yamamoto, Shigeki Sawada, Hideki Fujimori, Kazunori Okabe, Jun Arikura, Yasushi Shintani, Hiroshige Nakamura, Shinichi Toyooka, Tohru Hasumi, Takehiro Watanabe, Yoshinobu Hata, Hisashi Iwata, Minoru Aoki, Kazuhito Funai, Shuhei Inoue, Osamu Kawashima, Tomohiko Iida, Hiroshi Date

07.11.2017 | Original Article

Impact of surgical treatment after sorafenib therapy for advanced hepatocellular carcinoma

Sorafenib (Nexavar, Bayer) is a molecular-targeted drug widely used for the palliative treatment of patients with advanced hepatocellular carcinoma (HCC) [ 1 – 4 ]. In both Western and Eastern countries, two phase III randomized and …

Autoren:
Hideaki Takeyama, Toru Beppu, Takaaki Higashi, Takayoshi Kaida, Kota Arima, Katsunobu Taki, Katsunori Imai, Hidetoshi Nitta, Hiromitsu Hayashi, Shigeki Nakagawa, Hirohisa Okabe, Daisuke Hashimoto, Akira Chikamoto, Takatoshi Ishiko, Motohiko Tanaka, Yutaka Sasaki, Hideo Baba

07.11.2017 | Original Article

Assessing the economic advantage of laparoscopic vs. open approaches for colorectal cancer by a propensity score matching analysis

Colorectal cancer is the second most commonly diagnosed cancer worldwide [ 1 ]. Although surgical treatment is potentially curative in patients with resectable colorectal cancers, the rising surgical cost for developing novel devices poses a …

Autoren:
Hiromitsu Hayashi, Nobuyuki Ozaki, Katsuhiro Ogawa, Yoshiaki Ikuta, Hideyuki Tanaka, Kenichi Ogata, Koichi Doi, Hiroshi Takamori

26.10.2017 | Original Article

Effects of the concentration of digestive surgical operations in regional Japan

In 1957, Lee et al. evaluated the relationship between the surgical experience of a hospital and patient mortality and suggested differences in mortality rates among hospitals with different levels of experience [ 1 ]. This perspective has evolved …

Autoren:
Takefumi Kitazawa, Kunichika Matsumoto, Shigeru Fujita, Kanako Seto, Yinghui Wu, Takayoshi Nagahama, Tomonori Hasegawa