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Your search keyword '"Ishino, Shinichiro"' showing total 21 results
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21 results on '"Ishino, Shinichiro"'

2. Laparoscopic dissection of perigastric lymph node metastasis from an unknown primary squamous cell carcinoma: a case report

Author

Nakamura, Yoji, Shimabukuro, Ayumi, Karimata, Hiroyuki, Shimoji, Hideaki, Tamoto, Shusuke, Nakagawa, Yutaka, Miyagi, Yoshihiro, Uezato, Yasunori, Ishino, Shinichiro, Kawamata, Futoshi, Ono, Shinichiro, Kinjo, Tatsuya, and Takatsuki, Mitsuhisa

Subjects
squamous cell carcinoma, unknown primary cancer, laparoscopic surgery
Abstract

Carcinoma of unknown primary (CUP) is known to have a poor prognosis with limited treatment options. Here, we report a rare case of a patient who was diagnosed with CUP with perigastric lymph node metastasis. Our patient was a woman in her 60s who was admitted to another hospital with cholangitis. On computed tomography, a solitary swollen lymph node beside the cardia was seen. On follow up after a year and a half, the lymph node seemed to have increased in size, and the patient was referred to our hospital for further scrutiny. Endoscopic ultrasound-guided fine needle aspiration of the lymph node was performed and squamous cell carcinoma was detected histopathologically. Despite further examination, the primary site remained undetectable. Since there was no other metastatic site, a planned laparoscopic dissection of the perigastric metastatic lymph node was carried out successfully. At thirty months after surgery, there was no sign of any recurrence and the primary site still remained unknown.

Published
2021

4. National Survey of Hepatobiliary and Pancreatic Surgery in Hemophilia Patients in Japan

Author

Yoshimoto‐Haramura, Tomoko, primary, Hidaka, Masaaki, additional, Hasegawa, Kiyoshi, additional, Suzumura, Kazuhiro, additional, Takemura, Nobuyuki, additional, Hama, Naoki, additional, Mizuno, Takashi, additional, Nomi, Takeo, additional, Kobayashi, Tsuyoshi, additional, Sano, Keiji, additional, Yokomizo, Hiroshi, additional, Nitta, Hiroyuki, additional, Kurata, Masanao, additional, Hasegawa, Yasushi, additional, Nagayama, Minoru, additional, Tani, Masaji, additional, Fukumoto, Takumi, additional, Ohta, Masayuki, additional, Hayashi, Hironori, additional, Taniguchi, Hiroki, additional, Ishino, Shinichiro, additional, Aihara, Tsukasa, additional, Murase, Takaaki, additional, Tsuchida, Akihiko, additional, Shimamura, Tsuyoshi, additional, Marubashi, Shigeru, additional, Kaneko, Junichi, additional, Hara, Takanobu, additional, Matsushima, Hajime, additional, Soyama, Akihiko, additional, Endo, Tomoyuki, additional, and Eguchi, Susumu, additional

Published
2021
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6. Hepatocellular Carcinoma in a Patient With Crohn’s Disease

Author

Hokama, Akira, primary, Arakaki, Shingo, additional, Ishino, Shinichiro, additional, Nakagawa, Yutaka, additional, Tabata, Souhei, additional, Agarie, Daiki, additional, Kuwae, Satoshi, additional, Zukeyama, Ryuta, additional, Maeshiro, Tatsuji, additional, Tsuruta, Yuma, additional, Matsuzaki, Akiko, additional, Wada, Naoki, additional, Takatsuki, Mitsuhisa, additional, and Fujita, Jiro, additional

Published
2021
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9. [CASE REPORT]A case of bacterial meningitis occurred by transverse colon penetration of a ventriculo-peritoneal shunt tube that was successfully treated with the aid of a laparoscope

Author

Ishino, Shinichiro, Karimata, Hiroyuki, Kinjo, Shougo, Kinjo, Tatsuya, Shiraishi, Masayuki, Nishimaki, Tadashi, and Division of Digestive and General Surgery, Ryukyu University Hospital

Subjects
ventriculo-peritoneal shunt, intestinal penetration, laparoscopic surgery
Abstract

A 19-year-old woman who had undergone ventriculo-peritoneal (V-P) shunt surgery for Arnold-Chiari malformation type II as a newborn was taken by ambulance to our hospital due to disturbance of consciousness. Bacterial contamination of the cerebrospinal fluid was found, and Computed Tomography (CT) of the abdomen showed that the V-P shunt tube had penetrated the transverse colon and the descending colon. Head CT scan showed hydrocephalus, but it did not get worse than previous CT imaging. An emergency operation was performed and laparoscopic exploration revealed penetration of the peritoneal shunt tube, which was totally covered by fibrous tissue from the fistula, into the transverse colon. No gastrointestinal leakage or contamination of the abdominal space was found, so we removed the peritoneal shunt tube and ligated the fistula in the subcutaneous layer. Colon penetration by a V-P shunt tube is rare, and in this case, laparoscopic procedure was performed safely. This indicates that laparoscopic procedure is one of the useful technique for the treatment of V-P shunt trouble other than open procedure. Furthermore, laparoscopic procedure also reduces risk of accidental organ injury during operation and intra-abdominal adhesion after operation. It is also useful to ligate and dissect the fistula in the subcutaneous layer. Because if the fistula closure is defective, the abscess will occur only in the subcutaneous layer and infectional peritonitis can be avoided.

Published
2015

20. National survey of hepatobiliary and pancreatic surgery in hemophilia patients in Japan.

Author

Yoshimoto-Haramura T, Hidaka M, Hasegawa K, Suzumura K, Takemura N, Hama N, Mizuno T, Nomi T, Kobayashi T, Sano K, Yokomizo H, Nitta H, Kurata M, Hasegawa Y, Nagayama M, Tani M, Fukumoto T, Ohta M, Hayashi H, Taniguchi H, Ishino S, Aihara T, Murase T, Tsuchida A, Shimamura T, Marubashi S, Kaneko J, Hara T, Matsushima H, Soyama A, Endo T, and Eguchi S

Subjects
Bile Ducts, Intrahepatic pathology, Hepatectomy methods, Humans, Japan, Pancreatectomy, Retrospective Studies, Bile Duct Neoplasms surgery, Carcinoma, Hepatocellular surgery, Hemophilia A complications, Hemophilia A surgery, Liver Neoplasms surgery, Pancreatic Neoplasms surgery
Abstract

Background: Approximately 8300 hemophiliacs are registered in Japan, but no comprehensive reports on hepatobiliary and pancreatic surgery (HBPS) have been conducted. This report investigates the current status of HPBS in hemophilia patients in Japan., Methods: The subjects were hemophiliac patients seen between January 1 2007, and December 31 2017, at facilities participating in this study among the facilities for performing high-difficulty cases nationwide designated by the Japanese Society for HBPS. A retrospective examination of short-term outcomes in 49 cases was conducted to assess patient background, disease, surgical procedure, and complications., Results: The types of hemophilia were A: 43 cases, B: four cases, and von Willebrand disease: two cases (hemophilia severity: mild 32, moderate seven, severe 10). The target malignant diseases for surgery were hepatocellular carcinoma (HCC) in 20 cases, intrahepatic cholangiocellular carcinoma (CCC) in four cases, combined HCC-CCC in two cases, hilar CCC in two cases, and pancreatic cancer in four cases. As for the surgical procedure, limited resection (subsegmentectomy and partial hepatectomy) was performed in 16 cases of HCC even with normal liver function tests. Pancreaticoduodenectomy and distal pacreatectomy were performed for pancreatic cancers as in the standard procedure. Postoperative complications were postoperative bleeding in two cases after hepatectomy and one after pancreatectomy in one case. When compared with Japanese National Clinical Data base, the complication rates after hepatectomy and pancreatectomy were not conspicuous in hemophilic patients., Conclusions: As long as they are performed in qualified centers, complication rate is not increased in hemophilic patients undergoing HBPS., (© 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery.)

Published
2022
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