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Your search keyword '"Mise, Yoshihiro"' showing total 576 results
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576 results on '"Mise, Yoshihiro"'

18. A randomized controlled trial of surgery and postoperative modified FOLFOX6 versus surgery and perioperative modified FOLFOX6 plus cetuximab in patients with KRAS wild-type resectable colorectal liver metastases: EXPERT study

Author

Matsumura, Masaru, Hasegawa, Kiyoshi, Oba, Masaru, Yamaguchi, Kensei, Uetake, Hiroyuki, Yoshino, Takayuki, Morita, Satoshi, Takahashi, Keiichi, Unno, Michiaki, Shimada, Yasuhiro, Muro, Kei, Matsuhashi, Nobuhisa, Mori, Masaki, Baba, Hideo, Shimada, Mitsuo, Mise, Yoshihiro, Kawaguchi, Yoshikuni, Kagimura, Tatsuo, Ishigure, Kiyoshi, Saiura, Akio, Sugihara, Kenichi, and Kokudo, Norihiro

Published
2022
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25. Low incidence of pancreatic fistula and well‐preserved endocrine function with non‐reconstructed small remnant pancreas after pancreaticoduodenectomy.

Author

Miyashita, Mamiko, Yoshioka, Ryuji, Fukumura, Yuki, Takamatsu, Manabu, Oba, Atsushi, Ono, Yoshihiro, Inoue, Yosuke, Mise, Yoshihiro, Takahashi, Yu, and Saiura, Akio

Subjects
PANCREATIC fistula, PANCREAS, PANCREATICODUODENECTOMY, MESENTERIC artery, PANCREATIC tumors, INSULIN therapy
Abstract

Aim: Pancreatic reconstruction after pancreaticoduodenectomy (PD) that leaves a small remnant pancreas is often difficult. Pancreatic fistula is a major complication after PD, and fistulas are rare in patients with hard pancreas. However, the clinical impact of non‐reconstructed small remnant after PD with hard pancreas is unknown. Methods: We included all patients who underwent PD for pancreatic tumor without pancreatic reconstruction in two institutions supervised by one surgeon between January 2004 and March 2021. Their short‐ or long‐term outcome after surgery was retrospectively analyzed. Results: PD was performed in 774 patients, of whom 16 patients were without reconstruction (2.1%) with negative margins at the pancreatic stump. Pancreatic transection was performed above or to the left of the superior mesenteric artery, with a median remnant pancreas length of 3.7 cm (range, 1.3–10.0). A major complication (≥ Clavien–Dindo Grade IIIa) occurred in one patient (6%). Fistula of grade B occurred in one patient (6%). After a median follow‐up of 44 months (95%CI, 10.6–77.3), insulin administration was unnecessary in 11 patients. Conclusion: The preservation of a small pancreatic remnant without reconstruction after PD can be performed safely and may enable the keeping of pancreatic endocrine function for some selected patients with hard pancreas. [ABSTRACT FROM AUTHOR]

Published
2024
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32. Screening and identifying hepatobiliary diseases through deep learning using ocular images: a prospective, multicentre study

Author

Xiao, Wei, Huang, Xi, Wang, Jing Hui, Lin, Duo Ru, Zhu, Yi, Chen, Chuan, Yang, Ya Han, Xiao, Jun, Zhao, Lan Qin, Li, Ji-Peng Olivia, Cheung, Carol Yim-Lui, Mise, Yoshihiro, Guo, Zhi Yong, Du, Yun Feng, Chen, Bai Bing, Hu, Jing Xiong, Zhang, Kai, Lin, Xiao Shan, Wen, Wen, Liu, Yi Zhi, Chen, Wei Rong, Zhong, Yue Si, and Lin, Hao Tian

Published
2021
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38. A Multicenter Phase 2 Trial to Evaluate the Efficacy of mFOLFOX6 + Cetuximab as Induction Chemotherapy to Achieve R0 Surgical Resection for Advanced Colorectal Liver Metastases (NEXTO Trial)

Author

Mise, Yoshihiro, Hasegawa, Kiyoshi, Saiura, Akio, Oba, Masaru, Yamamoto, Junji, Nomura, Yukihiro, Takayama, Tadatoshi, Hashiguchi, Yojiro, Shibasaki, Masayuki, Sakamoto, Hirohiko, Yamagata, Seiichi, Aoyanagi, Nobuyoshi, Kaneko, Hironori, Koyama, Hiroto, Miyagawa, Shinichi, Shinozaki, Eiji, Yoshida, Shuntaro, Nozawa, Hiroaki, and Kokudo, Norihiro

Published
2020
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50. Introduction of robotic pancreatoduodenectomy following phase 2a IDEAL guidelines.

Author

Mise, Yoshihiro, Miyashita, Mamiko, Yoshioka, Ryuji, Kawano, Fumihiro, Takeda, Yoshinori, Ichida, Hirofumi, and Saiura, Akio

Subjects
*PANCREATICODUODENECTOMY, *BOWEL obstructions, *SURGICAL complications, *ROBOTICS, *PNEUMOPERITONEUM
Abstract

Background: Robotic pancreatoduodenectomy (RPD) is a newly introduced procedure, which is still evolving and lacks standardization. An objective assessment is essential to investigate the feasibility of RPD. The current study aimed to assess our initial ten cases of RPD based on IDEAL (Idea, Development, Exploration, Assessment, and Long-term study) guidelines. Methods: This was a prospective phase 2a study following the IDEAL framework. Ten consecutive cases of RPD performed by two surgeons with expertise in open procedures at a single center were assigned to the study. With objective evaluation, each case was classified into four grades according to the achievements of the procedures. Errors observed in the previous case were used to inform the procedure in the next case. The surgical outcomes of the ten cases were reviewed. Results: The median total operation time was 634 min (interquartile range [IQR], 594–668) with a median resection time of 363 min (IQR, 323–428) and reconstruction time of 123 min (IQR, 107–131). The achievement of the whole procedure was graded as A, "successful", in two patients. In two patients, reconstruction was performed with a mini-laparotomy due to extensive pneumoperitoneum, probably caused by insertion of a liver retractor from the xyphoid. Major postoperative complications occurred in two patients. One patient, in whom the jejunal limb was elevated through the Treitz ligament, had a bowel obstruction and needed to undergo re-laparotomy. Conclusions: RPD is feasible when performed by surgeons experienced in open procedures. Specific considerations are needed to safely introduce RPD. [ABSTRACT FROM AUTHOR]

Published
2024
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