論文 - 綾部 貴典
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臨床倫理コンサルテーションにおける相談内容の分類:－宮崎大学医学部附属病院臨床倫理部のクリニカルインディケータをもとに－
三浦 由佳里, 板井 孝壱郎, 綾部 貴典
生命倫理 30 ( 1 ) 40 - 49 2020年
記述言語：日本語 掲載種別：研究論文（学術雑誌） 出版者・発行元：日本生命倫理学会
本稿では、過去6 年間、当院で取り扱った臨床倫理コンサルテーション事例437件について、質的研究方法であるSCATの手法を参考に4ステップコーディングを行い、複数の事例に共通して現れたテーマ・構成概念に着目して、それらを「キーターム」と定義した。 その結果、「適応外医療207件」、「未承認薬の使用33件」、「治療方針の対立32件」、「身寄りのない患者の対応14件」、「治療の差し控え11件」、「医師へのメンタルサポート10件」、「治療の中止9件」、「家族への支援7件」、「個人情報の保護6件」、以上9項目のキータームが抽出された。病院機能評価機構解説集「評価の考え方」に基づいて作成された「7分類」が、倫理的問題に遭遇するであろうと想定された外形的な「場面」を設定している一方で、今回の「9つのキーターム」は、医療者の内面的なジレンマの一端を示していると考えられた。
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第119回日本外科学会定期学術集会、特別企画（7）「医療安全―患者と医師が信頼しあえる外科医療を目指して」、３．外科医療における患者第一の医療安全と臨床倫理のスキルとエッセンス 査読あり
綾部 貴典
日本外科学会雑誌 121 120 - 122 2020年
掲載種別：研究論文（学術雑誌）
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第11章 レジリエンス・エンジニアリングの外科手術への展開 —外科手術チームのメンバー間の隠された相互作用 招待あり 査読あり
綾部貴典、中島伸
レジリエント・ヘルスケア入門 医学書院 125 - 132 2019年12月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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The Prognostic Values of a Novel Preoperative Inflammation-Based Score in Japanese Patients With Non-Small Cell Lung Cancer 査読あり
Masaki Tomita, Takanori Ayabe, Ryo Maeda, Kunihide Nakamura
World journal of oncology 10 ( 4-5 ) 176 - 180 2019年10月
記述言語：英語 掲載種別：研究論文（学術雑誌）
DOI： 10.14740/wjon1222
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Resected thymic large cell neuroendocrine carcinoma: a case report and review of the literature. 査読あり
Ogata S,_Maeda R,_Tomita M,_Sato Y,_Ayabe T,_Nakamura K
International journal of surgery case reports 60 53 - 57 2019年6月
記述言語：英語 掲載種別：研究論文（学術雑誌）
© 2019 Introduction: Large cell neuroendocrine carcinoma (LCNEC) of the thymus is an extremely rare neoplasm. Presentation of case: We report a rare case of LCNEC of the thymus in a 55-year-old woman. Her chest roentgenogram during a routine checkup revealed an abnormal shadow in the mediastinal left upper lung field. Chest computed tomography showed an anterior mediastinal mass measuring 4.8 × 4.0 cm. Positron emission tomography with 18F-fluorodeoxyglucose (FDG) showed high FDG accumulation at the lesion. To obtain a definitive diagnosis and achieve complete resection, a surgery was performed. The postoperative diagnosis was thymic LCNEC; it was classified as a Masaoka stage III tumor due to the invasion of tumor cells into the left lung. Postoperatively, the patient received adjuvant chemotherapy and survived without any signs of recurrence for 30 months after surgery. Discussion/conclusion: The detailed clinical features of thymic LCNEC remain unknown because of its rarity. In total, 20 cases of resection for LCNEC, including the present case, have been reported in the English language literature; we have presented a review of these cases and discussed the optimal therapy for this rare and virulent tumor of the thymus.
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Takanori Ayabe, Masaki Tomita, Tetsuhiro Shimizu, MitsuhiroYano, Kunihide Nakamura and Toshio Onitsuka:
Top 25 Contributions on Surgery Research. 4 2 - 4 2019年4月
記述言語：英語 掲載種別：研究論文（学術雑誌）
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2017年の宮崎県における呼吸器外科手術の現状報告 査読あり
能勢直弘、富田雅樹、綾部貴典、別府樹一郎、市成秀樹、枝川正雄、巻幡聡、森山裕一、中村都英
宮医誌 43, 35-39. (2019) 43 35 - 39 2019年3月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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Resected thymic large cell neuroendocrine carcinoma: A case report and review of the literature
Ogata S., Maeda R., Tomita M., Sato Y., Ayabe T., Nakamura K.
International Journal of Surgery Case Reports 60 53 - 57 2019年
記述言語：日本語 掲載種別：研究論文（学術雑誌） 出版者・発行元：International Journal of Surgery Case Reports
© 2019 Introduction: Large cell neuroendocrine carcinoma (LCNEC) of the thymus is an extremely rare neoplasm. Presentation of case: We report a rare case of LCNEC of the thymus in a 55-year-old woman. Her chest roentgenogram during a routine checkup revealed an abnormal shadow in the mediastinal left upper lung field. Chest computed tomography showed an anterior mediastinal mass measuring 4.8 × 4.0 cm. Positron emission tomography with 18F-fluorodeoxyglucose (FDG) showed high FDG accumulation at the lesion. To obtain a definitive diagnosis and achieve complete resection, a surgery was performed. The postoperative diagnosis was thymic LCNEC; it was classified as a Masaoka stage III tumor due to the invasion of tumor cells into the left lung. Postoperatively, the patient received adjuvant chemotherapy and survived without any signs of recurrence for 30 months after surgery. Discussion/conclusion: The detailed clinical features of thymic LCNEC remain unknown because of its rarity. In total, 20 cases of resection for LCNEC, including the present case, have been reported in the English language literature; we have presented a review of these cases and discussed the optimal therapy for this rare and virulent tumor of the thymus.
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Primary ectopic mediastinal goiter
Maeda R., Tomita M., Oguri N., Ayabe T., Nakamura K.
Chirurgia (Turin) 32 ( 5 ) 263 - 266 2019年
記述言語：日本語 掲載種別：研究論文（学術雑誌） 出版者・発行元：Chirurgia (Turin)
© 2018 Edizioni Minerva Medica We herein report a rare case of primary ectopic mediastinal goiter in a 45-year-old woman. a chest roentgenogram at a regular checkup revealed an abnormal shadow in the mediastinal right upper lung field. Chest computed tomography showed a hypervascular mass in the anterior mediastinum with compression of the left brachiocephalic vein, which extended to the right middle mediastinum. an operation was performed to obtain a definitive diagnosis and achieve complete resection. The tumor with tight adhesion to the great vessels was successfully resected by L-shaped mini-sternotomy combined with right-sided video-assisted thoracic surgery (VaTS). The postoperative diagnosis was primary ectopic mediastinal goiter. Right-sided VATS and an L-shaped mini-sternotomy approach allowed tumor resection with sufficient surgical exposure and a good cosmetic outcome. We discuss the surgical approach for resection of this rare anterior mediastinal tumor extending to the middle mediastinum.
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Fiberoptic Bronchoscopic Removal of Dental Crown Dropped in Bronchus During Dental Treatment. 査読あり
Ayabe, T., Tomita, M., Maeda, R., Mori, K., Nakamura, K.
Biomed J Sci & Tech Res 11 ( 5 ) MS.ID.002167. 2018年12月
記述言語：英語 掲載種別：研究論文（学術雑誌）
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Evaluation and Outcomes of Multidisciplinary-Reported Incidents Regarding Patient Safety Management at Special Functioning Hospital in Japan. 査読あり
Takanori Ayabe, Masaki Tomita, Manabu Okumura, Shigeko Shimizu, Eiko Uchida, Yukari Miura, Koichiro Itai, Kunihide Nakamura
Open Journal of Safety Science and Technology ( 8 ) 107 - 136 2018年12月
記述言語：英語 掲載種別：研究論文（学術雑誌）
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Serum Carcinoembryonic Antigen Level Predicts Cancer-Specific Outcomes of Resected Non-Small Cell Lung Cancer With Interstitial Pneumonia.
Tomita M, Ayabe T, Maeda R, Nakamura K
World journal of oncology 9 136 - 140 2018年11月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
DOI： 10.14740/wjon1163
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The inflammatory prognostic index predicts cancer-specific outcomes of patients with resected non-small cell lung cancer 査読あり
Tomita M., Ayabe T., Maeda R., Nakamura K.
Asian Pacific Journal of Cancer Prevention 19 2867 - 2870 2018年10月
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A case of spontaneous hemopneumothorax in which the condition worsened after chest drainage. 査読あり
Naohiro Nose, Hiroki Mori, Akihiro Yonei, Ryo Maeda, Takanori Ayabe, Masaki Tomita, Kunihide Nakamura
Journal of Surgical Case Reports 8 rjy217 2018年8月
記述言語：英語 掲載種別：研究論文（学術雑誌）
DOI： 10.1093/jscr/rjy217
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Intrathoracic scapular dislocation following lung cancer resection.
Tomita M, Iwasaki A, Ayabe T, Maeda R, Nakamura K
Journal of Surgical Case Reports 7 1 - 3 2018年7月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
DOI： 10.1093/jscr/rjy178
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Tomita M., Ayabe T., Maeda R., Nakamura K.
In Vivo 32 ( 3 ) 663 - 667 2018年6月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
Background: The systemic immune-inflammation index (SII) is reported to be associated with clinical outcomes and has been proven to be a promising prognostic indicator in several solid tumor types. To the best of our knowledge, however, no studies regarding SII in patients with resectable non-small cell lung cancer (NSCLC) are available. Materials and Methods: Three hundred forty-one patients with NSCLC who underwent surgery at our Institution between 2008 and 2012 were included. The SII was calculated using the formula: platelet count × neutrophil/lymphocyte count. The optimal cutoff value was calculated using the Cutoff Finder (http://molpath.charite.de/cutoff). Univariate and multivariate analyses were calculated by the Cox proportional hazards regression model. Results: The optimal cut-off value was 471.2×109/l for SII. A low SII was associated with female gender, never smoking status, adenocarcinoma histology, higher pathological TNM stage and low level of serum C-reactive protein, but not age, serum carcinoembryonic antigen or cytokeratin 19 fragment level. Patients of the low SII group had a significantly better 5-year overall survival than those with high SII (83.61% vs. 60.39%, p<0.001). Multivariate analysis revealed that the SII was a significant independent predictive indicator for cancer-specific survival (p=0.007). Conclusion: This is the first study to demonstrate that the SII could represent an independent prognostic factor for patients with resectable NSCLC.
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Fluorodeoxyglucose Positron Emission Tomography Can Provide Useful Information for Differentiating Thymic Epithelial Tumors.
Tomita M., Ayabe T., Tsuchiya K., Nakamura K.
Thorac Cardiovasc Surg. ( 66 ) 345- - 349 2018年6月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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Tomita M., Ayabe T., Tsuchiya K., Nakamura K.
Thoracic and Cardiovascular Surgeon 66 ( 4 ) 345 - 349 2018年6月
記述言語：日本語 掲載種別：研究論文（学術雑誌） 出版者・発行元：Thoracic and Cardiovascular Surgeon
© 2018 Georg Thieme Verlag KG. Background We examined the usefulness of fluorodeoxyglucose (FDG) positron emission tomography (PET) in predicting the World Health Organization (WHO) histologic type and Masaoka stage of thymic epithelial tumors. Methods A total of 73 patients with thymic epithelial tumors who underwent preoperative FDG-PET were included. Relationships between the maximum standardized uptake value (SUVmax) and WHO histologic type and the Masaoka stage of the tumor were examined. Differences in SUVmax between the various groups were calculated. To avoid the effect of the tumor size on SUVmax, the ratio of SUVmax to tumor size (SUVmax/T) was also examined. Results There was a significant relationship between SUVmax and WHO histologic type. SUVmax of high-risk thymomas (types B2 and B3) was significantly higher than that of low-risk thymomas (types A, AB, and B1). SUVmax of thymic carcinomas was also significantly higher than those of the low-risk and high-risk groups. The relationship between the SUVmax/T and WHO histologic type showed more significant results. SUVmax and SUVmax/T showed higher values in patients with advanced Masaoka stage disease than in those with early-stage disease. Conclusions FDG-PET can provide useful information for differentiating thymic epithelial tumors. The SUVmax/T is more useful than the SUVmax for differentiating between low-risk and high-risk thymomas.
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Comparison of Inflammation-Based Prognostic Scores in Patients undergoing Curative Resection for Non-small Cell Lung Cancer.
Tomita M, Ayabe T, Maeda R, Nakamura K
World journal of oncology 9 85 - 90 2018年6月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
DOI： 10.14740/wjon1097w
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Evaluation and Outcome of Surgeon-Reported Incidents regarding Surgical Patient Safety. 査読あり
Ayabe, T., Tomita, M., Okumura, M., Maeda, R. and Nakamura, K.
Surgical Science ( 9 ) 422 - 445 2018年5月
記述言語：英語 掲載種別：研究論文（学術雑誌）