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Faculty of Medicine School of Medicine Department of Surgery, Gastrointestinal, Endocrine and Pediatric Surgery |
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KAWANO Fumiaki
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Degree 【 display / non-display 】
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医獣医総博乙 ( 2023.5 宮崎大学 )
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学士（医学） ( 1998.3 富山医科薬科大学 )
Research Areas 【 display / non-display 】
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Life Science / General surgery and pediatric surgery / 消化器外科・内分泌外科・一般外科
Papers 【 display / non-display 】
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Kawano, F., Chiyotanda, T., Nakame, K., Meiri, S., Fukushima, T., Shirahama, K., Sato, Y., Yamaguchi, H., Ikenoue, M, Munakata, S., Higuchi, K., Takeno, T. and Nanashima, A.
Endocrinology Diabetes and Metabolism Case Reports 2025 ( 2 ) e250014 2025.5
Authorship：Lead author, Corresponding author Language：English Publishing type：Case report Publisher：Bioscientifica
Summary
Spindle epithelial tumor with thymic-like elements (SETTLE) is an extremely rare tumor that occurs primarily in the thyroid gland. Histologically, SETTLE is characterized by the presence of spindle-shaped epithelial cells and glandular structures. However, it is known that diagnosis via fine-needle aspiration cytology can be challenging. SETTLE predominantly occurs in younger individuals and has a less favorable prognosis compared to differentiated thyroid carcinoma. Therefore, ensuring accurate diagnosis and appropriate treatment is crucial. We encountered a case of spindle epithelial tumor with thymus-like differentiation in a 10-year-old patient for whom the preoperative diagnosis was successfully established through fine-needle aspiration cytology, which facilitated appropriate surgical resection. Comprehensive histopathological examination and immunohistochemical analysis are essential to ensure appropriate management and surveillance of SETTLE.
Learning points
A rare thyroid tumor, spindle epithelial tumor with thymic-like elements (SETTLE), was diagnosed preoperatively and treated surgically.
SETTLE presents with characteristic histological features that must be recognized for accurate diagnosis. In addition, diagnosis through cytology is often challenging.
The primary treatment for SETTLE is surgical intervention as radiotherapy and pharmacological treatments are generally not expected to be highly effective.
Radical resection is the only effective treatment, making the selection of the surgical procedure according to the stage of the disease essential.DOI： 10.1530/EDM-25-0014
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What should acute care surgery be like in regional facilities? Reviewed
Kawano Fumiaki, Tashiro Kousei, Ikenoue Makoto, Munakata Shun, Suzuki Yasuto, Takeno Shinsuke, Furukawa Kouji, Ochiai Hidenobu, Nanashima Atsushi
Japanese Journal of Acute Care Surgery advpub ( 0 ) 97 - 100 2025.4
Authorship：Lead author Language：Japanese Publishing type：Research paper (scientific journal) Publisher：The Japanese Society for the Acute Care Surgery
We looked back on the 10 years of acute care surgery 〈ACS） at our department and discussed what type of ACS is required in facilities in regional cities. In our department, the emergency and critical care unit started in 2012, which required major changes in the surgical emergency treatment system. At the regional level, we focused on maintaining the existing emergency system, and we established a system in which severe injuries and trauma cases were concentrated in our department. At the facility level, ACS team was formed with existing surgeons to facilitate trauma care and actively intervene in trauma care. In addition, to maintain the team, we improved the on-call system and implemented complete division of labor in perioperative management. At the individual level, we performed daily surgical tasks with a specialty to maintain surgical skills and motivation. In addition, we made efforts to encourage young surgeons and residents to intervene in the practice in order to foster the Acute care surgeons. In this way, we believe that ACS in regional cities can be established by maintaining the existing emergency system and having existing surgeons create a system that is suited to the facilities.
DOI： 10.50840/jjacs.15-1
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Jejunogastric intussusception after distal gastrectomy with Roux-en-Y reconstruction: A case report. Reviewed
Kawano F, Tashiro K, Nakao H, Fujii Y, Ikeda T, Takeno S, Nakamura K, Nanashima A
International Journal of Surgery Case Reports 44 105 - 109 2018
Authorship：Lead author, Corresponding author Language：English Publishing type：Case report
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Thyroid carcinoma with extensive tumor thrombus in the superior vena cava: A case report. Reviewed
Kawano F, Tomita M, Tanaka H, Nagahama H, Tashiro K, Nakao H, Kataoka H, Nakamura K
International journal of surgery case reports 29 25 - 29 2016.10
Authorship：Lead author, Corresponding author Language：English Publishing type：Case report
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前田 亮, 山田 隆盛, 猪俣 麻佑, 河野 文彰
International journal of surgery case reports 136 111986 2025.11
Language：English Publishing type：Research paper (scientific journal) Publisher：Elsevier
Introduction and importance
Septic arthritis of the sternoclavicular joint (SASCJ) accounts for <1 % of all joint infections. Owing to the limited literature on the disease, there is no consensus on the general treatment for SASCJ. Here, we report a case of SASCJ complicated by osteomyelitis, mediastinitis, infectious myositis, and cervical and chest wall abscesses that required radical sternoclavicular joint resection and reconstruction using the greater omental flap. In this report, we discuss the treatment strategy for advanced SASCJ cases.
Case presentation
A 65-year-old man was diagnosed with SASCJ relapse after the failure of antibiotic therapy alone, combined with osteomyelitis, mediastinitis, infectious myositis, and cervical and chest wall abscesses. A radical sternoclavicular joint resection was performed. After negative-pressure wound therapy, serial re-debridement was performed. The greater omental flap was transported into a deep, large residual space. The patient has been relapse-free for 1 year.
Clinical discussion
Radical resection of the entire sternoclavicular joint should be the preferred management strategy for patients with sternoclavicular joint infections, especially in cases of osteomyelitis. Although the pectoralis major flap is typically the first choice to cover the defect, we used the omental flap because the locoregional flaps were not large enough to reconstruct the defect.
Conclusion
The greater omental flap is an advantageous alternative when there is a need to provide coverage for large defects in cases of SASCJ.
Books 【 display / non-display 】
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【Acute Care Surgery入門】外傷対応の基礎知識 Open abdominal management 若手外科医が知っておくべきこと(解説)
河野 文彰（ Role： Joint author , Open Abdominal Management）
臨床外科 2024.11
Language：Japanese Book type：Scholarly book
MISC 【 display / non-display 】
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【診療】鏡視下甲状腺手術の現状と課題 Invited Reviewed
河野文彰，田代耕盛，池ノ上実，落合貴裕，清水一晃，千代反田顕，古川貢之，武野慎祐，七島篤志
宮崎県医師会医学会雑誌 48 ( 1 ) 42 - 47 2024.3
Authorship：Lead author, Corresponding author Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (other)
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特集 臓器損傷治療の工夫 【手術手技】 腹部開放創陰圧治療法システムによるopen abdominal management Invited Reviewed
桝屋隆太, 中目和彦, 宗像 駿, 河野文彰, 武野慎祐, 七島篤志, 家入里志
小児外科 57 ( 2 ) 231 - 235 2025.2
Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (scientific journal)
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【Acute Care Surgery入門-外傷対応の基礎知識】Open abdominal management-若手外科医が知っておくこと Reviewed
河野 文彰
臨床外科 79 ( 12 ) 1233 - 1241 2024.11
Authorship：Lead author Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (scientific journal)
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【診療】当院におけるNOMIの治療戦略 Invited Reviewed
落合貴裕，河野文彰，田代耕盛，池ノ上実，古川貢之，落合秀信，武野慎祐，七島篤志
宮崎県医師会医学会誌 48 ( 1 ) 31 - 37 2024.3
Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (scientific journal)
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【必携 消化器・一般外科医のための外科解剖アトラス】食道・胃 食道癌頸部リンパ節郭清に必要な局所解剖 Invited Reviewed
武野慎祐，河野文彰，田代耕盛，池ノ上実，七島篤志，井手慎介
手術 78 ( 4 ) 395 - 402 2024.3
Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (scientific journal)
Presentations 【 display / non-display 】
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特殊な背景を有した家族性副甲状腺機能亢進症の1家系（家族性大腸腺腫症との関連について）
河野 文彰
第37回日本内分泌外科学会総会 2025.5.24
Event date： 2025.5.22 - 2025.5.24
Language：Japanese Presentation type：Oral presentation (general)
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重症外傷時のバックアップ体制の構築(オンコール体制の不備により Failure to rescue となった症例を経験して)
河野 文彰
第16回日本Acute Care Surgery学会学術集会 2024.9.28
Event date： 2024.9.27 - 2024.9.28
Language：Japanese Presentation type：Symposium, workshop panel (nominated)
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Lecture on Gunshot and Blast injuries and Bleeding Control Training for Medical Students at a Regional University in Japan International conference
Fumiaki Kawano
World trauma congress 2024 2024.9.12
Event date： 2024.9.11 - 2024.9.14
Language：English Presentation type：Oral presentation (general)
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外傷診療とAcute care surgeryの実践 Invited
河野 文彰
都城市北諸県郡外科医会講演会 2024.7.25
Event date： 2024.7.25
Language：Japanese Presentation type：Oral presentation (invited, special)
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当科の内視鏡下甲状腺手術の現状
河野 文彰
第36回日本内分泌外科学会総会 2024.5.24
Event date： 2024.5.23 - 2024.5.25
Language：Japanese Presentation type：Oral presentation (general)