旭吉 雅秀 (ヒヨシ マサヒデ)

HIYOSHI Masahide

写真a

所属

医学部 附属病院 肝胆膵外科

外部リンク

学位 【 表示 / 非表示

  • 博士(医学) ( 2012年6月   宮崎大学 )

研究分野 【 表示 / 非表示

  • ライフサイエンス / 外科学一般、小児外科学

 

論文 【 表示 / 非表示

  • Curative remnant total pancreatectomy for recurrent pancreatic acinar cell carcinoma: A case report 査読あり

    Hiyoshi, M., Kai, K., Hamada, T., Yano, K., Imamura, N. and Nanashima, A.

    International Journal of Surgery Case Reports   94   107091   2022年5月

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    担当区分:筆頭著者, 責任著者   記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.ijscr.2022.107091

    DOI: 10.1016/j.ijscr.2022.107091

  • An unusual presentation of a rare formation of the common hepatic duct and right hepatic artery in a case of pediatric congenital biliary dilatation 査読あり

    Masuya R., Nakame K., Kai K., Tsuchimochi Y., Hamada T., Imamura N., Hiyoshi M., Nanashima A., Ieiri S.

    Asian Journal of Endoscopic Surgery   17 ( 1 )   e13264   2024年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Asian Journal of Endoscopic Surgery  

    A 15-year-old girl with recurrent upper abdominal pain was diagnosed with congenital biliary dilatation. Abdominal enhanced computed tomography (CT) showed the anterior segmental branch of the right hepatic artery (RHA) running across the ventral aspect of the dilated common hepatic duct (CHD). Laparoscopic extrahepatic dilated biliary duct excision and Roux-en-Y hepaticojejunostomy were planned. Intraoperatively, the dilated CHD was observed to bifurcate into the ventral and dorsal ducts, between which the anterior segmental branch of the RHA crossed through the CHD. The CHD rejoined on the distal side as one duct. We transected the CHD just above the cystic duct. The patency of the ventral and dorsal sides of the bifurcated CHD was confirmed. Laparoscopic hepaticojejunostomy was performed at the distal side of the rejoined CHD, without sacrificing the anterior segmental branch of the RHA. There was no postoperative blood flow impairment in the right hepatic lobe or anastomotic stenosis.

    DOI: 10.1111/ases.13264

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    PubMed

  • Measuring intraoperative anesthetic parameters during hepatectomy with inferior vena cava clamping 査読あり

    Nanashima A., Hiyoshi M., Imamura N., Hamada T., Tsuchimochi Y., Shimizu I., Ota Y., Furukawa K., Tsuneyoshi I.

    Langenbeck's Archives of Surgery   408 ( 1 )   455   2023年12月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Langenbeck's Archives of Surgery  

    Purpose: Uncontrollable bleeding remained problematic in anatomical hepatectomy exposing hepatic veins. Based on the inferior vena cava (IVC) anatomy, we attempted to analyze the hemodynamic and surgical effects of the combined IVC-partial clamp (PC) accompanied with the Trendelenburg position (TP). Methods: We prospectively assessed 26 consecutive patients who underwent anatomical hepatectomies exposing HV trunks between 2020 and 2023. Patients were divided into three groups: use of IVC-PC (group 1), no use of IVC-PC (group 2), and use of IVC-PC accompanied with TP (group 3). In 10 of 26 patients (38%), hepatic venous pressure was examined using transhepatic catheter insertion. Results: IVC-PC was performed in 15 patients (58%). Operating time and procedures did not significantly differ between groups. A direct hemostatic effect on hepatic veins was evaluated in 60% and 70% of patients in groups 1 and 3, respectively. Group 1 showed significantly more unstable vital status and vasopressor use (p < 0.01). Blood or fluid transfusion and urinary output were similar between groups. Group 2 had a significantly lower baseline central venous pressure (CVP), while group 3 showed a significant increase in CVP in TP. CVP under IVC-PC seemed lower than under TP; however, not significantly. Hepatic venous pressure did not significantly differ between groups. Systolic arterial blood pressure significantly decreased via IVC-PC in group 1 and to a similar extent in group 3. Heart rate significantly increased during IVC-PC (p < 0.05). Conclusion: IVC-PC combined with the TP may be an alternative procedure to control intrahepatic venous bleeding during anatomical hepatectomy exposing hepatic venous trunks.

    DOI: 10.1007/s00423-023-03172-0

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    PubMed

  • A preliminary pathological evaluation of extracellular volume fraction with contrast-enhanced computed tomography as a novel quantitative parameter of pancreatic fibrosis 査読あり

    Kai K, Hiyoshi M, Imamura N, Hamada T, Yano K, Sato Y, Sakae T, Komi M, Nakamura T, Choijookhuu N, Hishikawa Y, Nanashima A

    Internal medicine (Tokyo, Japan)   62 ( 8 )   1107 - 1115   2023年4月

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    担当区分:最終著者   記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Internal Medicine  

    Objective The extracellular volume (ECV) calculated based on contrast-enhanced computed tomography (CT) has been reported as a novel imaging parameter reflecting the morphological change of fibrosis in several parenchymal organs. Our retrospective study assessed the validity of the ECV fraction for diagnosing pancreatic fibrosis and the appropriate imaging condition as the “equilibrium phase”. Methods In 27 patients undergoing multiphasic CT and subsequent pancreaticoduodenectomy, we investigated pathological fibrotic changes related to the ECV fraction and conducted analyses using the value obtained by subtracting the equilibrium CT value of the portal vein from that of the abdominal aorta (AoPVequilibrium) to estimate eligibility of the equilibrium phase. Results In all patients, the ECV fraction showed a weak positive correlation with the collagenous compartment ratio (r=0.388, p=0.045). All patients were divided into two groups - the high-Ao-PVequilibrium group and low-Ao-PVequilibrium group - based on the median value. No significant correlation was found in the high-Ao-PVequilibrium group, whereas a significant correlation was observed in the low-Ao-PVequilibrium group (r=0.566, p= 0.035). Conclusion The ECV fraction is a possible predictive factor for histopathological pancreatic fibrosis. In its clinical application, the eligibility of the “equilibrium phase” may affect the diagnostic capability. It will be necessary to verify the imaging conditions in order to improve the accuracy of the diagnosis.

    DOI: 10.2169/internalmedicine.0410-22

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    CiNii Research

  • An alternative option of the retroperitoneal laparoscopic approach for limited hepatectomy for recurrent hepatocellular carcinoma at the transected edge after previous hepatectomy. 査読あり

    Hamada T, Yano K, Kitamura E, Hiyoshi M, Imamura N, Kai K, Tahira K, Kawano F, Ohta Y, Nanashima A

    Asian Journal of Endoscopic Surgery   16 ( 3 )   567 - 570   2023年3月

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    記述言語:英語   掲載種別:症例報告   出版者・発行元:Asian Journal of Endoscopic Surgery  

    Laparoscopic hepatectomy is safely performed with minimal invasiveness on patients with recurrent liver tumors after previous hepatectomy. However, it is still difficult to dissect and expose the operative field at the transected edge or plane after open right hepatectomy, even for limited resection by a laparoscopic approach, due to severe adhesion to the surrounding peritoneum or organs. We herein applied the retroperitoneal laparoscopic approach to limited resection of the dorsal surface at the transected edge of Couinaud's segment 6 after previous repeated hepatectomies in a patient with recurrent hepatocellular carcinoma (HCC) by avoiding severe intra-abdominal adhesion. We safely resected recurrent HCC via the retroperitoneal space. This approach is a useful and alternative option for laparoscopy which minimizes the dissecting time and avoids organ injury on the right side of the transected area of the liver after hepatectomy in patients with liver malignancies.

    DOI: 10.1111/ases.13185

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書籍等出版物 【 表示 / 非表示

  • 胆道再建.肝胆膵高難度外科手術第2版,日本肝胆膵外科学会高度技能専門医制度委員会(編集)

    旭吉雅秀,七島篤志( 担当: 共著)

    医学書院  2016年11月 

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    総ページ数:総349頁   担当ページ:115-119   記述言語:日本語 著書種別:学術書

MISC 【 表示 / 非表示

  • Rare resected eight cases of duodenal adenocarcinomas

    Nanashima A., Tanoue Y., Imamura N., Hiyoshi M., Yano K., Hamada T., Nishida T., Kai K., Suzuki Y., Sato Y., Nakashima K., Hosokawa A., Nagayasu T.

    International Journal of Surgery Case Reports   86   106384   2021年9月

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    記述言語:日本語   掲載種別:速報,短報,研究ノート等(学術雑誌)   出版者・発行元:International Journal of Surgery Case Reports  

    Introduction: Duodenal adenocarcinoma is a rare malignancy; recently, it has been found to be accompanied by operative indications. Methods: Nine consecutive rare cases were diagnosed with duodenal carcinoma (DC), in which clinicopathological characteristics were retrospectively examined. Age was ranged over middle-aged males and females. No clinical onset with severe symptoms was observed, and the specific treatment for accompanied diseases or habits was not found. Outcomes: One case of two T1 stage DCs that underwent pancreas-sparing duodenectomy. Stage II DC was diagnosed in three cases, and stage III DC was diagnosed in four cases. Pancreaticoduodenectomy (PD) mainly occurred in seven patients, and duodenectomy was limited in two patients. All operations were safely performed, and the postoperative course showed no severe morbidity. Histological findings showed R0 resection in eight cases and R1 at the retroperitoneal dissecting part in one case. Five patients with advanced-stage DC underwent adjuvant chemotherapy; however, four patients showed tumor recurrence within 12 months. With additional strong chemotherapy, eight patients survived up to 84 months, and one died of liver metastasis at 43 months after surgery. Three representative cases of mucosal invasion with widespread pancreas-sparing duodenectomy and advanced-stage DC cases undergoing duodenectomy or PD are shown. Conclusion: In the field of upper digestive tract surgery, duodenal adenocarcinoma and various applications of surgery or adjuvant chemotherapy for long-term survival are important.

    DOI: 10.1016/j.ijscr.2021.106384

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    PubMed

  • 胆管内腔発育型腫瘍の概念と実態:表層進展型胆道系腫瘍. 招待あり 査読あり

    濵田剛臣,矢野公一,今村直哉,旭吉雅秀,藤井義郎,七島篤志

    肝胆膵   75 ( 6 )   1151 - 1158   2017年12月

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    記述言語:日本語   掲載種別:記事・総説・解説・論説等(学術雑誌)  

  • 十二指腸乳頭部癌−現状の問題点と今後の展望−:経十二指腸的乳頭部切除の手技と適応. 招待あり 査読あり

    今村直哉,七島篤志,濵田剛臣,矢野公一,旭吉雅秀,藤井義郎,武野慎祐,池田拓人,河野文彰,久保田良政,坂 哲臣,河上 洋

    胆と膵   38 ( 7 )   691 - 696   2017年7月

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    記述言語:日本語   掲載種別:記事・総説・解説・論説等(学術雑誌)  

  • 胆膵内視鏡自由自在〜基本手技を学び応用力をつける集中講座〜:ERCP関連手技編 乳頭処置 Bridge to Surgery 悪性肝門部領域胆管閉塞. 招待あり 査読あり

    河上 洋,久保田良政,今村直哉,旭吉雅秀,藤井義郎,七島篤志

    胆と膵   37 ( (臨増特大) )   1279 - 1285   2016年11月

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    記述言語:日本語   掲載種別:記事・総説・解説・論説等(学術雑誌)  

  • 新たに定義された“肝門部領域胆管癌”の診断と治療: 術前胆道ドレナージ-経皮経肝胆道ドレナージ-. (共著)

    藤井義郎,濱田朗子,西田卓弘,土持有貴,濱田剛臣,矢野公一,今村直哉,土屋和代,河野文彰,旭吉雅秀,大内田次郎,池田拓人,七島篤志

    胆と膵   37 ( 1 )   71 - 74   2016年1月

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    記述言語:日本語   掲載種別:記事・総説・解説・論説等(学術雑誌)   出版者・発行元:医学図書出版(株)  

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講演・口頭発表等 【 表示 / 非表示

  • 転移性肝腫瘍に対する腹腔鏡下肝切除術の周術期成績の検討.

    濵田剛臣,矢野公一,土持有貴,今村直哉,旭吉雅秀,七島篤志

    第30回日本内視鏡外科学会総会  (京都)  日本内視鏡外科学会

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    開催年月日: 2017年12月7日 - 2017年12月9日

    記述言語:日本語   会議種別:ポスター発表  

    開催地:京都  

  • 臨床外科学会 国内外科研修報告報告.金属アレルギーを有する患者の内視鏡外科手術について.

    今村直哉,七島篤志,濵田剛臣,矢野公一,旭吉雅秀,藤井義郎

    第9回膵臓内視鏡外科研究会  (京都)  膵臓内視鏡外科研究会

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    開催年月日: 2017年12月6日

    記述言語:日本語   会議種別:口頭発表(一般)  

    開催地:京都  

  • 新規約におけるBorderline resectable膵癌の治療成績の再検討.

    今村直哉,七島篤志,池ノ上実,和田 敬,濵田剛臣,矢野公一,旭吉雅秀,藤井義郎

    第79回日本臨床外科学会総会  (東京)  日本臨床外科学会

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    開催年月日: 2017年11月23日 - 2017年11月25日

    記述言語:日本語   会議種別:口頭発表(一般)  

    開催地:東京  

  • EUS-FNAが術前診断に有用であった嚢胞性変化を伴う膵腺房細胞癌の1切除例.

    池ノ上実,清水一晃,緒方祥吾,和田 敬,濵田剛臣,矢野公一,今村直哉,旭吉雅秀,藤井義郎,田中弘之,秋山 裕,片岡寛章,七島篤志

    第79回日本臨床外科学会総会  (東京)  日本臨床外科学会

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    開催年月日: 2017年11月23日 - 2017年11月25日

    記述言語:日本語   会議種別:ポスター発表  

    開催地:東京  

  • シンポジウム1 外科と病理の協調 病理医は外科医からの疑問にどう応えるか:胆管内乳頭状腫瘍(IPNB)の胆道腫瘍における位置づけ.

    七島篤志,今村直哉,佐藤勇一郎,角田順久,旭吉雅秀,藤井義郎

    第22回日本外科病理学会学術集会  (栃木)  日本外科病理学会

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    開催年月日: 2017年11月10日 - 2017年11月11日

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    開催地:栃木  

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受託研究受入実績 【 表示 / 非表示

  • アコアラン静注用 使用成績調査 【DICを対象とした調査】

    2018年12月 - 2022年03月

  • オラネジン消毒液1.5% 使用成績調査

    2017年03月 - 2020年03月