所属 |
医学部 附属病院 総合周産期母子医療センター |
職名 |
講師 |
外部リンク |
論文 【 表示 / 非表示 】
-
Physical growth and social prognosis of esophageal atresia after 15 years of age
Masuya R., Muto M., Sugita K., Murakami M., Yano K., Harumatsu T., Onishi S., Yamada K., Yamada W., Matsukubo M., Kawano T., Machigashira S., Nakame K., Torikai M., Mukai M., Kaji T., Ieiri S.
Annals of Pediatric Surgery 18 ( 1 ) 2022年12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:Annals of Pediatric Surgery
Background: The mortality rate of esophageal atresia (EA) has significantly improved, but late complications remain problematic. We evaluated the physical growth, late complications, and social prognosis of postoperative patients with EA who have reached 15 years of age. Methods: EA patients who were treated at our institution from 1984 to 2003 were enrolled. The follow-up, physical growth at the last visit, late complications and treatment, academic status, and employment situation were evaluated. Results: Twenty-nine EA patients were registered, and the 23 surviving patients (79.3%) were followed. Anthropometry at the latest visit tended to be below the standard values. Fundoplication was performed in 6 (26.1%) of 9 (39.1%) patients with gastroesophageal reflux. Anastomotic stenosis was found in 12 patients (52.2%), and 2 (8.7%) were treated with re-anastomosis. Thirteen patients were attending a regular school, and one was attending a school for disabled children. Four had jobs from 18 years of age. Follow-up was aborted during early childhood in nine patients. Conclusions: The physical size of EA was smaller than in the healthy population of the same age. Late complications had not affected the physical growth but were sometimes recognized in adolescence. The social prognosis of the patients was largely favorable.
-
Laparoscopic dome resection for pediatric nonparasitic huge splenic cyst safely performed using indocyanine green fluorescence and percutaneous needle grasper.
Masuya R, Nakame K, Tahira K, Kai K, Hamada T, Yano K, Imamura N, Hiyoshi M, Nanashima A, Ieiri S
Asian journal of endoscopic surgery 15 ( 3 ) 693 - 696 2022年7月
-
Masuya R., Muto M., Nakame K., Murakami M., Sugita K., Yano K., Onishi S., Harumatsu T., Yamada K., Yamada W., Matsukubo M., Kaji T., Nanashima A., Ieiri S.
Journal of Laparoendoscopic and Advanced Surgical Techniques 32 ( 5 ) 571 - 575 2022年5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:Journal of Laparoendoscopic and Advanced Surgical Techniques
Background and Aim: The distribution of board-certified pediatric surgeons (BCPSs) in Japan is highly biased. While Prefecture M has one of the smallest numbers of BCPSs per pediatric population, neighboring Prefecture K has one of the largest numbers of BCPSs per pediatric population. We examined the effect of BCPSs population on laparoscopic surgery and postoperative management and outcomes. Materials and Methods: We compared postoperative duration to full-dose enteral nutrition, postoperative hospital stay, and complications of neurologically impaired patients who underwent laparoscopic fundoplication in two prefectures from 2006 to 2019. Results: Laparoscopic fundoplication was performed in 17 patients in Prefecture M and 63 in K. The mean operative time was 248.8 ± 79.9 minutes in Prefecture M and 260.8 ± 94.8 in K (P = .64). The median number of days to full-dose enteral nutrition was 11.5 in Prefecture M and 10 in K (P = .29). The median postoperative hospital stay was 14 days in Prefecture M and 15 days in K (P = .38). Postoperative complications occurred in 7 cases in Prefecture M and in 10 in K. The incidence was significantly higher in Prefecture M than in K (P = .041). Conclusion: Areas with insufficient numbers of BCPSs have a higher risk of complications in laparoscopic surgery than areas with sufficient numbers.
-
The evaluation of eye gaze using an eye tracking system in simulation training of real-time ultrasound-guided venipuncture. 国際誌
Tatsuru K, Keisuke Y, Shun O, Mayu M, Ayaka N, Masakazu M, Koshiro S, Toshio H, Koji Y, Waka Y, Makoto M, Mitsuru M, Kazuhiko N, Satoshi I
The journal of vascular access 23 ( 3 ) 360 - 364 2022年5月
記述言語:英語 掲載種別:研究論文(学術雑誌)
PURPOSE: Real-time ultrasound (RTUS)-guided central venipuncture using the short-axis approach is complicated and likely to result in losing sight of the needle tip. Therefore, we focused on the eye gaze in our evaluation of the differences in eye gaze between medical students and experienced participants using an eye tracking system. METHODS: Ten medical students (MS group), five residents (R group) and six pediatric surgeon fellows (F group) performed short-axis RTUS-guided venipuncture simulation using a modified vessel training system. The eye gaze was captured by the tracking system (Tobii Eye Tacker 4C) and recorded. The evaluation endpoints were the task completion time, total time and number of occurrences of the eye tracking marker outside US monitor and success rate of venipuncture. RESULT: There were no significant differences in the task completion time and total time of the tracking marker outside the US monitor. The number of occurrences of the eye tracking marker outside US monitor in the MS group was significantly higher than in the F group (MS group: 9.5 ± 3.4, R group: 6.0 ± 2.9, F group: 5.2 ± 1.6; p = 0.04). The success rate of venipuncture in the R group tended to be better than in the F group. CONCLUSION: More experienced operators let their eye fall outside the US monitor fewer times than less experienced ones. The eye gaze was associated with the success rate of RTUS-guided venipuncture. Repeated training while considering the eye gaze seems to be pivotal for mastering RTUS-guided venipuncture.
-
Biliary atresia: graft-versus-host disease with maternal microchimerism as an etiopathogenesis 国際誌
Masuya R., Muraji T., Harumatsu T., Muto M., Nakame K., Nanashima A., Ieiri S.
Transfusion and Apheresis Science 61 ( 2 ) 103410 - 103410 2022年4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:Transfusion and Apheresis Science
Biliary atresia (BA) is an inflammatory disease of the biliary system in newborns and infants. The etiology is largely unknown. Approximately half of BA patients require liver transplantation by 20 years of age, even after surgical correction due to progressive fibrosis of the liver. Regarding the disease mechanism, there is circumstantial evidence to support the hypothesis of graft-versus-host disease because of the existence of maternal cells in the liver (maternal microchimerism, MMC), histopathological similarity of the liver and an intense maternal response to the BA patient with mixed lymphocyte culture. Immune dysregulation with decreased Treg and increased Th1 and Th17 cells are the pathogenic features of BA, which are homologous to the pathogenic features of GvHD. Further elucidation of the etiopathogenetic mechanism of BA is warranted for development of new therapeutic strategies for native liver survival.
MISC 【 表示 / 非表示 】
-
胃穿孔による汎発性腹膜炎を生じた急性胃軸捻転の1小児例
桝屋 隆太, 中目 和彦, 西牟田 雅人, 長友 謙三, 和田 敬, 甲斐 健吾, 池ノ上 実, 田代 耕盛, 市原 明子, 河野 文彰, 池田 拓人, 武野 慎祐, 七島 篤志
日本腹部救急医学会雑誌 40 ( 2 ) 313 - 313 2020年2月
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:(一社)日本腹部救急医学会
-
鹿児島県内の後天性声門下腔狭窄症例発生状況と患者背景からの考察
武藤 充, 連 利博, 永井 太一郎, 大西 峻, 春松 敏夫, 山田 耕嗣, 松久保 眞, 町頭 成郎, 中目 和彦, 向井 基, 加治 建, 家入 里志
日本小児外科学会雑誌 56 ( 1 ) 132 - 132 2020年2月
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:(一社)日本小児外科学会
-
声門下嚢胞による反復性クループ様症状を呈した1幼児例
永井 太一朗, 連 利博, 大西 峻, 武藤 充, 中目 和彦, 家入 里志
日本小児科学会雑誌 124 ( 1 ) 91 - 91 2020年1月
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:(公社)日本小児科学会
講演・口頭発表等 【 表示 / 非表示 】
-
呼吸管理に難渋した先天性気管狭窄を合併した 超低出生体重児の一例
中目 和彦,當瀬 ちひろ,桝屋 隆太,村岡 純輔,山田 直史, 青木良則,牧 洋平,牧 愛美 ,山内 綾 , 山下 理絵,金子政時 ,児玉 由紀,桂木 真司 ,七島 篤志森田 圭一,畠山 理
第58回日本周産期・新生児医学会学術集会 2022年7月12日
開催年月日: 2022年7月10日 - 2022年7月12日
記述言語:日本語 会議種別:口頭発表(一般)
-
臍帯ヘルニアから見えた腹壁破裂の遷延性貧血 国内5施設の後方視的観察研究
杉田 光士郎, 武藤 充, 大城 清哲, 久田 正昭, 金城 僚, 桝屋 隆太, 町頭 成郎, 川野 孝文, 中目 和彦, 鳥飼 源史, 茨 聡, 加治 建, 家入 里志
第59回日本小児外科学会学術集会 2022年5月21日
開催年月日: 2022年5月19日 - 2022年5月21日
記述言語:日本語 会議種別:口頭発表(一般)
-
地域医療を支える小児外科医の働き方改革はどうあるべきか? 宮崎県の場合
永田 公二, 林田 真, 三好 きな, 谷口 直之, 桝屋 隆太, 中目 和彦, 七島 篤志, 家入 里志, 田尻 達郎
第59回日本小児外科学会学術集会 2022年5月20日
開催年月日: 2022年5月19日 - 2022年5月21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(指名)
-
新生児消化管穿孔と動脈管開存の関連性に関する検討 過去10年間の経験症例をもとに
武藤 充, 生駒 真一郎, 村上 雅一, 川野 正人, 杉田 光士郎, 山田 和歌, 桝屋 隆太, 松久保 眞, 川野 孝文, 町頭 成郎, 坂本 浩一, 中目 和彦, 新山 新, 鳥飼 源史, 池江 隆正, 野口 啓幸, 茨 聡, 家入 里志
第59回日本小児外科学会学術集会 2022年5月20日
開催年月日: 2022年5月19日 - 2022年5月21日
記述言語:日本語 会議種別:口頭発表(一般)
-
術前に判明した右肝動脈の破格を伴う先天性胆道拡張症に対する腹腔鏡手術の工夫
桝屋 隆太, 中目 和彦, 三好 きな, 松久保 眞, 七島 篤志, 家入 里志
第59回日本小児外科学会学術集会 2022年5月21日
開催年月日: 2022年5月19日 - 2022年5月21日
記述言語:日本語 会議種別:口頭発表(一般)