NANASHIMA Atsushi

写真a

Affiliation

Faculty of Medicine School of Medicine Department of Surgery, Hepato-Biliary-Pancreas Surgery

Title

Professor

External Link

Related SDGs


Degree 【 display / non-display

  • 医学博士 ( 1997.5   長崎大学 )

Research Areas 【 display / non-display

  • Life Science / General surgery and pediatric surgery

  • Life Science / Digestive surgery

 

Papers 【 display / non-display

  • Risk Factors of Complications from Central Bisectionectomy (H458) for Hepatocellular Carcinoma: A Multi-Institutional Single-Arm Analysis Reviewed

    Nanashima A., Eguchi S., Hisaka T., Kawasaki Y., Yamashita Y.I., Ide T., Kuroki T., Yoshizumi T., Kitahara K., Endo Y., Utsunomiya T., Kajiwara M., Sakoda M., Okamoto K., Nagano H., Takami Y., Beppu T.

    Cancers   15 ( 6 )   1740   2023.3

     More details

    Authorship:Lead author, Corresponding author   Language:English   Publishing type:Research paper (scientific journal)   Publisher:Cancers  

    Background: This study aims to clarify the perioperative risk factors and short-term prognosis of central bisectionectomy (CB) for hepatocellular carcinoma (HCC). Methods: Surgical data from 142 selected patients out of 171 HCC patients who underwent anatomical CB (H458) between 2005 and 2020 were collected from 17 expert institutions in a single-arm retrospective study. Results: Morbidities recorded by the International Study Group of Liver Surgery (ISGLS) from grade BC post-hepatectomy liver failure (PHLF) and bile leakage (PHBL), or complications requiring intervention were observed in 37% of patients. A multivariate analysis showed that increased blood loss (iBL) > 1500 mL from PHLF (risk ratio [RR]: 2.79), albumin level < 4 g/dL for PHBL (RR, 2.99), involvement of segment 1, a large size > 6 cm, or compression of the hepatic venous confluence or cava by HCC for all severe complications (RR: 5.67, 3.75, 6.51, and 8.95, respectively) (p < 0.05) were significant parameters. Four patients (3%) died from PHLF. HCC recurred in 50% of 138 surviving patients. The three-year recurrence-free and overall survival rates were 48% and 81%, respectively. Conclusions: Large tumor size and surrounding tumor involvement, or compression of major vasculatures and the related iBL > 1500 mL were independent risk factors for severe morbidities in patients with HCC undergoing CB.

    DOI: 10.3390/cancers15061740

    Scopus

    PubMed

  • Prognostic value of repeat hepatectomy for hepatocellular carcinoma pationts Reviewed International journal

    Nanashima A., Tanoue, Y., Hiyoshi, M., Imamura, N., Yano, K., Hamada, T., Kitamura, E., Kai, K., Tahira, K. and Nagayasu, T.

    Anticancer Research   42 ( 9 )   4553 - 4561   2022.9

     More details

    Authorship:Lead author, Corresponding author   Language:English   Publishing type:Research paper (scientific journal)  

    DOI: 10.21873/anticances.15958

  • Novel analysis using magnetic resonance cholangiography for patients with pancreaticobiliary maljunction Invited Reviewed

    Nanashima A., Komi M., Imamura N., Yazaki S., Hiyoshi M., Hamada T., Yano K., Nishida T., Enzaki M., Sakae T.

    Surgery Today   52 ( 3 )   385 - 394   2022.3

     More details

    Authorship:Lead author, Corresponding author   Language:English   Publishing type:Research paper (scientific journal)   Publisher:Surgery Today  

    Purpose: We used a novel diagnostic Fourier transform (FT) algorithm of the entire extrahepatic bile duct (EHBD) measured by magnetic resonance cholangiography (MRC) to evaluate subtle deformation of bile duct lumen, indicating the malignant potential of EHBD, in patients with pancreaticobiliary maljunction (PBMJ) and in a comparative group of controls without PBMJ. Methods: From the workstation, the EHBD lumen was traced automatically and a 2D diagram cross section was measured at 0.5 mm-longitudinal intervals. The FT-based integrated power spectral density function value (FTPSDI) of the diameter or area (mm2 or mm4/Hz) and the phase value distribution entropy (PVDE) were also measured. Results: There were 16 patients with undilated PBMJ and 7 with dilated PBMJ. The control group comprised 10 patients with a normal bile duct, 20 with bile duct carcinoma (BDC), and 1 with primary sclerosing cholangitis. Both the diameter and area of the dilated bile ducts and the ducts with early- or advanced-stage BDC were significantly greater than those of the normal duct (p < 0.05). The undilated type of PBMJ tended to have a larger FTPSDI diameter than a normal bile duct, which had a smaller diameter than the dilated type of PBMJ or BDC. BDC had a significantly larger FTPSDI diameter (p < 0.05) and the cutoff value for accuracy was 168 mm2 Hz−1. Conclusion: The novel mathematical FTPSDI is a promising indicator of whether preventive EHBD resection is necessary for patients with PBMJ, which can be widely applied in the early diagnosis of other biliary diseases.

    DOI: 10.1007/s00595-021-02349-8

    Scopus

    PubMed

  • Non-Cytotoxic photodynamic therapy with talaporfin sodium reduces the expression of CXCR4 and enhances chemotherapeutic efficacy in undifferentiated Reviewed

    Kai,K., Ishizuka, T., Matsumoto, J., K Shimamawari, K., Mori, R., Fidya, Lkham-Erdene, B., Kubota, T., Ikenoue, M., Higuchi, K., Nanashima, A. and Hishikawa, Y.

    Acta Histochemica et Cytochemica   58 ( 2 )   2025.4

     More details

    Language:English   Publishing type:Research paper (scientific journal)  

    DOI: https://doi.org/10.1267/ahc.25-00002

  • 非閉塞性腸間膜虚血症(NOMI)の治療戦略 -ICG蛍光造影法を用いた定型化を目指して- Reviewed

    落合貴裕,河野文彰,池ノ上実,武野慎祐,七島篤志

    Japanese Journal of Acute Care Surgery   2025.4

     More details

    Authorship:Last author, Corresponding author   Language:Japanese   Publishing type:Research paper (scientific journal)  

display all >>

Books 【 display / non-display

  • 消化器難治療癌シリーズV 肝細胞癌

    七島篤志( Role: Joint author ,  おわりに)

    株式会社協和企画  2024.4 

     More details

    Language:Japanese Book type:Scholarly book

  • Therapeutic applications: Photodynamic therapy using porphyrin compounds

    Hamada T., Nanashima A.( Role: Sole author)

    Fluorescence-Guided Surgery: From Lab to Operation Room  2023.11  ( ISBN:9789811973727, 9789811973710

     More details

    Language:English Book type:Scholarly book

    As a result of recent advances in endoscopes and optical fibers, optical engineering has been introduced to medical treatment in these years. Photodynamic therapy (PDT) is a promising treatment method that irradiates a tumor with a highly tumor-accumulating photosensitive agent and a laser with a specific wavelength and shows a cell-killing effect only on tumor cells with high drug concentration. It has already been applied clinically in the fields of pulmonary and digestive surgery, neurosurgery, ophthalmology, dermatology, and urology. As described in other chapters, photodynamic diagnosis (PDD), which is a method to diagnose the localization of tumors by irradiating biological tissues with light and detecting the fluorescence generated by photosensitive agents accumulated in tumors, is also being actively studied and applied clinically.

    DOI: 10.1007/978-981-19-7372-7_33

    Scopus

  • 肝胆膵高難度外科手術[Web動画付]第3版

    旭吉雅秀,七島篤志( Role: Joint author ,  胆道再建)

    医学書院  2023.6 

     More details

    Language:Japanese Book type:Scholarly book

  • 術中イメージング実践ガイド -ラボからオペ室まで- Reviewed

    濵田剛臣,七島篤志( Role: Joint author ,  Ⅲ術中蛍光イメージングの実際[開発編]: 4. 治療への応用(1): ポルフィリン化合物を用いた光線力学的治療)

    メジカルビュー  2020.9  ( ISBN:978-4758315371

     More details

    Total pages:339   Responsible for pages:310-320   Language:Japanese Book type:Scholarly book

  • 新DS Now No.4 胆道癌・膵癌に対する標準手術−手技修得へのナビゲート− Reviewed

    長友謙三,濵田剛臣,七島篤志( Role: Joint author ,  膵体部癌に対する膵体尾部切除術)

    メジカルビュー社  2019.8  ( ISBN:978-4-7583-1653-8

     More details

    Total pages:184   Responsible for pages:136-156   Language:Japanese Book type:Scholarly book

display all >>

MISC 【 display / non-display

  • 【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,池ノ上実,宗像 駿,武野慎祐,七島篤志

    臨床外科   79 ( 4 )   395 - 402   2024.11

     More details

    Authorship:Last author   Language:Japanese   Publishing type:Article, review, commentary, editorial, etc. (scientific journal)  

    DOI: https://doi.org/10.11477/mf.1407214736

  • 【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 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

     More details

    Language:Japanese   Publishing type:Article, review, commentary, editorial, etc. (scientific journal)  

    DOI: 10.18888/op.0000003793

  • 【診療】鏡視下甲状腺手術の現状と課題

    河野文彰,池ノ上実,宗像 駿,武野慎祐,七島篤志

    宮崎県医師会医学会誌   48 ( 1 )   42 - 47   2024.3

     More details

    Authorship:Last author   Language:Japanese   Publishing type:Article, review, commentary, editorial, etc. (scientific journal)  

  • 【「緊急対応or経過観察」を見極める!新生児【診療】当院におけるNOMIの治療戦略の消化器症状アセスメント】疾患:消化管閉鎖 Invited International coauthorship

    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

     More details

    Language:Japanese   Publishing type:Article, review, commentary, editorial, etc. (trade magazine, newspaper, online media)   Publisher:東京医学社  

  • 【胆道閉鎖症の研究update】患児末梢血中の母親由来キメラ細胞の検出とその臨床的意義 Invited Reviewed International coauthorship

    桝屋隆太, 連 利博, Sami B.Kanaan, 春松敏夫, 武藤 充, 東間未来, 矢内俊裕, Anne M Stevens, J Lee Nelson, 中目和彦, 七島篤志, 家入里志

    小児外科   56 ( 2 )   117 - 121   2024.2

     More details

    Language:Japanese   Publishing type:Article, review, commentary, editorial, etc. (trade magazine, newspaper, online media)   Publisher:東京医学社  

    DOI: 10.24479/ps.0000000714

display all >>

Presentations 【 display / non-display

  • 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

    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  2025.2.25  東京医学社

     More details

    Event date: 2025.2.25

    Presentation type:Oral presentation (general)  

    CiNii Research

  • 特集 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

    河野 文彰, 池ノ上 実, 宗像 駿, 武野 慎祐, 七島 篤志

    臨床外科  2024.11.20  株式会社医学書院

     More details

    Event date: 2024.11.20

    Presentation type:Oral presentation (general)  

    CiNii Research

  • 連載 外科医の私論 起きて半畳寝て一畳,どこにいても手術は一つ

    七島 篤志

    外科  2024.8.1  南江堂

     More details

    Event date: 2024.8.1

    Presentation type:Oral presentation (general)  

    CiNii Research

  • Ultrasound-Guided Supraclavicular Approach to the Brachiocephalic Vein Cannulation in Pediatric Patients With Hematological and Oncological Diseases

    Nakame Kazuhiko, Masuya Ryuta, Nakazawa Shun, Nakagawa Midori, Yamada Ai, Kinoshita Mariko, Kamimura Sachiyo, Moritake Hiroshi, Ieiri Satoshi, Nanashima Atushi

    Journal of the Japanese Society of Pediatric Surgeons  2024.4.20  The Japanese Society of Pediatric Surgeons

     More details

    Event date: 2024.4.20

    Language:Japanese   Presentation type:Oral presentation (general)  

    <i>Purpose</i>: Central venous catheters (CVCs) are used in the treatment of pediatric hematological and oncological diseases. Recently, the ultrasound (US)-guided supraclavicular approach to brachiocephalic vein cannulation with in-plane views has been described as a safe central venous catheterization technique.<i>Methods</i>: A retrospective study was performed on patients who underwent US-guided tunneled CVC insertion into the internal jugular vein with out-of-plane views (IJV group) and the brachiocephalic vein with in-plane views (BCV group). The patients’ background characteristics, surgical outcomes, and complications were compared retrospectively.<i>Results</i>: A total of 40 tunneled CVCs (IJV group: n = 15, BCV group: n = 25) were inserted in 34 patients. The patients’ background characteristics were not significantly different between the two groups. The operative times were 30 min (range: 27–33 min) in the IJV group and 25.8 min (range: 22–27 min) in the BCV group. The BCV group had a significantly shorter operative time (p = 0.0026). Intraoperative complications were observed in one patient (6.7%) in the IJV group and none of the patients in the BCV group. Complications during maintenance were observed in 10 patients (66.7%) in the IJV group and 17 patients (68%) in the BCV group. Catheter-related bloodstream infection was noted in 10 patients (66.7%) in the IJV group and 12 patients (52%) in the BCV group; these infection rates were not significantly different. The periods of CVC implantation were 273 days (172–363.5 days) in the IJV group and 152 days (101–280 days) in the BCV group, which were not significantly different.<i>Conclusions</i>: A real-time US-guided supraclavicular approach to brachiocephalic catheterization was considered a safe technique for pediatric patients with hematological and oncological diseases.

    CiNii Research

  • 特集 必携 消化器・一般外科医のための外科解剖アトラス Ⅰ 食道・胃 1 食道癌頸部リンパ節郭清に必要な局所解剖

    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  2024.3.31  金原出版

     More details

    Event date: 2024.3.31

    Presentation type:Oral presentation (general)  

    CiNii Research

display all >>

Works 【 display / non-display

  • 新しい肝がんの腫瘍マーカー

    2011

     More details

    Work type:Artistic work  

    researchmap

Grant-in-Aid for Scientific Research 【 display / non-display

  • GVHD誘導マウスでのサイトカイン阻害による胆道閉鎖症の炎症標的型治療法の開発

    Grant number:23K08052  2023.04 - 2026.03

    独立行政法人日本学術振興会  科学研究費基金  基盤研究(C)

    桝屋 隆太

      More details

    Authorship:Coinvestigator(s) 

  • クリック反応技術と軸配位子糖鎖連結ポルフィリン錯体を融合した革新的PDTの開発

    Grant number:22K08806  2022.04 - 2025.03

    独立行政法人日本学術振興会  科学研究費基金  基盤研究(C)

    七島篤志

      More details

    Authorship:Principal investigator 

  • FDG PET腫瘍診断と腫瘍遺伝子変異の関連に基づくテーラーメイド医療の開発

    Grant number:26461857  2014.04 - 2017.03

    科学研究費補助金  基盤研究(C)

      More details

    Authorship:Coinvestigator(s) 

    FDG PET腫瘍診断と腫瘍遺伝子変異の関連に基づくテーラーメイド医療の開発

  • 臨床実用を目指した癌幹細胞標的光線力学的療法の基礎研究

    Grant number:26461045  2014.04 - 2017.03

    科学研究費補助金  基盤研究(C)

      More details

    Authorship:Coinvestigator(s) 

    臨床実用を目指した癌幹細胞標的光線力学的療法の基礎研究

  • 糖鎖連結クロリンを用いたあたらし光線力学的療法による胆管癌の次世代局所治療法の開発

    Grant number:25462120  2013.04 - 2016.03

    科学研究費補助金  基盤研究(C)

      More details

    Authorship:Principal investigator 

    光線力学的療法は、切除不能胆管癌に対する補助化学療法として効果が期待できる。一方で、光線過敏症などの副作用もあり、腫瘍特異成・抗腫瘍効果が高く副作用の少ない光感受性物質の開発がのぞまれる。新規光感受性物質と期待される糖鎖連結クロリンを用いた胆道癌に対する光線力学的療法について、現在使用されているタラポルフィリンナトリウム(レザフィリン)と比較検討した。細胞を用いた実験では、殺細胞効果・アポトーシス誘導効果が高いことが分かり、糖鎖連結クロリンが新規光感受性物質として期待できるという結果を得た。