Presentations -
-
CT値を用いた膵頭部癌の膵外神経叢（特に動脈周囲神経叢）浸潤予測の試み
濵田剛臣, 今村直哉, 土持有貴, 矢野公一, 旭吉雅秀, 七島篤志
JDDW2018
Event date： 2018.11.1 - 2018.11.4
Language：Japanese Presentation type：Poster presentation
-
肝内結石症の現状と課題
今村直哉, 七島篤志, 河上洋
第54回日本胆道学会学術集会
Event date： 2018.9.27 - 2018.9.28
Language：Japanese Presentation type：Symposium, workshop panel (public)
-
当科における腹腔鏡下肝切除術.
濵田剛臣, 矢野公一, 長友謙三, 今村直哉, 旭吉雅秀, 七島篤志:
平成30年度宮崎県外科医会夏期講演会(日本臨床外科学会地方会)
Event date： 2018.8.17
Language：Japanese Presentation type：Oral presentation (general)
-
化学療法後に切除し得たUR-LA膵頭部癌の1例.
千代反田顕, 長友謙三, 濵田剛臣, 矢野公一, 今村直哉, 旭吉雅秀, 七島篤志:
平成30年度宮崎県外科医会夏期講演会(日本臨床外科学会地方会)
Event date： 2018.8.17
Language：Japanese Presentation type：Oral presentation (general)
-
TSUCHIMOCHI Yuki, OHUCHIDA Jiro, HAMADA Takeomi, IMAMURA Naoya, HIYOSHI Masahide, NANASHIMA Atsushi
J. Jpn. Surg. Assoc. 2018 Japan Surgical Association
Event date： 2018.8.1
Language：Japanese Presentation type：Oral presentation (general)
A 47-year-old woman was admitted to our hospital with a history of upper abdominal pain. She gave a history of having undergone extrahepatic bile duct excision for congenital biliary dilatation when she was 18 years old. Imaging findings showed a carcinoma of the head of the pancreas invading the superior mesenteric vein, duodenum and reconstructed jejunal loop. Subtotal stomach-preserving pancreatoduodenectomy was performed, with resection of the portal vein. Histopathological examination of the resected specimen revealed a well-differentiated tubular adenocarcinoma of the head of the pancreas invading the surrounding vessels and organs, consistent with the preoperative imaging findings. However, there was no lymph node metastasis and no remnant intrapancreatic bile duct. As there are a few case reports of carcinoma of the pancreas associated with pancreaticobiliary maljunction, the risk of carcinogenesis of the pancreatic duct is a cause for concern in young patients undergoing primary excision for congenital biliary dilatation and these patients need to be followed up carefully.
-
胆道癌治療の最新のトピックス Invited
七島篤志
第2回千葉胆道癌カンファレンス
Event date： 2018.7.18
Language：Japanese Presentation type：Oral presentation (invited, special)
-
肝切除における予備能評価の試みと術式の工夫 Invited
七島篤志
第9回肝胆膵外科疾患分科会
Event date： 2018.7.6
Language：Japanese Presentation type：Oral presentation (invited, special)
-
当院でのPDT臨床試験2症例の経験から.
七島篤志
第3回宮崎PDT研究会
Event date： 2018.6.22
Language：Japanese Presentation type：Oral presentation (general)
-
Ikenoue Makoto, Nanashima Atsushi
J.J.B.A 2018 Japan Biliary Association
Event date： 2018.6.13
Language：Japanese Presentation type：Oral presentation (general)
We report a case of a 65-year-old man who underwent laparoscopic cholecystectomy for chronic cholecystitis and cholelithiasis 16 years before admission. The patient was presented to our department because of recurrent abdominal pain. CT scan revealed a metallic density artefact in the lower bile duct. Clip migration into common bile duct was confirmedby ERC, and the clip migration was accompanied with stone formation. The patient was successfully managed by endoscopic stone and clip removal.Laparoscopic cholecystectomy is a gold standard surgery for cholecystolithiasis, however, endoclip migration and stone formation have been reported in late postoperative years. We report a case of clip migration into the bile duct accompanied with stone formation16 years after laparoscopic cholecystectomy.
-
末梢の門脈内で進展する再発形式が非常に希な肝細胞癌の1例.
落合貴裕, 矢野公一, 田上幸憲, 池ノ上実, 土持有貴, 濵田剛臣, 今村直哉, 旭吉雅秀, 藤井義郎, 永田賢二, 佐藤勇一郎, 七島篤志:
第111回日本消化器病学会九州支部例会
Event date： 2018.6.8 - 2018.6.9
Language：Japanese Presentation type：Oral presentation (general)
-
術後8年目に多発肝転移をきたした非機能性神経内分泌腫瘍の一例.
高石優佳, 永田賢二, 大園芳範, 土持舞衣, 中村憲一, 岩切久芳, 末田光恵, 蓮池悟, 下田和哉, 和田敬, 旭吉雅秀, 七島篤志, 後藤清香, 佐藤勇一郎.
第111回日本消化器病学会九州支部例会
Event date： 2018.6.8 - 2018.6.9
Language：Japanese Presentation type：Oral presentation (general)
-
新たな水溶性ポルフィリン化合物を光感受性物質に用いた光線力学療法の有鞘性の検討
今村直哉, 七島篤志, 池ノ上実, 松本仁, 山口優也, 菱川善隆:
日本蛍光ガイド手術研究会第1回学術集会
Event date： 2018.4.7
Language：Japanese Presentation type：Oral presentation (general)
-
膵頭部を含む膵広範切除術後に発症した脂肪肝(NAFLD)の増悪, 緩解因子について
藤井義郎, 濵田剛臣, 矢野公一, 今村直哉, 旭吉雅秀, 七島篤志:
第118回日本外科学会定期学術集会
Event date： 2018.4.5 - 2018.4.8
Language：Japanese Presentation type：Poster presentation
-
近年の肝切除における肝予備能評価の展開 Invited
七島篤志
日本消化器病学会九州支部第23回教育講演会
Event date： 2018.3.18
Language：Japanese Presentation type：Oral presentation (invited, special)
-
宮崎大学外科学講座の3年間の現状 Invited
七島篤志
延岡消化器病研究会
Event date： 2018.3.2
Language：Japanese Presentation type：Oral presentation (invited, special)
-
vp1肝細胞癌に対する解剖学的肝切除の意義(多施設共同研究)
日髙匡章, 江口晋, 奥田康司, 別府徹, 調憲, 近藤千博, 高見裕子, 太田正之, 白石祐之, 上野真一, 七島篤志, 乗富智明, 北原賢二, 小倉芳人, 藤岡ひかる:
第39回九州肝臓外科研究会学術集会
Event date： 2018.1.18
Language：Japanese Presentation type：Oral presentation (general)
-
当科におけるVp3/4肝細胞癌の治療成績
濵田剛臣, 矢野公一, 池ノ上実, 田上幸憲, 土持有貴, 今村直哉, 旭吉雅秀, 藤井義郎, 七島篤志
第39回九州肝臓外科研究会学術集会
Event date： 2018.1.18
Language：Japanese Presentation type：Oral presentation (general)
-
Wada Takashi, Hiyoshi Masahide, Tsuchimochi Yuuki, Hamada Takeomi, Yano Koichi, Imamura Naoya, Fujii Yoshiro, Tanaka Hiroyuki, Nanashima Atsushi
Tando Japan Biliary Association
Event date： 2018
Language：Japanese Presentation type：Oral presentation (general)
A 59-year-old man was admitted for jaundice. Right hepatectomy was performed for perihilar cholangiocarcinoma. His serum CA 19-9 levels had gradually risen over the 2 years after the hepatectomy. PET-CT scan showed abnormal accumulation of fluorodeoxyglucose in the papilla of Vater, and endoscopy revealed enlargement and ulceration at this site. This lesion was diagnosed as adenocarcinoma on biopsy. The imaging findings indicated no recurrence of perihilar cholangiocarcinoma. We performed subtotal stomach-preserving pancreatoduodenectomy for the diagnosis of metachronous ampullary cancer. The patient is doing well at 5 years and 3 months after his first surgery, with no recurrence. Although it is rare to perform surgery for metachronous biliary cancer that develops after hepatectomy for perihilar cholangiocarcinoma, it is important to examine surgical indications to determine whether a curative operation may be possible.
-
Takeno Shinsuke, Tanoue Yukinori, Hamada Roko, Kawano Fumiaki, Tashiro Kosei, Wada Takashi, Nanashima Atsushi
Annals of Thoracic and Cardiovascular Surgery Annals of Thoracic and Cardiovascular Surgery 編集委員会
Event date： 2018
Language：Japanese Presentation type：Oral presentation (general)
Approximately half of the patients with esophageal cancer are diagnosed at an advanced stage with inoperable disease. The technique of bypass surgery, which is one of the palliative procedures for esophageal cancer, usually requires the insertion of a drainage tube for clearing secretions from the blind remnant esophagus. Since the artificial drainage tube is sometimes problematic for the patient after discharge from the hospital, drainage tubeless (DRESS) surgery might be preferable. The authors demonstrated the utility of DRESS bypass surgery by adding esophagostomy in the right supraclavicular region in three patients with unresectable esophageal cancer with and without esophago-respiratory fistula. All patients had been able to take per-orally and discharged the hospital. Two of three patients are alive with per-oral intake at 1 year later. This DRESS bypass surgery technique, which has not hardly reported in the literature, could release the patients from the tube trouble after the discharge from the hospital and give the patients the better quality of life.
-
Nanashima Atsushi, Sumida Yorihisa, Tominaga Tetsuro, Arai Junichi, Tobinaga Syuichi, Wakata Kouki, Murakami Goushi, Hidaka Shigekazu, Sawai Terumitsu, Nagayasu Takeshi
Acta Medica Nagasakiensia 長崎大学医学部
Event date： 2018
Language：Japanese Presentation type：Oral presentation (general)
After pancreaticoduodenectomy (PD), pancreatic duct-to-mucosa anastomosis (PDM) has been usually applied which may prevent risk of pancreatic fistula (PF). In cases with a small pancreatic duct, however, PDM is difficult to complete. Procedures involving the invagination (IV) or complete external tube drainage (CED) are supposed to be alternative options for anastomosis. We retrospectively compared clinical results between PDM and IV or CED in 104 patients with a tiny pancreatic duct who underwent PD. The 77 patients undergoing PDM (the control group) and 27 patients undergoing other procedures, including 19 for CED and 8 for IV, were comparatively examined. Fatty pancreas was commonly observed in CED group. Pancreaticojejunostomy was significantly more frequently applied in CED group, and the operating time in the IV group was significantly longer than in control group (p<0.05). The anastomotic time in CED group tended to be shorter than those in control and IV groups (18 versus 29 and 37 min). The incidences of PF were not significantly different among groups (31% in control, 47% inCED and 14% in IV, respectively); however, a grade B or C level of PF was not observed in the IV group. PDM is often difficult to achieve and inadequate suturing may injure the pancreatic parenchyma in cases of very small pancreatic duct. Re-evaluation of the CED or IV procedure as an alternative option was suggested to be warranted.