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Affiliation |
Faculty of Medicine School of Medicine Department of Surgery, Hepato-Biliary-Pancreas Surgery |
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Title |
Assistant Professor |
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External Link |
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TSUCHIMOCHI Yuki
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Papers 【 display / non-display 】
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Retroperitoneal-first dissection approach at the dorsal space for a huge serous cystic neoplasm of the pancreatic tail: a case report. Reviewed
Nanashima A, Takamori H, Imamura N, Tahira K, Kitamura E, Hiyoshi M, Hamada T, Tsuchimochi Y, Komori H, Kamoto T
Surgical case reports 9 ( 1 ) 2 2023.1
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Nanashima A., Imamura N., Nishida T., Hiyoshi M., Uchise Y., Hamada T., Yano K., Tsuchimochi Y.
Clinical Journal of Gastroenterology 15 ( 6 ) 1169 - 1172 2022.12
Authorship：Last author Language：English Publishing type：Case report Publisher：Clinical Journal of Gastroenterology
Multiple cancer patients who achieve long-term survival are sometimes encountered. Multiple carcinogenesis may occur due to genetic or environmental characteristics. We report the case of a 74-year-old woman who was diagnosed with synchronous double carcinoma of the duodenal papilla and gall bladder without clinical symptoms, who underwent postoperative follow-up for familiar adenomatous polyposis coli with multiple colonic adenocarcinomas, ileal adenocarcinoma, left urinary tract neoplasm, and left upper lobe lung adenocarcinoma. Computed tomography also showed an intraductal papillary mucinous neoplasm of the pancreas and a lesion that was suspected to be uterine body carcinoma; however, they did not show any clear malignant behavior. No metastatic lesions of either of these biliary cancers were observed. Based on preoperative diagnostic imaging, subtotal stomach preserving pancreaticoduodenectomy with gall bladder bed liver resection with D2 lymphadenectomy was planned and R0 resection was achieved. The postoperative histological diagnosis showed early carcinoma of the duodenal papilla and gall bladder pyloric gland adenoma without node metastasis. The postoperative course was uneventful and the patient had a good prognosis without tumor recurrence or new malignant lesions for two years after the last operation, without adjuvant therapy. Six metachronous carcinomas of eight different organ neoplasms were diagnosed, which is rare. This represents the first reported case of ampullary carcinoma in a patient with sextuple cancer.
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Novel mathematical diagnostic analysis of malignant biliary stenosis using magnetic resonance cholangiography in patients undergoing pancreaticoduodenectomy Reviewed
Nanashima A, Komi M, Imamura N, Hiyoshi M, Hamada T, Tsuchimochi Y, Ichiki N, Enzaki M, Azuma M
Cancer diagnosis & prognosis 2 ( 6 ) 668 - 680 2022.11
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Nanashima A., Takamori H., Imamura N., Furukawa K., Hiyoshi M., Hamada T., Yano K., Tsuchimochi Y., Kamoto T.
American Journal of Case Reports 23 e938009 2022
Language：English Publishing type：Case report Publisher：American Journal of Case Reports
Objective: Background: Case Report: Conclusions: Rare disease Leiomyosarcoma (LMS) of the inferior vena cava (IVC) is a rare malignancy, and complete resection may provide better patient survival. Hepatectomy for intrahepatic tumor recurrence has not been previously reported. A 58-year-old woman underwent resection of an IVC-LMS with en bloc nephrectomy, adrenalectomy, and retroperitoneal soft tissue resection without IVC reconstruction 3 years 8 months ago. Twenty-nine months after the primary operation, a solitary intrahepatic liver tumor was found adjacent to the right and middle hepatic veins during imaging follow-up. The patient was diagnosed with LMS recurrence. As her liver functional parameters permitted major hepatectomy, right hepatectomy combined with resection of the vena cava wall leaving a tumor-free margin and securing the confluence of the middle hepatic vein were successfully accomplished via an anterior approach, without adverse events. Intrahepatic metastasis of LMS invading the vena cava wall has been diagnosed historically. Her postoperative course was uneventful, and at 1-year follow-up after the second surgery, she was observed to have no tumor relapse without any adjuvant treatment. Previous reports have shown that IVC-LMS is often observed, and operative risk or prognosis is based on the extension of the LMS toward the hepatic veins or cardiac atrium. Radical hepatectomy for recurrent IVC-LMS has not been previously reported, and our case experience revealed that a challenging surgical intervention resulting in complete tumor removal can provide good survival outcomes.
DOI： 10.12659/AJCR.938009
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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 Reviewed
桝屋 隆太, 中目 和彦, 三好 きな, 松久保 眞, 土持 有貴, 濵田 剛臣, 今村 直哉, 旭吉 雅秀, 七島 篤志, 家入 里志
日本膵・胆管合流異常研究会プロシーディングス 45 ( 0 ) 110 - 111 2022
Language：Japanese Publishing type：Research paper (scientific journal) Publisher：日本膵・胆管合流異常研究会
MISC 【 display / non-display 】
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腹部良性疾患に対する外科治療の最前線：胆道良性狭窄．(共著)
大内田次郎，七島篤志，土持有貴，濱田剛臣，矢野公一，今村直哉，旭吉雅秀，藤井義郎
外科 78 ( 1 ) 49 - 53 2016.1
Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (scientific journal) Publisher：(株)南江堂
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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 2016.1
Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (scientific journal) Publisher：医学図書出版(株)
Presentations 【 display / non-display 】
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当科の肝細胞癌に対する腹腔鏡下肝切除．
矢野公一，濱田剛臣，和田 敬，土持有貴，今村直哉，旭吉雅秀，藤井義郎，七島篤志
第2回宮崎肝癌研究会 (宮崎)
Event date： 2017.3.16
Language：Japanese Presentation type：Oral presentation (general)
Venue：宮崎
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シンポジウム 我々の考える適応と標準術式―肝細胞がんに対する腹腔鏡下肝切除：当科の肝細胞癌に対する腹腔鏡下肝切除 ．
矢野公一，濱田剛臣，和田 敬，土持有貴，今村直哉，旭吉雅秀，藤井義郎，七島篤志
第38回九州肝臓外科研究会学術集会 (宮崎)
Event date： 2017.1.28
Language：Japanese Presentation type：Oral presentation (general)
Venue：宮崎
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肝静脈からの出血に対し下大静脈 clamp で出血コントロールを行い切除した肝細胞癌の 1例 ．
和田 敬，土持有貴，濱田剛臣，矢野公一，今村直哉，旭吉雅秀，藤井義郎，七島篤志，中村都英
第38回九州肝臓外科研究会学術集会 (宮崎)
Event date： 2017.1.28
Language：Japanese Presentation type：Oral presentation (general)
Venue：宮崎
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nab-PTX+GEMによる化学療法後にDP-CARで根治切除した局所進行膵体部癌の1例．
旭吉雅秀，七島篤志，和田 敬，濵田剛臣，土持有貴，矢野公一，今村直哉，藤井義郎
第14回宮崎消化器癌治療研究会 (宮崎)
Event date： 2016.12.2
Language：Japanese Presentation type：Oral presentation (general)
Venue：宮崎
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パネルディスカッション 胆・膵癌の病理検査と現状の課題:当教室での膵体尾部癌に対する術前組織診断の現状と課題．
今村直哉，七島篤志，緒方祥吾，宮崎康幸，土持有貴，濱田剛臣，矢野公一，旭吉雅秀，藤井義郎
第102回日本消化器内視鏡学会九州支部例会 (熊本)
Event date： 2016.11.25 - 2016.11.26
Language：Japanese Presentation type：Symposium, workshop panel (public)
Venue：熊本