|
Affiliation |
Faculty of Medicine College Hospital Optical medical treatment diagnosis and treatment part |
|
Title |
Associate Professor |
|
External Link |
|
TAKENO Shinsuke
|
|
|
Research Areas 【 display / non-display 】
-
Life Science / General surgery and pediatric surgery / Thoracic Surgery
-
Life Science / Experimental pathology / Experimental Pathology
-
Life Science / Digestive surgery / Digestive Organ Surgery
-
Life Science / Human pathology / Human Pathology
Papers 【 display / non-display 】
-
A Case of the External Iliac Vein Injury Caused by a Stab Wound
Hamada Roko, Kawano Fumiaki, Munakata Shun, Tashiro Kousei, Takeno Shinsuke, Ochiai Hidenobu, Nanashima Atsushi
Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 42 ( 5 ) 595 - 598 2022.7
Language：Japanese Publishing type：Research paper (scientific journal) Publisher：Japanese Society for Abdominal Emergency Medicine
We report a case of injury of the external iliac vein caused by a stab wound. A 55-year-old man presented with a piece of wood stuck in his right abdomen. Physical examination revealed that he was in a state of shock and he was urgently transferred to our emergency department. We suspected gastrointestinal perforation and right external iliac arteriovenous injury based on the findings of CT, and decided to perform emergency surgery. Intraoperative exploration revealed that a piece of wood had penetrated the small intestine and the right external iliac vein. We controlled bleeding by compression and repaired the veins. After the operation, right external iliac vein thrombosis was observed, which resolved with anticoagulant therapy. Traumatic iliac vein injury is relatively rare, but since it is often fatal, prompt and appropriate treatment is necessary.
DOI： 10.11231/jaem.42.595
-
河野 文彰, 武野 慎祐, 田代 耕盛, 池ノ上 実, 七島 篤志
手術 76 ( 8 ) 1323 - 1328 2022.7
Publishing type：Research paper (scientific journal) Publisher：金原出版
-
A case of aorto-esophageal fistula after arch aortic replacement rescued by esophagectomy and reconstruction with omental flap
Uchise Yukako, Tashiro Kousei, Munakata Shun, Kitamura Eiji, Hamada Roko, Kawano Fumiaki, Takeno Shinsuke, Mori Kousuke, Sakaguchi Shuhei, Ishii Hirohito, Furukawa Koji, Nanashima Atsushi
Japanese Journal of Acute Care Surgery 12 ( 1 ) 95 - 99 2022
Language：Japanese Publishing type：Research paper (scientific journal) Publisher：The Japanese Society for the Acute Care Surgery
A 73 y.o.-male underwent the arch aortic replacement for type A acute aortic dissection. Two years after operation, the computed tomography showed the rupture of thoracic aortic aneurysm and thoracic endovascular aortic repair （TEVAR） was urgently performed. Aorto-esophageal fistula （AEF） subsequently occurred at day 5 after TEVAR. Therefore, we urgently performed esophagectomy under right thoracotomy with accompanied fistulectomy, followed by omentopexy and esophageal reconstruction using gastric conduit 12 days later. To secure AEF patients, the immediate bleeding and infectious control is required. Although urgent artificial blood vessel replacement with esophagectomy with fistulectomy of AEF is desirable, the strategy of surgical intervention depends on the patient’s organ functions or systemic status. Omentopexy is an effective option to reinforce the postoperative infectious control and, additionally, the intraoperative ICG fluorescence angiography may improve to evaluate the omental vascularity by our experience.
DOI： 10.50840/jjacs.12-5
-
Kawano F., Tashiro K., Ikenoue M., Munakata S., Nakao H., Mizuno T., Mori H., Ikeda T., Takeno S., Furukawa K., Tomita M., Endo G., Ochiai H., Nakamura K., Nanashima A.
Surgery Today 51 ( 6 ) 1001 - 1009 2021.6
Language：English Publishing type：Research paper (scientific journal) Publisher：Surgery Today
Purposes: Balancing scheduled surgery and trauma surgery is difficult with a limited number of surgeons. To address the issues and systematize education, we analyzed the current situation and the effectiveness of having a trauma team in the ER of a regional hospital. Methods: This retrospective study analyzed the demographics, traumatic variables, procedures, postoperative morbidities, and outcomes of 110 patients who underwent trauma surgery between 2012 and 2019. The trauma team was established in 2016 and our university hospital Emergency Room (ER) opened in 2012. Results: Blunt trauma accounted for 82% of the trauma injuries and 39% of trauma victims were transported from local centers to our institute. The most frequently injured organs were in the digestive tract and about half of the interventions were for hemostatic surgery alone. Concomitant treatments for multiple organ injuries were performed in 31% of the patients. The rates of postoperative severe complications (over Clavien–Dindo IIIb) and mortality were 10% and 13%, respectively. Fourteen (12.7%) of 24 patients who underwent damage-control surgery died, with multiple organ injury being the predominant cause of death. Conclusion: Systematic education or training of medical students and general surgeons, as well as the co-operation of the team at the regional academic institute, are necessary to overcome the limited human resources and save trauma patients.
-
Tashiro K., Takeno S., Kawano F., Kitamura E., Hamada R., Ikenoue M., Munakata S., Nanashima A., Nakamura K.
Endoscopy 53 ( 3 ) 288 - 292 2021.3
Language：Japanese Publishing type：Research paper (scientific journal) Publisher：Endoscopy
Background Treatment of anastomotic leakage in reconstruction after esophagectomy remains challenging. This report presents a new endoscopic filling method for persistent fistula after failure of conservative treatment of leakage caused by anastomotic insufficiency. Methods 10 of 14 patients, in whom post-esophagectomy leakage had failed to resolve after 2 weeks of conservative treatment, underwent endoscopic filling with polyglycolic acid (PGA) sheet and fibrin glue into the anastomotic leakage site, using a delivery tube and endoscopic catheter, respectively. Results Each patient underwent jejunostomy, to secure nutrition. The leakage was resolved in all 10 patients. The mean number of PGA - fibrin glue procedures was 1.7. The mean period from the first application to the resumption of oral intake was 31.6 days, from the final application it was 14.7 days. Conclusions The reported filling method offers a new endoscopic approach for persistent fistula after esophagectomy when conservative treatment of leakage has failed.
DOI： 10.1055/a-1200-8199
Books 【 display / non-display 】
-
Kyoto Summer Institute, 武野 正三
Springer-Verlag 1985
Language：Japanese
MISC 【 display / non-display 】
-
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． Invited Reviewed
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 2017.7
Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (scientific journal)
-
手術手技 食道癌手術における腹腔鏡補助下腸瘻造設術． Invited Reviewed
西田卓弘，武野慎祐，池田拓人，河野文彰，中島真也，七島篤志
日本内視鏡外科学会雑誌 22 ( 3 ) 393 - 398 2017.5
Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (scientific journal)
-
Gastrointestinal: severe congestive heart failure and acute gastric mucosal necrosis. Invited Reviewed
Kawakami, H., Kubota, Y., Takeno, S., Miyazaki, Y., Wada, T., Hamada, R. and Nanashima, A.
Journal of Gastroenterology and Hepatology 32 ( 5 ) 949 2017.5
Language：English Publishing type：Article, review, commentary, editorial, etc. (scientific journal)
DOI： 10.1111/jgh.13739
-
Moriyama H., Noguchi T., Takeno S., Harada K., Kudo T., Uchida Y.
Wound Repair and Regeneration 11 ( 1 ) 2003.1
Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (bulletin of university, research institution) Publisher：Wound Repair and Regeneration
Presentations 【 display / non-display 】
-
内視鏡切除後に外科的追加切除が必要となった食道悪性腫瘍症例の検討
田代耕盛，武野慎祐，河野文彰，千代反田顕，宗像 駿，宮﨑康幸，濵田朗子，中島孝治，三池 忠，河上 洋，七島篤志，中村都英
第2回宮崎食道癌研究会 (宮崎) 宮崎食道癌研究会
Event date： 2018.3.16
Language：Japanese Presentation type：Oral presentation (general)
Venue：宮崎
-
当院における外傷性腹壁破裂の経験例．
田代耕盛，河野文彰，守永圭吾，池田拓人，武野慎祐，落合秀信，七島篤志，中村都英
第54回日本腹部救急医学会総会 (東京) 日本腹部救急医学会
Event date： 2018.3.8 - 2018.3.9
Language：Japanese Presentation type：Oral presentation (general)
Venue：東京
-
手術適応に苦慮した腸管気腫性嚢胞症の1例．
千代反田顕，河野文彰，田代耕盛，西田卓弘，宮崎康幸，宗像 駿，落合貴祐，清水一晃，長友謙三，濱田朗子，鈴東昌也,市原明子，池田拓人，武野慎祐，七島篤志
第54回日本腹部救急医学会総会 (東京) 日本腹部救急医学会
Event date： 2018.3.8 - 2018.3.9
Language：Japanese Presentation type：Oral presentation (general)
Venue：東京
-
当院での外傷性副腎損傷の経験．
宗像 駿，河野文彰，田代耕盛，池ノ上実，池田拓人，武野慎祐，榮 建文，中村都英，落合秀信，七島篤志
第54回日本腹部救急医学会総会 (東京) 日本腹部救急医学会
Event date： 2018.3.8 - 2018.3.9
Language：Japanese Presentation type：Oral presentation (general)
Venue：東京
-
精巣癌の空腸転移による腸重積の1例．
清水一晃，武野慎祐，河野文彰，田代耕盛，西田卓弘，濵田朗子，田上幸憲，七島篤志
第54回日本腹部救急医学会総会 (東京) 日本腹部救急医学会
Event date： 2018.3.8 - 2018.3.9
Language：Japanese Presentation type：Oral presentation (general)
Venue：東京