武野 慎祐 (タケノ シンスケ)

TAKENO Shinsuke

写真a

所属

医学部 附属病院 光学医療診療部

職名

准教授

外部リンク

学位 【 表示 / 非表示

  • 医学(博士) ( 1997年3月   大分医科大学 )

研究分野 【 表示 / 非表示

  • ライフサイエンス / 消化器外科学  / 消化器外科学

  • ライフサイエンス / 実験病理学  / 実験病理学

  • ライフサイエンス / 外科学一般、小児外科学  / 胸部外科学

  • ライフサイエンス / 人体病理学  / 人体病理学

 

論文 【 表示 / 非表示

  • Current status of trauma surgery at a Japanese prefectural academic institute: improved organization in a regional prefecture

    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年6月

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    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: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.

    DOI: 10.1007/s00595-020-02196-z

    Scopus

    PubMed

  • Endoscopic filling with polyglycolic acid sheets and fibrin glue of persistent fistula after esophagectomy

    Tashiro K., Takeno S., Kawano F., Kitamura E., Hamada R., Ikenoue M., Munakata S., Nanashima A., Nakamura K.

    Endoscopy   53 ( 3 )   288 - 292   2021年3月

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    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: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

    Scopus

    PubMed

  • A case of bilateral esophageal perforation caused by chicken bone that was extracted via endoscopy without surgery

    Yonezawa E., Kawakami H., Miike T., Sakamoto K., Noda T., Suzuki S., Yamamoto S., Kawano F., Nanashima A., Takeno S.

    Gastroenterological Endoscopy   63 ( 1 )   31 - 37   2021年1月

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    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:Gastroenterological Endoscopy  

    A 40-year-old man presented to the emergency room of our hospital with precordial pain after eating chicken for dinner. Computed tomography showed a high-density linear shadow of 40 mm in length in the lower esophagus. Mediastinal emphysema was noted around the mediastinal tip of the foreign body. The patient was diagnosed with bilateral perforation of the lower esophagus by chicken bone, and was referred to our department. After making preparations for on-site surgical backup, endoscopic removal of the foreign body was attempted. Upper endoscopy showed bilateral perforation of the side walls of the lower esophagus. We attempted to remove the foreign body, which was adjacent to the descending aorta, with a grasping forceps from the left side. The foreign body was pulled into the attachment and extracted without aortic injury. Esophageal perforation was managed conservatively and curatively. The patient was discharged 20 days after endoscopic extraction without surgery. Esophageal perforation may cause severe or fatal complications. A foreign body in the esophagus is often removed surgically. Furthermore, in the case of esophageal perforation by a sharp foreign object, severe bleeding may occur during endoscopic extraction. Therefore, it is necessary to devise a technique for endoscopic extraction.

    DOI: 10.11280/gee.63.31

    Scopus

  • A Nationwide Survey on Digestive Reconstruction Following Pharyngolaryngectomy With Total Esophagectomy: A Multicenter Retrospective Study in Japan

    Okamura A., Watanabe M., Mukoyama N., Ota Y., Shiraishi O., Shimbashi W., Baba Y., Matsui H., Shinomiya H., Sugimura K., Morita M., Sakai M., Sato H., Shibata T., Nasu M., Matsumoto S., Toh Y., Shiotani A., Kawata R., Kishimoto Y., Sakuma J., Okoshi A., Kato H., Shinohara S., Suzuki M., Takeno S., Chida K., Higashikawa M., Miyamoto S., Ishinaga H., Uno K., Okamura J., Sakamoto K., Fukuda Y., Mitani S.

    Annals of Gastroenterological Surgery   2021年

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    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 Gastroenterological Surgery  

    Aim: Digestive reconstruction after pharyngolaryngectomy with total esophagectomy (PLTE) remains challenging, with the optimal method remaining unclear. The current study aimed to clarify the short-term outcomes after PLTE and determine the optimal digestive reconstruction method. Methods: Based on a nationwide survey of 151 patients who underwent PLTE, outcomes of digestive reconstruction methods are described. Results: Among digestive reconstruction methods, a simple gastric tube was most frequently used (37.1%), followed by gastric tube combined with free graft transfer (FGT) (35.1%), gastric tube with microvascular anastomosis (22.5%), and other procedures (5.3%). Intraoperative evaluation of microcirculation (IOEM) was utilized in 29 patients (19.2%). Among the included patients, 66.9% developed any-grade complications, 41.0% developed severe complications, and 23.8% developed digestive reconstruction-related complications (DRRCs; leakage or necrosis). Reoperation within 30 days for any complications and DRRCs was required in 13.9% and 8.6% of the patients, respectively. Mortality within 90 days was observed in 4.6%. Among the three major methods, gastric tube combined with FGT promoted the least DRRCs in the gastric tube (P =.005), although the overall incidence of DRRCs was comparable. The use of IOEM was significantly associated with a reduction of severe DRRCs (P =.005). Conclusions: Pharyngolaryngectomy with total esophagectomy is a high-risk surgery significantly associated with the occurrence of postoperative morbidity and mortality. Nonetheless, the addition of FGT can help prevent gastric tip complications, while IOEM can be an effective method for improving outcomes.

    DOI: 10.1002/ags3.12509

    Scopus

  • 胃穿孔による汎発性腹膜炎を生じた急性胃軸捻転の1例

    桝屋 隆太, 家入 里志, 中目 和彦, 楯 真由美, 黒木 純, 河野 文彰, 市原 明子, 池田 拓人, 武野 慎祐, 七島 篤志

    日本小児外科学会雑誌   57 ( 6 )   1002 - 1007   2021年

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    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:特定非営利活動法人 日本小児外科学会  

    <p>2歳女児.3日前から反復する嘔吐で加療されていた.急激な腹部膨満から消化管穿孔を疑われ当院へ搬送された.来院時顔面蒼白,活気不良,末梢冷感著明,脈拍数200/分,血圧60/42 mmHg,呼吸数43/分とショックを呈していた.腹部造影CTで多量のfree airおよび腹水を認め,胃軸捻転の所見を認めた.胃軸捻転による消化管穿孔と診断し緊急腹腔鏡手術を行った.腹腔鏡下に胃軸捻転を解除したが,穿孔部位が同定困難で開腹へ移行した.胃体上部大弯に付着した大網を剥離したところ同部位にピンホール状の穿孔を認めた.同部位を楔状に切除し胃を腹壁に固定した.遊走脾は認めなかった.術後DIC治療と胃蠕動改善に日数を要したが徐々に回復し,術後19日目に軽快退院した.その後再発なく経過している.急性胃軸捻転に伴い胃穿孔を生じた報告が散見される.重篤化して急激な経過をたどる報告もあるため,迅速な診断と治療を必要とする.</p>

    DOI: 10.11164/jjsps.57.6_1002

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書籍等出版物 【 表示 / 非表示

MISC 【 表示 / 非表示

  • 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. 招待あり 査読あり

    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年7月

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    記述言語:日本語   掲載種別:記事・総説・解説・論説等(学術雑誌)  

  • 手術手技 食道癌手術における腹腔鏡補助下腸瘻造設術. 招待あり 査読あり

    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年5月

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    記述言語:日本語   掲載種別:記事・総説・解説・論説等(学術雑誌)  

  • Gastrointestinal: severe congestive heart failure and acute gastric mucosal necrosis. 招待あり 査読あり

    Kawakami, H., Kubota, Y., Takeno, S., Miyazaki, Y., Wada, T., Hamada, R. and Nanashima, A.

    Journal of Gastroenterology and Hepatology   32 ( 5 )   949   2017年5月

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    記述言語:英語   掲載種別:記事・総説・解説・論説等(学術雑誌)  

    DOI: 10.1111/jgh.13739

  • Erratum: Analysis of mucosal regeneration and the expression profile of heat shock protein 70 in the isolated small bowel segment (Wound Repair and Regeneration (2002) 10:5 (320-327))

    Moriyama H., Noguchi T., Takeno S., Harada K., Kudo T., Uchida Y.

    Wound Repair and Regeneration   11 ( 1 )   2003年1月

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    記述言語:日本語   掲載種別:記事・総説・解説・論説等(大学・研究所紀要)   出版者・発行元:Wound Repair and Regeneration  

    DOI: 10.1046/j.1524-475X.2003.11113.x

    Scopus

講演・口頭発表等 【 表示 / 非表示

  • 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

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    開催年月日: 2018年3月16日

    記述言語:日本語   会議種別:口頭発表(一般)  

    開催地:宮崎  

  • 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

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    開催年月日: 2018年3月8日 - 2018年3月9日

    記述言語:日本語   会議種別:口頭発表(一般)  

    開催地:東京  

  • 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

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    開催年月日: 2018年3月8日 - 2018年3月9日

    記述言語:日本語   会議種別:口頭発表(一般)  

    開催地: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

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    開催年月日: 2018年3月8日 - 2018年3月9日

    記述言語:日本語   会議種別:口頭発表(一般)  

    開催地: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

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    開催年月日: 2018年3月8日 - 2018年3月9日

    記述言語:日本語   会議種別:口頭発表(一般)  

    開催地:東京  

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受託研究受入実績 【 表示 / 非表示

  • CRP 遺伝子多型と食道がんリンパ節転移に関する多施設共同後ろ向き観察研究

    2022年01月 - 2022年03月

    国立大学法人秋田大学 

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    担当区分:研究代表者  受託研究区分:一般受託研究