岡山医学会Acta Medica Okayama0030-155812712015平成26年度岡山医学会賞が決まる8385ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015第45回 岡山リウマチ研究会7982ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015第177回 岡山外科会7578ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015第９回臨床ストレス応答学会大会開催報告7374ENHeiichiroUdonoNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015第50回日本小児循環器学会学術集会を開催して6972ENShujiSanoNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015藤井病院6768ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015免疫疲弊分子PD-1，CTLA-46365ENShingoEikawaNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015薬物相互作用 (32―新規経口抗凝固薬における薬物相互作用）5961ENHiromiIdaYoshihisaKitamuraToshiakiSendoNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015鼻アレルギー診療ガイドライン―通年性鼻炎と花粉症―5557ENSeiichiroMakiharaMitsuhiroOkanoNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015岡山大学医療教育統合開発センターの医療教育に対する取り組み5154ENNaokiShibaNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015REIC/Dkk-3遺伝子発現アデノウイルスベクターを用いた悪性胸膜中皮腫に対する遺伝子治療4750ENShinichiToyookaNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015アンメットメディカルニーズを克服するためのプロジェクト「進行・再発乳癌に対するドセタキセル100㎎/㎡の第Ⅰ相試験」4145ENTaizoHirataNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015胆嚢十二指腸瘻に対し合併症なく手術を行えた発作性夜間血色素尿症の１例3539ENTakuyaKatoHiroyoshiMatsukawaShigehiroShiozakiTomokazuFujiYasuhiroFujiwaraMotokiNinomiya In cases of paroxysmal nocturnal hemoglobinuria (PNH), attention must be paid to potential complications such as thrombosis and hemolysis due to perioperative stress and infection from complement activation. Here we present the case of a 61-year-old Japanese woman with PNH. We made the diagnosis of PNH when she was 28 years old, and we administered repeated steroid medication and erythrocyte transfusion. The patient's cholecystocholedocholithiasis with a cholecystoduodenal fistula was diagnosed based on a survey of the right hypochondriac pain. We performed endoscopic nasobiliary drainage (ENBD) for the prophylaxis of perioperative infection, plus a cholecystectomy and fistulectomy. There were no complications, including hemolysis attack, infection, thrombosis with irrigation erythrocyte transfusion, steroid cover, or the need for heparin administration during the perioperative period. The reduction of the complement activation is necessary in the perioperative management of PNH patients. The prevention of the development of acidosis and hypoxemia, the selection of washed red blood cells, steroid use, appropriate infection measures and thrombosis prophylaxis are all important for the prevention of complications.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015恥骨上腹壁瘢痕ヘルニアに対して腹腔鏡下修復術を施行した１例3134ENKanyuNakanoHitoshiIdaniShinyaAsamiHiroOokawaMasashiYoshimotoAteneItoKazuteruMondenYoheiKuroseMasayoshiHiokiTatsuhiroIshiiHiroshiSadamoriSatoshiOonoHitoshiKinNorihisaTakakura Laparoscopic repair of a suprapubic hernia typically carries a high risk of recurrence, because fixation of the mesh in the peripubic area is difficult. We herein report a patient undergoing laparoscopic repair of a suprapubic hernia, along with a description of the surgical techniques employed.
A 78-year-old woman visited our hospital with a chief complaint of swelling at the median hypogastric incision site after surgery for an ovarian cyst performed at age 25 years. Laparoscopic examination revealed the hernia orifice to be 3.5×3.0 cm in size and that the distance between the caudal margin of the hernia orifice and the pubis was 2.5 cm. Parietex composite mesh was used for fixation through all layers of the abdominal wall with non-absorbable sutures and tack fixation. On the pubic side, after the pubis had been exposed by separating it from the bladder, we performed mesh fixation through all layers of the abdominal wall immediately above the pubis with the sutures placed inside the mesh, combined with tack mesh fixation directly to the pubis. This procedure enabled definite fixation of the mesh. Six days after surgery, she was discharged without complications. To date, two years and five months after surgery, no recurrence has been observed.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015家族性大腸腺腫症（FAP）に合併した同時性５多発大腸癌に対してリンパ節郭清を伴う腹腔鏡下大腸全摘術を施行した１例2529ENHiroshiKatoMasahiroOishiMasahitoKoderaMasaoYamamuraHideakiIkedaKenjiMizunoYutakaYamashita A 49-year-old Japanese man visited our hospital with chief complaints of difficulty with and bleeding during defecation. After a detailed examination, he was diagnosed with familial adenomatous polyposis (FAP) with multiple (five) colorectal cancers. The tumors were located in the right-sided, left-sided, and sigmoid colon, and the lower rectum. Regional lymph node involvement was observed, but no metastasis to other organs was detected. We, therefore, performed a laparoscopic total colectomy with superior mesenteric artery (SMA) and inferior mesenteric artery (IMA) lymph node dissection. We were able to perform minimally invasive and cosmetically acceptable surgery using laparoscopy instead of highly-invasive open abdominal surgery. Our search of the literature revealed no reported cases of laparoscopic total colectomy with lymph node dissection for FAP with multiple colorectal cancers, making the present case the first to be reported in the literature.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015憩室切除と輪状咽頭筋切開術を行ったZenker憩室症の１例1923ENTakayukiNinomiyaNobuhikoKanayaKohKatsudaKohjiTanakayaHidekiAokiHitoshiTakeuchi Zenker's diverticulum is a very rare disease among gastorointestinal diverticulum. We report a case of Zenker's diverticulum successfully treated with diverticulectomy and cricophalyngial myotomy. A 71-year-old male complained of aspirating water for two years. He was diagnosed as Zenker's diverticulum. Due to his severe symptoms, the operation was performed in an open-neck approach. The left recurrent laryngeal nerve was identified and preserved. An incision was made in the diverticulum wall, and the internal diameter of normal cervical esophagus was measured. The diverticulum was then excised with an automatic suture device in the minor axis direction of the esophagus. A cricopharyngeal myotomy was conducted, because this muscle was fibrotic and stiffened. The patient's symptoms disappeared after the operation. Diverticulectomy and cricopharyngeal myotomy through an open-neck approach is a safe and reliable method that follows, direct access to the diverticulum and recurrent laryngeal nerve.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015岡山大学勤務医師による非常勤勤務を通した地域医療支援の現状調査1317ENSanaeTeshigawaraToshihideIwaseTatsuyaKanamoriTomokoKawabataMasaruSatoHitomiUsui Kataoka We investigated the situation of how physicians at Okayama University support local medical institutions by serving as a part-time worker, and analyzed the difference between the five medical districts of Okayama prefecture and other prefectures. Many physicians (actual number of physicians, full-time equivalent number of physicians) served in the southeastern region of the Okayama prefecture (339, 82.2). On the other hand, fewer physicians (42, 11.4) served in Takahashi・Niimi in the northwestern region of Okayama. Many physicians also served in Hiroshima prefecture (193, 48.8), Hyogo prefecture (109, 26.7), and the four prefectures of Shikoku Island (81, 23.6).
It has been clarified that many physicians at Okayama University are working on a part-time basis to support local and community medical institutions in the wide area of Okayama prefecture, Hiroshima prefecture, Hyogo prefecture and the four prefectures of Shikoku Island.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015平成25年度岡山医学会賞 脳神経研究奨励賞（新見賞）911ENAtsushiFujimuraNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015平成25年度岡山医学会賞 脳神経研究奨励賞（新見賞）58ENYoshioOmoteNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812712015平成25年度岡山医学会賞 総合研究奨励賞（結城賞）13ENHiroyukiMichiueNo potential conflict of interest relevant to this article was reported.