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タイトル(別表記) Development of Effective Biological Treatment Process for Acid Mine Drainage
フルテキストURL srfa_109_029_036.pdf
著者 上村 一雄| 金尾 忠芳|
抄録 Acid mine drainage (AMD) is acidic and generally enriched with iron, aluminum, sulfate and heavy metals, such as lead and cadmium. AMD is a growing problem of emerging concern that cause detrimental effects to the environment and living organisms. Yanahara mine in Misaki Town, Okayama, Japan, had mainly produced pyrite for sulfuric acid manufacture. Although it was closed in 1991, AMD is being generated from the mine now. A passive treatment based on the biological oxidation of ferrous iron is a promising strategy for AMD remediation. AMD from Yanahara mine is treated in a plant using iron-oxidizing bacteria, Acidithiobacillus ferrooxidans and Ferrovum spp. The AMD generation continues for several centuries with dramatic consequences on the receiving environments. Therefore, the development of sustainable and cost effective treatment process is required. A development of the effective biological treatment process with an iron oxidation reactor operated at pH 3.5 is described in this report. Economic aspects are also discussed.
キーワード acid mine drainage bioremediation iron-oxidizing bacteria microbial community Acidithiobacillus ferrooxidans
出版物タイトル 岡山大学農学部学術報告
発行日 2020-02-01
109巻
開始ページ 29
終了ページ 36
ISSN 2186-7755
言語 日本語
論文のバージョン publisher
フルテキストURL fulltext.pdf
著者 Oka, Aiko| Ninomiya, Takahiro| Fujiwara, Tazuko| Takao, Soshi| Sato, Yasuharu| Gion, Yuka| Minoura, Akira| Haruna, Shin-ichi| Yoshida, Naohiro| Sakuma, Yasunori| Izuhara, Kenji| Ono, Junya| Taniguchi, Masami| Haruna, Takenori| Higaki, Takaya| Kariya, Shin| Koyama, Takahisa| Takabayashi, Tetsuji| Imoto, Yoshimasa| Sakashita, Masafumi| Kidoguchi, Masanori| Nishizaki, Kazunori| Fujieda, Shigeharu| Okano, Mitsuhiro|
キーワード Chronic rhinosinusitis Eosinophils Eosinophils IgG4 Severity Surgery
発行日 2020-01-14
出版物タイトル Allergology International
出版者 Elsevier
ISSN 13238930
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © 2019 Japanese Society of Allergology. Production and hosting by Elsevier B.V.
論文のバージョン publisher
PubMed ID 31952913
DOI 10.1016/j.alit.2019.12.004
関連URL isVersionOf https://doi.org/10.1016/j.alit.2019.12.004
フルテキストURL OL17_2_2177.pdf
著者 Miyoshi, Yuichiro| Shien, Tadahiko| Ogiya, Akiko| Ishida, Naoko| Yamazaki, Kieko| Horii, Rie| Horimoto, Yoshiya| Masuda, Norikazu| Yasojima, Hiroyuki| Inao, Touko| Osako, Tomofumi| Takahashi, Masato| Tomioka, Nobumoto| Wanifuchi‑Endo, Yumi| Hosoda, Mitsuchika| Doihara, Hiroyoshi| Yamashita, Hiroko|
キーワード breast cancer estrogen receptor positive human epidermal growth factor receptor type 2 negative prognosis tumor infiltrating lymphocytes
発行日 2018-12-19
出版物タイトル Oncology Letters
17巻
2号
出版者 Spandidos Publications
開始ページ 2177
終了ページ 2186
ISSN 1792-1074
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン publisher
PubMed ID 30675282
DOI 10.3892/ol.2018.9853
Web of Science KeyUT 000459551800096
関連URL isVersionOf https://doi.org/10.3892/ol.2018.9853
フルテキストURL SR9_1_4009.pdf
著者 Okamoto, Hideki| Hamao, Shino| Eguchi, Ritsuko| Goto, Hidenori| Takabayashi, Yasuhiro| Yen, Paul Yu-Hsiang| Liang, Luo Uei| Chou, Chia-Wei| Hoffmann, Germar| Gohda, Shin| Sugino, Hisako| Liaos, Yen-Fa| Ishii, Hirofumi| Kubozono, Yoshihiro|
発行日 2019-3-8
出版物タイトル Scientific Reports
9巻
出版者 Nature Publishing Group
開始ページ 4009
ISSN 2045-2322
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © The Author(s) 2019
論文のバージョン publisher
PubMed ID 30850618
DOI 10.1038/s41598-019-39899-4
Web of Science KeyUT 000460627700097
関連URL isVersionOf https://doi.org/10.1038/s41598-019-39899-4
フルテキストURL AR_201911.pdf
著者 Kamegawa, Tetsushi| Akiyama, Taichi| Sakai, Satoshi| Fujii, Kento| Une, Kazushi| Ou, Eitou| Matsumura, Yuto| Kishutani, Toru| Nose, Eiji| Yoshizaki, Yusuke| Gofuku, Akio|
キーワード Separable robot snake robot mobile robot urban search-and-rescue multi-agent system
備考 This is an Accepted Manuscript of an article published by Taylor & Francis in Advanced Roboticson Nov. 19, 2019 available online: http://www.tandfonline.com/10.1080/01691864.2019.1691941.|
発行日 2019-11-19
出版物タイトル Advanced Robotics
出版者 TAYLOR & FRANCIS
ISSN 0169-1864
NCID AA10679021
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン author
DOI 10.1080/01691864.2019.1691941
Web of Science KeyUT 000497237000001
関連URL isVersionOf https://doi.org/10.1080/01691864.2019.1691941
フルテキストURL NMC40_7_703.pdf
著者 Nakashima, Masahiro| Shinya, Takayoshi| Oto, Takahiro| Okawa, Tomoyo| Takeda, Yoshihiro|
キーワード bronchiolitis obliterans syndrome forced expiratory volume function volume lung transplantation morphological volume
備考 This is a accepted manuscript of Nakashima, Masahiro et. al. Diagnostic value of ventilation/perfusion single-photon emission computed tomography/computed tomography for bronchiolitis obliterans syndrome in patients after lung transplantation. Nuclear Medicine Communications. (2019) 40(7), 703-710. To see pulished version, see doi: 10.1097/MNM.0000000000001021.|
発行日 2019-07
出版物タイトル Nuclear Medicine Communications
40巻
7号
出版者 Lippincott, Williams & Wilkins
開始ページ 703
終了ページ 710
ISSN 0143-3636
NCID AA10624879
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン author
PubMed ID 31022070
DOI 10.1097/MNM.0000000000001021
Web of Science KeyUT 000472672100006
関連URL isVersionOf https://doi.org/10.1097/MNM.0000000000001021
フルテキストURL JMU46_4_449.pdf
著者 Takada, Saimon| Kato, Hironari| Saragai, Yosuke| Muro, Shinichiro| Uchida, Daisuke| Tomoda, Takeshi| Matsumoto, Kazuyuki| Horiguchi, Shigeru| Tanaka, Noriyuki| Okada, Hiroyuki|
キーワード Contrast-enhanced harmonic endoscopic ultrasound (CH-EUS) Pancreatic neuroendocrine neoplasm (PNEN) Time–intensity curve (TIC) analysis
備考 This is a post-peer-review, pre-copyedit version of an article published in Journal of Medical Ultrasonics. The final authenticated version is available online at: http://dx.doi.org/10.1007/s10396-019-00967-x.|
発行日 2019-08-03
出版物タイトル Journal of Medical Ultrasonics
46巻
4号
出版者 Springer
開始ページ 449
終了ページ 458
ISSN 1346-4523
NCID AA11563281
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン author
PubMed ID 31377939
DOI 10.1007/s10396-019-00967-x
Web of Science KeyUT 000487923000010
関連URL isVersionOf https://doi.org/10.1007/s10396-019-00967-x
フルテキストURL ASR54_2_117.pdf
著者 Kaneta, Takashi| Alahmad, Waleed| Varanusupakul, Pakorn|
キーワード Microfluidic paper-based analytical device paper-based analytical device point-of-care testing onsite analysis
発行日 2018-04-19
出版物タイトル Applied Spectroscopy Reviews
54巻
2号
出版者 TAYLOR & FRANCIS
開始ページ 117
終了ページ 141
ISSN 05704928
NCID AA00543566
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン author
DOI 10.1080/05704928.2018.1457045
Web of Science KeyUT 000471787700002
関連URL isVersionOf https://doi.org/10.1080/05704928.2018.1457045
JaLCDOI 10.18926/AMO/57720
フルテキストURL 73_6_537.pdf
著者 Takahara, Yasuhiro| Nishida, Keiichiro| Nakashima, Hirotaka| Ochi, Nobuaki| Uchida, Yoichiro| Kato, Hisayoshi| Itani, Satoru| Nakamura, Makoto| Iwasaki, Yuichi| Tsujimura, Yoshitaka|
抄録 High tibial osteotomy (HTO) procedure is generally contraindicated in rheumatoid arthritis (RA) patients because synovial inflammation may exacerbate joint damage post-surgery. The natural course of joint destruction in RA changed dramatically with new treatment strategies and the introduction of biologic disease-modifying anti-rheumatic drugs (bDMARDs). We report the cases of two RA patients who underwent HTO and whose disease activities were well controlled by bDMARDs. Despite their short follow-up periods, they showed acceptable objective and subjective clinical results. We believe that the combination of bDMARDs and HTO can be indicated for selected RA patients before total knee arthroplasty.
キーワード high tibial osteotomy rheumatoid arthritis biologic DMARD knee surgery
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2019-12
73巻
6号
出版者 Okayama University Medical School
開始ページ 537
終了ページ 542
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31871338
Web of Science KeyUT 000503431400011
JaLCDOI 10.18926/AMO/57719
フルテキストURL 73_6_533.pdf
著者 Morimoto, Yusuke| Tokuhashi, Yasuaki|
抄録 The patient was a 40-year-old female who had been treated at our hospital for left peroneal tendonitis due to an ankle sprain 2 years earlier. She re-injured that ankle while dancing. The pain in the lateral left foot soon improved, but she had difficulty standing with the left foot in equinus. Complete peroneus longus and brevis tendon ruptures were diagnosed. The ipsilateral semitendinosus and gracilis tendons were harvested and used to reconstruct the tendons. Three months after surgery, the patient was able to stand in equinus, and at 5 months after surgery she resumed her original level of sports activities.
キーワード peroneus longus and brevis complete rupture reconstruction hamstring tendon tendon grafting
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2019-12
73巻
6号
出版者 Okayama University Medical School
開始ページ 533
終了ページ 536
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31871337
Web of Science KeyUT 000503431400010
JaLCDOI 10.18926/AMO/57715
フルテキストURL 73_6_511.pdf
著者 Takahara, Yasuhiro| Furumatsu, Takayuki| Nakashima, Hirotaka| Itani, Satoru| Nakamura, Makoto| Uchida, Yoichiro| Kato, Hisayoshi| Tsujimura, Yoshitaka| Iwasaki, Yuichi| Ochi, Nobuaki|
抄録 Medial open- and lateral closed-wedge high tibial osteotomy (hybrid CWHTO) can overcome the limitations of conventional CWHTO and open-wedge HTO (OWHTO) for medial compartmental osteoarthritis (OA) of the knee. Hybrid CWHTO increases stability by using a rigid locking plate and allows early full weight-bearing. However, the literature contains no information about time to bone union after this new procedure. The aim of this study is to evaluate the time to bone union after hybrid CWHTO. We reviewed 44 knees treated with hybrid CWHTO. Patients were able to stand on both legs on the day after surgery and walked with full weight-bearing within 4 weeks of the procedure. The time to achievement of bone union at the osteotomy site was defined as the number of months until bone union was confirmed on radiographic imaging. The mean time to radiographic confirmation of bone union was 4.5±1.5 months after surgery. Eleven knees (25.0%) required 6 months or more. Radiographic analysis and JOA score improved significantly between before and 1 year after surgery (p<0.01). Hybrid CWHTO is a very useful method for treating medial OA, but radiographic bone union requires 4.5 months on average. We must be aware of bone union after hybrid CWHTO.
キーワード bone union hybrid closed-wedge high tibial osteotomy osteoarthritis
Amo Type Original Article
備考 ,|
出版物タイトル Acta Medica Okayama
発行日 2019-12
73巻
6号
出版者 Okayama University Medical School
開始ページ 511
終了ページ 516
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31871333
Web of Science KeyUT 000503431400006
JaLCDOI 10.18926/AMO/57714
フルテキストURL 73_6_503.pdf
著者 Kamatsuki, Yusuke| Furumatsu, Takayuki| Miyazawa, Shinichi| Kodama, Yuya| Hino, Tomohito| Okazaki, Yoshiki| Masuda, Shin| Okazaki, Yuki| Noda, Tomoyuki| Yamakawa, Yasuaki| Tetsunaga, Tomoko| Ozaki, Toshifumi|
抄録 Clinical studies have demonstrated that transtibial pullout repair led to favorable midterm outcomes in patients with medial meniscus posterior root tears (MMPRTs) although medial meniscal extrusion (MME) continued to be present. It has been unclear whether these residual postoperative MMEs existed after the pullout repair or had progressed at the very short-term evaluation after surgery. We sought to determine which characteristics of patients with MMPRTs influence the incidence of postoperative MME. The cases of 23 patients whose date of injury was known were analyzed. All patients underwent MMPRT pullout fixation. Preoperative and 3-month postoperative magnetic resonance imaging (MRI) examinations were performed. MME was retrospectively assessed on the mid-coronal plane of MRI scans. The preoperative and postoperative MME values were 4.2±1.2 mm and 4.3±1.5 mm, respectively (p=0.559). Pullout repair surgery was performed significantly earlier after the MMPRT-specific injury in patients whose postoperative MME improved compared to the patients whose MME did not improve (p<0.001). Our findings demonstrated that an early transtibial pullout repair of an MMPRT was more effective in reducing MME than a late repair. Surgeons should not miss the optimal timing for the pullout repair of an MMPRT, considering the period from the injury and the preoperative MME.
キーワード medial meniscus posterior root tear pullout repair medial meniscus extrusion magnetic resonance imaging
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-12
73巻
6号
出版者 Okayama University Medical School
開始ページ 503
終了ページ 510
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31871332
Web of Science KeyUT 000503431400005
JaLCDOI 10.18926/AMO/57713
フルテキストURL 73_6_495.pdf
著者 Masuda, Shin| Furumatsu, Takayuki| Okazaki, Yoshiki| Kamatsuki, Yusuke| Okazaki, Yuki| Kodama, Yuya| Hiranaka, Takaaki| Nakata, Eiji| Ozaki, Toshifumi|
抄録 Medial meniscus posterior root tear causes rapid knee cartilage degradation by inducing posteromedial displacement of the medial meniscus. We evaluated medial meniscus posterior extrusion before and after pullout repair for medial meniscus posterior root tear using magnetic resonance images. Twenty-eight patients with symptomatic medial meniscus posterior root tear were included. The inclusion criteria were: acute (< 3 months) or chronic (≥3 months) medial meniscus posterior root tear after painful popping events. The exclusion criteria were: other meniscus and anterior cruciate ligament injuries. We measured medial meniscus posterior extrusion and medial meniscus anteroposterior interval at knee flexion angles of 10° and 90° preoperatively and at 3 months postoperatively. The posterior extrusion at 90° knee flexion decreased from 4.42±1.38 mm preoperatively to 3.09±1.06 mm (p<0.001) postoperatively, while at 10° knee flexion it was −4.17±1.63 mm preoperatively and −3.77±1.72mm postoperatively, showing no significant change. The anteroposterior interval at 10° knee flexion increased from 19.74±4.27 mm preoperatively to 22.15±5.10 mm postoperatively (p<0.001); at 90° knee flexion, it increased from 16.81±4.51 mm preoperatively to 19.20±4.30 mm postoperatively (p<0.001). Medial meniscus posterior extrusion and movement decreased after pullout repair. Pullout repair for medial meniscus posterior root tear improves medial meniscus posterior extrusion, especially at 90° knee flexion.
キーワード medial meniscus posterior root tear pullout repair extrusion open magnetic resonance imaging
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-12
73巻
6号
出版者 Okayama University Medical School
開始ページ 495
終了ページ 501
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31871331
Web of Science KeyUT 000503431400004
フルテキストURL fulltext.pdf
著者 Hiroi, Kazumasa| Matsusaki, Takashi| Kaku, Ryuji| Umeda, Yuzo| Yagi, Takahito| Morimatsu, Hiroshi|
発行日 2019-10-31
出版物タイトル Transplantation Proceedings
51巻
8号
出版者 Elsevier
開始ページ 2750
終了ページ 2754
ISSN 00411345
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © 2019 The Authors. Published by Elsevier Inc.
論文のバージョン publisher
PubMed ID 31563245
DOI 10.1016/j.transproceed.2019.01.199
Web of Science KeyUT 000490063000048
関連URL isVersionOf https://doi.org/10.1016/j.transproceed.2019.01.199
フルテキストURL HP110_5_2_S81.pdf Fig.pdf Table.pdf
著者 Yumoto, Yasuhiro| Okada, Shigeru| Kinno, Ikuo| Nagamatsu, Tomohiro| Nouso, Kazuhiro| Nakayama, Eiichi|
キーワード operational topics waste low-level waste disposal waste management
発行日 2016-05
出版物タイトル Health Physics
110巻
5 S2号
出版者 LWW
開始ページ S81
終了ページ S87
ISSN 0017-9078
NCID AA00662510
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン author
PubMed ID 27023155
DOI 10.1097/HP.0b013e318254aef6
Web of Science KeyUT 000373920200006
関連URL isVersionOf https://doi.org/10.1097/HP.0b013e318254aef6
フルテキストURL IntOrthop_43_5_1239.pdf Tables.pdf Fig.pdf
著者 Furumatsu, Takayuki| Miyazawa, Shinichi| Fujii, Masataka| Tanaka, Takaaki| Kodama, Yuya| Ozaki, Toshifumi|
キーワード Arthroscopic scoring Medial meniscus Meniscal healing Posterior root tear Transtibial pullout repair
発行日 2018-08-01
出版物タイトル International Orthopaedics
43巻
5号
出版者 Springer
開始ページ 1239
終了ページ 1245
ISSN 03412695
NCID AA0068148X
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン author
PubMed ID 30069591
DOI 10.1007/s00264-018-4071-z
Web of Science KeyUT 000466730800024
関連URL isVersionOf https://doi.org/10.1007/s00264-018-4071-z
フルテキストURL Esophagus_16_3_300.pdf Fig.pdf
著者 Yokoi, Aya| Ekuni, Daisuke| Yamanaka, Reiko| Hata, Hironobu| Shirakawa, Yasuhiro| Morita, Manabu|
キーワード Deglutition Deglutition disorders Esophageal neoplasms Esophagectomy Intensive care units
発行日 2019-04-02
出版物タイトル Esophagus
16巻
3号
出版者 Springer Singapore
開始ページ 300
終了ページ 308
ISSN 16129059
NCID AA11885266
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン author
PubMed ID 30941604
DOI 10.1007/s10388-019-00668-x
関連URL isVersionOf https://doi.org/10.1007/s10388-019-00668-x
JaLCDOI 10.18926/AMO/57375
フルテキストURL 73_5_441.pdf
著者 Watanabe, Toshiyuki| Sakurai, Toru| Mukai, Yuko| Kimata, Yoshihiro| Namba, Yuzaburo|
抄録 Gender dysphoria is a condition in which a discrepancy between biological sex and gender identity causes distress. Many female-to-male transsexuals (FTMTS) are uncomfortable with female breasts. Chest wall contouring surgery is effective for obtaining a male-type chest, reducing mental stress, and increasing sexual satisfaction in such cases. At the Okayama University Hospital Gender Center, we have obtained positive results using an algorithm to determine the most appropriate surgical method for chest wall contouring in FTMTS patients. However, serious complications requiring reoperation, such as hematoma, may still occur. Postoperative hematomas were found in 15 (4.18%) of 358 FTMTS patients who underwent chest contouring surgery at our hospital between 2006 and 2018. Postoperative hematoma was examined retrospectively. The median time to the onset of hematoma was 7 (6-12) h after the initial surgery. The main blood vessels causing bleeding were those in the head-side skin flap region where visual confirmation was difficult and the perforator vessels from the pectoralis major muscle. Intraoperative bleeding and the operation time had a significant impact on the onset of postoperative hematoma. This is the first retrospective study that investigated the blood vessels and other factors contributing to postoperative hematoma development after chest wall contouring.
キーワード female-to-male transsexuals chest wall contouring postoperative hematoma
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-10
73巻
5号
出版者 Okayama University Medical School
開始ページ 441
終了ページ 447
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31649371
Web of Science KeyUT 000491886600010
JaLCDOI 10.18926/AMO/57371
フルテキストURL 73_5_413.pdf
著者 Yanagihara, Yutaka| Nishida, Keigo| Watanabe, Ryuta| Koyama, Kanae| Sawada, Yuichiro| Noda, Terutaka| Asai, Seiji | Fukumoto, Tetsuya| Miura, Noriyoshi| Miyauchi, Yuki| Kikugawa, Tadahiko| Saika, Takashi|
抄録 Laparoscopic radical cystectomy (LRC) is a standard surgical treatment for muscle-invasive bladder cancer and high-risk non-muscle-invasive bladder cancer. LRC is a less invasive modality than conventional open surgery. Therefore, even elderly patients with invasive bladder cancer may be candidates for LRC. In this study, a comparative analysis of perioperative/oncological outcomes between elderly patients and younger patients who underwent LRC was performed to assess the feasibility of LRC in elderly patients. Sixty-eight consecutive patients who underwent LRC between October 2013 and March 2018 were enrolled and stratified into those younger than 75 years (n=37) and those ≥ 75 years old (n=31). The median follow-up period was 28.2 months. The preoperative and operative parameters and complications were similar in both groups. The 2-year overall survival (OS) was 64.4% in the younger vs. 76.4% in the elderly group (p=0.053), cancer-specific survival (CSS) was 79.3% vs. 81.7% (p=0.187), and recurrence-free survival (RFS) was 58.2% vs. 75.7% (p=0.174), respectively. No significant differences were observed in OS, CSS, or RFS between the groups. No significant differences were found between the groups with respect to peri-surgical/oncological outcomes. We conclude that LRC is feasible in elderly patients.
キーワード bladder cancer laparoscopic surgery radical cystectomy elderly patient
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-10
73巻
5号
出版者 Okayama University Medical School
開始ページ 417
終了ページ 418
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31649367
Web of Science KeyUT 000491886600006
JaLCDOI 10.18926/AMO/57369
フルテキストURL 73_5_393.pdf
著者 Yi Yi Cho Thein| Win, Myitzu| Thuzara, Moe| Matsumoto, Hiroshi| Yamada, Kiyoshi| Kimata, Yoshihiro| Leung, Michael|
抄録 Although many surgical centers perform microsurgery routinely in developed countries, performing microsurgery is challenging in resource-poor developing countries, such as Myanmar. With the establishment of educational training programs and the assistance of volunteer plastic surgical teams, local plastic surgeons can learn the techniques of microsurgery and apply them clinically. The purpose of this study was to establish baseline data and define the challenges of performing microsurgery in Yangon General Hospital, Myanmar. Sixty-four patients underwent reconstruction with free flaps from January 2015 to January 2018. All clinical records of these cases were assessed. The number of free flap reconstructions performed increased from 11 in the first year to 24 in the third year. The anterolateral thigh flap was the most commonly used (42%). The most common sites of reconstruction were mandible and intraoral defects. Total flap survival occurred in 58 of 64 patients (89%). The total salvageable flap rate for revision surgery was 66.6%; the successful revision rate was highest in 2017, with fewer complications. The flap salvage rates increased and the operative duration decreased as clinical experience improved. Establishing a microsurgical center requires a strong multidisciplinary team, clinical experience, continuous learning, sensible clinical application, and effective interdepartmental and intradepartmental cooperation.
キーワード microsurgery educational programs challenges of microsurgical free flaps reoperation flap salvageable rate
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-10
73巻
5号
出版者 Okayama University Medical School
開始ページ 393
終了ページ 401
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31649365
Web of Science KeyUT 000491886600004