検索結果 - 岡山大学学術成果リポジトリ

Safe Resection of Esophageal Cancer with a Non-Recurrent Inferior Laryngeal Nerve Associated with an Aberrant Right Subclavian Artery Using Intraoperative Nerve Monitoring

JaLCDOI	10.18926/AMO/68654
フルテキストURL	79_2_139.pdf
著者	Takeda, Yasushige\| Noma, Kazuhiro\| Maeda, Naoaki\| Mizusawa, Yohei\| Matsumoto, Hijiri\| Kondo, Yuhei\| Kunitomo, Tomoyoshi\| Tanoue, Yukinori\| Hashimoto, Masashi\| Tanabe, Shunsuke\| Fujiwara, Toshiyoshi\|
抄録	In thoracic esophageal cancer, lymph node dissection around the recurrent laryngeal nerve is crucial but poses a risk of nerve palsy, affecting postoperative quality of life. In cases with an aberrant right subclavian artery (ARSA), the right recurrent laryngeal nerve is absent, and the non-recurrent inferior laryngeal nerve (NRILN) enters the larynx directly from the vagus nerve in the cervical region. Identifying the course of the NRILN is vital to avoid injury. A case of esophageal cancer with an ARSA, in which the course of the NRILN was preserved using the Nerve Integrity Monitoring (NIM) system during surgery, is described.
キーワード	esophageal cancer intraoperative nerve monitoring aberrant right subclavian artery non-recurrent inferior laryngeal nerve thoracoscopic esophagectomy
Amo Type	Case Report
出版物タイトル	Acta Medica Okayama
発行日	2025-04
巻	79巻
号	2号
出版者	Okayama University Medical School
開始ページ	139
終了ページ	144
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 Ⓒ 2025 by Okayama University Medical School
論文のバージョン	publisher
査読	有り

Effectiveness of Postoperative Irradiation in Patients with cN0 Early Breast Cancer Treated with Sentinel Lymph Node Surgery

JaLCDOI	10.18926/AMO/68648
フルテキストURL	79_2_101.pdf
著者	Isozaki, Hiroshi\| Matsumoto, Sasau\| Takama, Takehiro\| Isozaki, Yuka\|
抄録	To evaluate the effectiveness of postoperative irradiation (POI) for patients with cN0 early breast cancer, we retrospectively analyzed the cases of 650 consecutive breast cancer patients who underwent sentinel lymph node (SLN)-guided surgery (2005-2022) at our hospital. In this cohort, 53% (278/521) of the patients who underwent breast conservative surgery (BCS) and 96% (124/129) of those treated with mastectomy did not receive POI. The patients who underwent BCS were treated with POI using opposing tangential field irradiation. A false negative (FN) SLN was retrospectively defined as a negative metastasis in SLN plus positive recurrence in the axillary lymph nodes. Recurrence was detected in 83 patients. A logistic regression analysis revealed that the nuclear grade (odds ratio [OR] 1.69), POI (OR 0.41), and postoperative hormone therapy (OR 0.40) were each significantly related to recurrence. The 26.1% (12/46) FN rate of the non-POI patients decreased to 5.8% (1/17) compared to those treated with POI. The rate of axillary recurrence was significantly lower in the POI group (0.4%) versus the non-POI group (2.7%) (p=0.0355). The rate of locoregional recurrence was also significantly lower in the POI group (2.0%) versus the non-POI group (13.4%) (p<0.0001). No significant difference was observed in the rate of distant recurrence between the POI (4.0%) and non-POI (3.3%) (p=0.831) groups. These results indicated that the postoperative opposing tangential field irradiation of conserved breast tissue inhibited recurrence in the axillary lymph nodes.
キーワード	breast cancer postoperative irradiation radiation therapy sentinel lymph nodes recurrence
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2025-04
巻	79巻
号	2号
出版者	Okayama University Medical School
開始ページ	101
終了ページ	107
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 Ⓒ 2025 by Okayama University Medical School
論文のバージョン	publisher
査読	有り

Surgical protocol of robotic liver resection using a two-surgeon technique (TAKUMI-3): a technical note and initial outcomes

フルテキストURL	fulltext.pdf
著者	Takagi, Kosei\| Fuji, Tomokazu\| Yasui, Kazuya\| Umeda, Yuzo\| Yamada, Motohiko\| Nishiyama, Takeyoshi\| Nagai, Yasuo\| Kanehira, Noriyuki\| Fujiwara, Toshiyoshi\|
キーワード	Liver resection Robotic surgery Training Outcomes
発行日	2025-04-07
出版物タイトル	World Journal of Surgical Oncology
巻	23巻
号	1号
出版者	BMC
開始ページ	124
ISSN	1477-7819
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) 2025.
論文のバージョン	publisher
PubMed ID	40197387
DOI	10.1186/s12957-025-03785-3
Web of Science KeyUT	001464921100004
関連URL	isVersionOf https://doi.org/10.1186/s12957-025-03785-3

The potential mechanism maintaining transactive response DNA binding protein 43 kDa in the mouse stroke model

フルテキストURL	fulltext.pdf
著者	Bian, Yuting\| Fukui, Yusuke\| Ota-Elliott, Ricardo Satoshi\| Hu, Xinran\| Sun, Hongming\| Bian, Zhihong\| Zhai, Yun\| Yu, Haibo\| Hu, Xiao\| An, Hangping\| Liu, Hongzhi\| Morihara, Ryuta\| Ishiura, Hiroyuki\| Yamashita, Toru\|
キーワード	TDP-43 ALS RNA-binding protein Mislocalization G3BP1 HDAC6 RAD23B tMCAO
発行日	2025-04
出版物タイトル	Neuroscience Research
巻	213巻
出版者	Elsevier BV
開始ページ	128
終了ページ	137
ISSN	0168-0102
NCID	AA10641652
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	© 2025 The Author(s).
論文のバージョン	publisher
PubMed ID	39889925
DOI	10.1016/j.neures.2025.01.006
Web of Science KeyUT	001456257900001
関連URL	isVersionOf https://doi.org/10.1016/j.neures.2025.01.006

The preoperative flexion tear gap affects postoperative meniscus stability after pullout repair for medial meniscus posterior root tear

フルテキストURL	fulltext.pdf
著者	Tamura, Masanori\| Furumatsu, Takayuki\| Kitayama, Takahiro\| Yokoyama, Yusuke\| Okazaki, Yuki\| Kawada, Koki\| Ozaki, Toshifumi\|
キーワード	Medial meniscus Posterior root tear Distance Pullout repair Second-look arthroscopy
発行日	2025-04-03
出版物タイトル	Knee Surgery & Related Research
巻	37巻
号	1号
出版者	Springer Nature
開始ページ	16
ISSN	2234-2451
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) 2025.
論文のバージョン	publisher
PubMed ID	40181486
DOI	10.1186/s43019-025-00264-7
Web of Science KeyUT	001459123500001
関連URL	isVersionOf https://doi.org/10.1186/s43019-025-00264-7

Inseparable Gauss maps and dormant opers

フルテキストURL	mjou_067_001_028.pdf
著者	Wakabayashi, Yasuhiro\|
抄録	The present paper aims to generalize a result by H. Kaji on Gauss maps in positive characteristic and establish an interaction with the study of dormant opers and Frobenius-projective structures. We prove a correspondence between dormant opers on a smooth projective variety and closed immersions into a projective space with purely inseparable Gauss map. By using this, we determine the subfields of the function field of a smooth curve in positive characteristic induced by Gauss maps. Moreover, this correspondence gives us a Frobenius-projective structure on a Fermat hypersurface.
キーワード	Gauss map Frobenius-projective structure dormant indigenous bundle oper
発行日	2025-01
出版物タイトル	Mathematical Journal of Okayama University
巻	67巻
号	1号
出版者	Department of Mathematics, Faculty of Science, Okayama University
開始ページ	1
終了ページ	28
ISSN	0030-1566
NCID	AA00723502
資料タイプ	学術雑誌論文
言語	英語
著作権者	Copyright ©2025 by the Editorial Board of Mathematical Journal of Okayama University

Investigating the Effects of Reconstruction Conditions on Image Quality and Radiomic Analysis in Photon-counting Computed Tomography

フルテキストURL	fulltext.pdf
著者	Ohata, Miyu\| Fukui, Ryohei\| Morimitsu, Yusuke\| Kobayashi, Daichi\| Yamauchi, Takatsugu\| Akagi, Noriaki\| Honda, Mitsugi\| Hayashi, Aiko\| Hasegawa, Koshi\| Kida, Katsuhiro\| Goto, Sachiko\| Hiraki, Takao\|
キーワード	Image quality photon-counting computed tomography quantum iterative reconstruction radiomics renal cell carcinoma
発行日	2025-01
出版物タイトル	Journal of Medical Physics
巻	50巻
号	1号
出版者	Medknow Publications
開始ページ	100
終了ページ	107
ISSN	0971-6203
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	© 2025 Journal of Medical Physics
論文のバージョン	publisher
DOI	10.4103/jmp.jmp_114_24
Web of Science KeyUT	001452585400015
関連URL	isVersionOf https://doi.org/10.4103/jmp.jmp_114_24

Facial Privacy Protection with Dynamic Multi-User Access Control for Online Photo Platforms

フルテキストURL	fulltext.pdf
著者	Santoso, Andri\| Huda, Samsul\| Kodera, Yuta\| Nogami, Yasuyuki\|
キーワード	facial privacy protection selective facial encryption multi-user access control deep-learning applications online photo platform
発行日	2025-03-11
出版物タイトル	Future Internet
巻	17巻
号	3号
出版者	MDPI
開始ページ	124
ISSN	1999-5903
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	© 2025 by the authors.
論文のバージョン	publisher
DOI	10.3390/fi17030124
Web of Science KeyUT	001452302000001
関連URL	isVersionOf https://doi.org/10.3390/fi17030124

Involvement of a Novel Variant of FGFR1 Detected in an Adult Patient with Kallmann Syndrome in Regulation of Gonadal Steroidogenesis

フルテキストURL	fulltext.pdf
著者	Soejima, Yoshiaki\| Otsuka, Yuki\| Kawaguchi, Marina\| Oguni, Kohei\| Yamamoto, Koichiro\| Nakano, Yasuhiro\| Yasuda, Miho\| Tokumasu, Kazuki\| Ueda, Keigo\| Hasegawa, Kosei\| Iwata, Nahoko\| Otsuka, Fumio\|
キーワード	fibroblast growth factor receptor 1 (FGFR1) gynecomastia Kallmann syndrome (KS) osteoporosis and steroidogenesis
発行日	2025-03-18
出版物タイトル	International Journal of Molecular Sciences
巻	26巻
号	6号
出版者	MDPI
開始ページ	2713
ISSN	1661-6596
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	© 2025 by the authors.
論文のバージョン	publisher
PubMed ID	40141355
DOI	10.3390/ijms26062713
Web of Science KeyUT	001452479200001
関連URL	isVersionOf https://doi.org/10.3390/ijms26062713

Clipping closure length is a crucial factor for delayed bleeding after endoscopic papillectomy: a retrospective multicenter cohort study

フルテキストURL	fulltext.pdf
著者	Fujii, Yuki\| Matsumoto, Kazuyuki\| Ochi, Kiyoaki\| Himei, Hitomi\| Sakakihara, Ichiro\| Ueta, Eijiro\| Toyokawa, Tatsuya\| Harada, Ryo\| Ogawa, Taiji\| Tomoda, Takeshi\| Kato, Hironari\| Sato, Ryosuke\| Obata, Taisuke\| Matsumi, Akihiro\| Miyamoto, Kazuya\| Uchida, Daisuke\| Horiguchi, Shigeru\| Tsutsumi, Koichiro\| Otsuka, Motoyuki\|
キーワード	clipping closure delayed bleeding endoscopic papillectomy
発行日	2025
出版物タイトル	Therapeutic Advances in Gastroenterology
巻	18巻
出版者	SAGE Publications
ISSN	1756-2848
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), 2025.
論文のバージョン	publisher
PubMed ID	40104325
DOI	10.1177/17562848251326450
Web of Science KeyUT	001447404800001
関連URL	isVersionOf https://doi.org/10.1177/17562848251326450

Age-specific assessment of initial hemoglobin levels and shock index for predicting life-saving interventions in pediatric blunt liver and spleen injuries

フルテキストURL	fulltext.pdf
著者	Yumoto, Tetsuya\| Obara, Takafumi\| Hongo, Takashi\| Iida, Atsuyoshi\| Tsukahara, Kohei\| Katsura, Morihiro\| Kondo, Yutaka\| Yasuda, Hideto\| Kushimoto, Shigeki\| Yorifuji, Takashi\| Naito, Hiromichi\| Nakao, Atsunori\| SHIPPs Study Group\|
キーワード	Abdominal injuries Blood transfusions Hemoglobin Hemostasis Shock index
発行日	2025-03-12
出版物タイトル	Scientific Reports
巻	15巻
号	1号
出版者	Nature Portfolio
開始ページ	8502
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) 2025
論文のバージョン	publisher
PubMed ID	40074821
DOI	10.1038/s41598-025-92673-7
Web of Science KeyUT	001443941100009
関連URL	isVersionOf https://doi.org/10.1038/s41598-025-92673-7

A Rare Case of Compression Neuritis due to Intraorbital Arteriovenous Fistula (IOAVF) Mimicking Retrobulbar Optic Neuritis

JaLCDOI	10.18926/AMO/68363
フルテキストURL	79_1_059.pdf
著者	Minakawa, Shun\| Hirano, Masayuki\| Takahashi, Kazuya\| Imamura, Yuta\| Watanabe, Takashi\|
抄録	Intraorbital arteriovenous fistulas (IOAVFs) are rare vascular abnormalities. We describe a case of an IOAVF featuring a direct shunt between the accessory meningeal artery and the superior ophthalmic artery. A 55-year-old woman presented with a 1-month history of visual impairment in her right eye, and magnetic resonance imaging (MRI) revealed optic neuritis-like findings. Steroid pulse therapy temporarily resolved visual impairment. However, 1 month later, she experienced decreased visual acuity, ocular conjunctival hyperemia, edema, and a pulsatile murmur. Contrast-enhanced MRI and digital subtraction angiography revealed compression optic neuropathy due to an IOAVF. Following successful treatment with transarterial embolization, her symptoms disappeared.
キーワード	intraorbital arteriovenous fistula compressive optic neuropathy accessory meningeal artery superior ophthalmic vein
Amo Type	Case Report
出版物タイトル	Acta Medica Okayama
発行日	2025-02
巻	79巻
号	1号
出版者	Okayama University Medical School
開始ページ	59
終了ページ	64
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 Ⓒ 2025 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	40012161
Web of Science KeyUT	001440463800008

Voice analysis and deep learning for detecting mental disorders in pregnant women: a cross-sectional study

フルテキストURL	fulltext.pdf
著者	Ooba, Hikaru\| Maki, Jota\| Masuyama, Hisashi\|
キーワード	Perinatal mental disorders Voice analysis Machine learning Screening Pregnant women
発行日	2025-02-08
出版物タイトル	Discover Mental Health
巻	5巻
号	1号
出版者	Springer Nature
開始ページ	12
ISSN	2731-4383
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) 2025
論文のバージョン	publisher
PubMed ID	39920468
DOI	10.1007/s44192-025-00138-0
Web of Science KeyUT	001415532800001
関連URL	isVersionOf https://doi.org/10.1007/s44192-025-00138-0

Gastrectomy Causes an Imbalance in the Trunk Muscles

JaLCDOI	10.18926/AMO/68354
フルテキストURL	79_1_009.pdf
著者	Ikeya, Nanami\| Okita, Atsushi\| Hashida, Shinsuke\| Yamamoto, Sumiharu\| Ikeda, Hirokuni\| Tsukuda, Kazunori\| Toyooka, Shinichi\|
抄録	Muscle loss negatively affects gastrectomy prognosis. However, muscle loss is recognized as a systemic change, and individual muscle function is often overlooked. We investigated changes in the muscle volume of individual muscles after gastrectomy to identify clues for prognostic factors and optimal rehabilitation programs. Patients who underwent R0 gastrectomy for Stage I gastric cancer at our hospital from 2015 to 2021 were retrospectively selected to minimize the effects of malignancy and chemotherapy. Trunk muscle volume was measured by computed tomography to analyze body composition changes. Statistical analysis was performed to identify risk factors related to body composition changes. We compared the preoperative and 6-month postoperative conditions of 59 patients after gastrectomy. There was no difference in the psoas major muscle, a conventional surrogate marker of sarcopenia. There were significant decreases in the erector spinae (p=0.01) and lateral abdominal (p=0.01) muscles, and a significant increase in the rectus abdominis muscle (p=0.02). No significant correlation was found between these muscle changes and nutritional status. Body composition imbalance may serve as a new indicator of the general condition of patients after gastrectomy. Rehabilitation to correct this imbalance may improve prognosis after gastrectomy.
キーワード	sarcopenia skeletal muscle gastric cancer gastrectomy erector spinae muscle
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2025-02
巻	79巻
号	1号
出版者	Okayama University Medical School
開始ページ	9
終了ページ	19
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 Ⓒ 2025 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	40012155
Web of Science KeyUT	001440463800002

The Three-Class Annotation Method Improves the AI Detection of Early-Stage Osteosarcoma on Plain Radiographs: A Novel Approach for Rare Cancer Diagnosis

フルテキストURL	fulltext.pdf
著者	Hasei, Joe\| Nakahara, Ryuichi\| Otsuka, Yujiro\| Nakamura, Yusuke\| Ikuta, Kunihiro\| Osaki, Shuhei\| Hironari, Tamiya\| Miwa, Shinji\| Ohshika, Shusa\| Nishimura, Shunji\| Kahara, Naoaki\| Yoshida, Aki\| Fujiwara, Tomohiro\| Nakata, Eiji\| Kunisada, Toshiyuki\| Ozaki, Toshifumi\|
キーワード	osteosarcoma medical image annotation anatomical annotation method rare cancer
発行日	2024-12-25
出版物タイトル	Cancers
巻	17巻
号	1号
出版者	MDPI
開始ページ	29
ISSN	2072-6694
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	© 2024 by the authors.
論文のバージョン	publisher
PubMed ID	39796660
DOI	10.3390/cancers17010029
Web of Science KeyUT	001393409100001
関連URL	isVersionOf https://doi.org/10.3390/cancers17010029

Graphene Oxide as a Self‐Carbocatalyst to Facilitate the Ring‐Opening Polymerization of Glycidol for Efficient Polyglycerol Grafting

著者	Zou, Yajuan\| Ohkura, Kentaro\| Ortiz‐Anaya, Israel\| Kimura, Ryota\| Bianco, Alberto\| Nishina, Yuta\|
キーワード	Carbon nanomaterials Epoxide ring-opening Catalysis Polyglycerol functionalization
備考	This is the peer reviewed version of the following article: [Y. Zou, K. Ohkura, I. Ortiz-Anaya, R. Kimura, A. Bianco, Y. Nishina, Chem. Eur. J. 2025, e202404400. https://doi.org/10.1002/chem.202404400], which has been published in final form at [https://doi.org/10.1002/chem.202404400]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.\| This fulltext file will be available in Jan. 2026.\|
発行日	2025-01-07
出版物タイトル	Chemistry – A European Journal
出版者	Wiley
開始ページ	e202404400
ISSN	0947-6539
NCID	AA11076269
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	© 2024 Wiley-VCH GmbH
論文のバージョン	publisher
PubMed ID	39714895
DOI	10.1002/chem.202404400
Web of Science KeyUT	001390977300001
関連URL	isVersionOf https://doi.org/10.1002/chem.202404400

Efficiency and energy balance for substitution of CH4 in clathrate hydrates with CO2 under multiple-phase coexisting conditions

フルテキストURL	fulltext.pdf
著者	Tanaka, Hideki\| Matsumoto, Masakazu\| Yagasaki, Takuma\|
発行日	2023-11-21
出版物タイトル	The Journal of Chemical Physics
巻	159巻
号	19号
出版者	AIP Publishing
開始ページ	194504
ISSN	0021-9606
NCID	AA00694991
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	© Author(s) 2023
論文のバージョン	publisher
PubMed ID	37987520
DOI	10.1063/5.0179655
Web of Science KeyUT	001107770700002
関連URL	isVersionOf https://doi.org/10.1063/5.0179655

Optimization of workflow processes for sustainable paternal involvement: case study of an academic “daddy surgeon” in Japan

フルテキストURL	fulltext.pdf
著者	Kanaya, Nobuhiko\| Kuroda, Shinji\| Kondo, Yoshitaka\| Takehara, Yuko\| Kakiuchi, Yoshihiko\| Minagi, Hitoshi\| Sakamoto, Masaki\| Kagawa, Shunsuke\| Kataoka, Hitomi\| Fujiwara, Toshiyoshi\|
キーワード	Optimization of workflow processes Sustainable paternity participation “Daddy surgeon”
備考	The version of record of this article, first published in Surgery Today, is available online at Publisher’s website: http://dx.doi.org/10.1007/s00595-024-02959-y\|
発行日	2024-12-07
出版物タイトル	Surgery Today
出版者	Springer Science and Business Media LLC
ISSN	0941-1291
NCID	AA10824685
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) 2024
論文のバージョン	publisher
PubMed ID	39644389
DOI	10.1007/s00595-024-02959-y
Web of Science KeyUT	001371519800001
関連URL	isVersionOf https://doi.org/10.1007/s00595-024-02959-y

Closure of Ventricular Septal Rupture through a Left Thoracotomy in a Patient with a History of Esophageal Reconstruction

JaLCDOI	10.18926/AMO/67870
フルテキストURL	78_6_449.pdf
著者	Kato, Gentaro\| Ogawa, Tatsuya\| Hayashida, Tomohiro\| Shimizu, Shuji\| Yamamoto, Shu\| Shichijo, Takeshi\|
抄録	A 73-year-old man who had undergone esophagectomy and retrosternal gastric tube reconstruction for esophageal cancer 8 years prior was transferred to our hospital for the treatment of an acute myocardial infarction. Emergent percutaneous coronary intervention for the left anterior descending artery (#7) was successfully performed. However, echocardiography revealed a ventricular septal rupture (25×27 mm). Seventeen days after admission, the rupture was successfully treated with a double-patch closure via a left anterolateral thoracotomy to avoid a surgical injury to his retrosternal gastric tube. Determining the best surgical approach to the heart is important for safe cardiac surgery in patients after esophageal reconstruction.
キーワード	acute myocardial infarction ventricular septal rupture retrosternal gastric tube reconstruction esophageal cancer left anterolateral thoracotomy
Amo Type	Case Report
出版物タイトル	Acta Medica Okayama
発行日	2024-12
巻	78巻
号	6号
出版者	Okayama University Medical School
開始ページ	449
終了ページ	452
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 Ⓒ 2024 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	39719317
Web of Science KeyUT	001397799300003

Risk Factors for Gangrenous Cholecystitis and the Outcomes of Early Cholecystectomy: A Retrospective Study of a Single-Center City General Hospital

JaLCDOI	10.18926/AMO/67869
フルテキストURL	78_6_439.pdf
著者	Yamashita, Mampei\| Tanaka, Takayuki\| Sumida, Yorihisa\| Yamazaki, Shoto\| Hara, Yuki\| Fukuda, Akiko\| Hisanaga, Makoto\| Wakata, Koki\| Araki, Masato\| Eguchi, Susumu\|
抄録	Gangrenous cholecystitis (GC) is classified as moderate acute cholecystitis according to the Tokyo Guidelines from 2018 (TG18). We evaluated the risk factors for GC and the outcomes of early cholecystectomy. A total of 136 patients who underwent emergency cholecystectomy for acute cholecystitis were retrospectively analyzed; 58 of these patients (42.6%) were diagnosed with GC (GC group) based on our retrospective pathologic diagnosis. We comparatively evaluated the patient backgrounds and surgical outcomes between the GC group and non-GC group. The GC group was significantly older and included more hypertensive patients than the non-GC group. The GC group was prescribed more antibiotics as initial treatment than the non-GC group, and they had more days between onset and surgery. The preoperative white blood cell count and C-reactive protein values were significantly higher in the GC group than in the non-GC group, and these values were predictive factors for GC. Cholecystectomy required a longer operation time and caused greater blood loss in the GC group. The GC group also had longer hospitalization times than the non-GC group; however, no significant differences were observed in terms of postoperative complications. In conclusion, gangrenous changes should be assessed when diagnosing cholecystitis, and appropriate treatment, such as surgery or drainage, should be undertaken.
キーワード	gangrenous cholecystitis acute cholecystitis laparoscopic cholecystectomy
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2024-12
巻	78巻
号	6号
出版者	Okayama University Medical School
開始ページ	439
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 Ⓒ 2024 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	39719316
Web of Science KeyUT	001397799300002