研究者詳細 - 城田　千代栄

論文 - 城田　千代栄

分割表示 172 件中 161 - 172 件目／全件表示 >>

特集小児外科における消化器内視鏡外科手術胆道閉鎖症に対する腹腔鏡下肝門部空腸吻合術

内田広夫, 田中裕次郎, 田井中貴久, 城田千代栄, 住田亙, 村瀬成彦

手術 72 巻 ( 6 ) 頁： 861 - 870 2018年5月

保存的治療で軽快した特発性大網捻転症の1例 Open Access

横田一樹, 内田広夫, 田中裕次郎, 田井中貴久, 城田千代栄, 檜顕成, 住田亙, 加藤充純, 大島一夫, 千馬耕亮

日本小児外科学会雑誌 54 巻 ( 2 ) 頁： 302 - 306 2018年

記述言語：日本語出版者・発行元：特定非営利活動法人日本小児外科学会

<p>特に既往のない5歳男児．発熱と下腹部痛を認め，急性虫垂炎の疑いで当院を紹介受診した．血液検査で炎症反応の上昇を認めたもののCTでは虫垂の腫大はなく，上行結腸の壁肥厚を認めたため急性腸炎の診断で抗菌薬投与を開始した．再度CTを見直したところ渦巻き状を呈する脂肪吸収値腫瘤を認め，特発性大網捻転症と診断した．症状は軽快していたためこのまま保存的治療を継続し，4日目に軽快退院した．大網捻転症は特に小児では比較的稀な疾患であり，過去においては手術治療が原則とされてきたため，保存的治療例の報告は少ない．症状が類似しているため急性虫垂炎などと診断されて手術が行われる例も多いが，近年はCTなどの画像診断技術の進歩により診断が可能な例が増えてきた．大網捻転症の中には保存的治療が可能なものもあり，大網捻転症と診断できた場合は保存的治療も選択肢の一つとして考慮するべきと考えられた．</p>

DOI： 10.11164/jjsps.54.2_302

Open Access

CiNii Research

The efficacy of resection of intrahepatic bile duct stenosis-causing membrane or septum for preventing hepatolithiasis after choledochal cyst excision

Tanaka, Y; Tainaka, T; Sumida, W; Shirota, C; Hinoki, A; Murase, N; Oshima, K; Shirotsuki, R; Chiba, K; Uchida, H

JOURNAL OF PEDIATRIC SURGERY 52 巻 ( 12 ) 頁： 1930 - 1933 2017年12月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of Pediatric Surgery

Background/purpose We previously found that many patients who developed hepatolithiasis after choledochal cyst excisions had intrahepatic bile duct stenosis (IHBDS). In 1992, we started resection of the membrane or septum which was found at the site of IHBDS during choledochal cyst excisions. Since intrahepatic stones usually take years to form, the efficacy of this procedure has not been proved. Methods The records of patients who had IHBDS-causing membrane or septum and underwent choledochal cyst excision with Roux-Y hepaticojejunostomy between January 1979 and December 2006 were retrospectively analyzed. The patients who underwent surgical treatment for IHBDS-causing membrane or septum were compared with those who did not undergo the procedure. Results Sixty-nine patients met the criteria, and seven patients who were followed up for less than 5 years were excluded from the study. Thirty-three patients underwent surgical treatment for IHBDS, and three of them developed intrahepatic stones. Meanwhile, 10 of 29 patients who did not undergo the procedure developed intrahepatic stones. A statistically significant difference in intrahepatic stone formation was observed between the two groups in a log-rank test (P = 0.016). Conclusions Meticulous probing and excision of the IHBDS-causing membrane or septum are effective for preventing hepatolithiasis after choledochal cyst excisions. Type of study Retrospective Comparative Study. Level of evidence Level III.

DOI： 10.1016/j.jpedsurg.2017.08.056

Web of Science

Scopus

PubMed

Comparison of outcomes of thoracoscopic primary repair of gross type C esophageal atresia performed by qualified and non-qualified surgeons

Tanaka, Y; Tainaka, T; Sumida, W; Shirota, C; Murase, N; Oshima, K; Shirotsuki, R; Chiba, K; Uchida, H

PEDIATRIC SURGERY INTERNATIONAL 33 巻 ( 10 ) 頁： 1081 - 1086 2017年10月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Pediatric Surgery International

Purpose: Although thoracoscopic repair of esophageal atresia has become widespread, most studies are based on operations performed by expert surgeons. Therefore, the outcomes of operations performed by non-expert surgeons are not well known. The aim of this study was to compare outcomes based on operator skill level. Methods: We retrospectively reviewed the demographics and outcomes of patients with Gross type C esophageal atresia, who underwent primary thoracoscopic repair at our hospital between January 2014 and August 2016. Outcomes of surgeries performed by qualified surgeons, as determined by the Japanese Society for Endoscopic Surgery were compared with those of non-qualified surgeons. All operations were performed by or under the supervision of one qualified surgeon. Results: Nine operations were performed by qualified surgeons and six operations by non-qualified surgeons with >10 years of experience in surgery. None of the patients developed anastomotic leakage or recurrent tracheoesophageal fistula. However, the operative time and rate of stricture formation at the beginning of the weaning period were significantly higher in the latter group (P = 0.008 and 0.044). Conclusions: Although supervision of experts would improve results in thoracoscopic repair of esophageal atresia, the results indicate that good skill is necessary to avoid anastomotic stricture.

DOI： 10.1007/s00383-017-4140-1

Web of Science

Scopus

PubMed

Review of redo-Kasai portoenterostomy for biliary atresia in the transition to the liver transplantation era Open Access

Sumida, W; Uchida, H; Tanaka, Y; Tainaka, T; Shirota, C; Murase, N; Oshima, K; Shirotsuki, R; Chiba, K

NAGOYA JOURNAL OF MEDICAL SCIENCE 79 巻 ( 3 ) 頁： 415 - 420 2017年8月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Nagoya Journal of Medical Science

Portoenterostomy (PE) is the standard therapy for biliary atresia (BA). PE offers the chance of survival to children with BA. PE was the ultimate therapeutic modality for BA before liver transplantation (LT) was available. Failure of biliary drainage with PE was almost invariably fatal in children with BA. In such cases, redo-PE was performed to salvage patients following PE failure. PE remains the standard first treatment for BA despite the availability of LT. Further, redo-PE is also performed in a limited number of cases despite the development of LT as an alternative means of PE. However, there is concern that redo-PE increases morbidity at the time of subsequent LT. Laparoscopic redo-PE has recently been described. Laparoscopic redo-PE is expected to reduce complications of LT by preventing abdominal adhesion associated with repetitive surgery. In the present article, the future utility of redo-PE and the history of its changing roles are reviewed.

DOI： 10.18999/nagjms.79.3.415

Two-Stage Thoracoscopic Repair of Long-Gap Esophageal Atresia Using Internal Traction Is Safe and Feasible Open Access

Tainaka, T; Uchida, H; Tanano, A; Shirota, C; Hinoki, A; Murase, N; Yokota, K; Oshima, K; Shirotsuki, R; Chiba, K; Amano, H; Kawashima, H; Tanaka, Y

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES 27 巻 ( 1 ) 頁： 71 - 75 2017年1月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of Laparoendoscopic and Advanced Surgical Techniques

Background: The treatment of long-gap esophageal atresia remains an issue for pediatric surgeons. Many techniques for treating long-gap esophageal atresia have been proposed, but the optimal method has not been established. The thoracoscopic esophageal elongation technique has recently been developed. We previously reported a case in which two-stage thoracoscopic repair was performed using internal esophageal traction without esophageal tearing, and we retrospectively reviewed the outcomes of this procedure in this study. Methods: Five patients underwent thoracoscopic treatment involving internal esophageal traction for esophageal atresia involving a long gap or vascular ring over a 5-year period. Results: Between November 2010 and November 2015, 5 patients were treated with thoracoscopic traction. All of these patients successfully underwent thoracoscopic-delayed primary anastomosis. Conversion to open thoracotomy was not required in any case. The postoperative complications experienced by the patients included minor anastomotic leakage in 2 cases, anastomotic stenosis in 1 case, gastroesophageal reflux (GER) in 4 cases, and a hiatal hernia in 1 case. None of the patients died. Conclusions: Two-stage thoracoscopic repair for esophageal atresia involving a long gap or vascular ring is a safe and feasible procedure; however, we must develop methods for treating minor anastomotic complications and GER due to esophageal traction in future.

DOI： 10.1089/lap.2016.0207

Left thoracoscopic two-stage repair of tracheoesophageal fistula with a right aortic arch and a vascular ring Open Access

Oshima, K; Uchida, H; Tainaka, T; Tanano, A; Shirota, C; Yokota, K; Murase, N; Shirotsuki, R; Chiba, K; Hinoki, A

JOURNAL OF MINIMAL ACCESS SURGERY 13 巻 ( 1 ) 頁： 73 - 75 2017年1月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of Minimal Access Surgery

A right aortic arch (RAA) is found in 5% of neonates with tracheoesophageal fistulae (TEF) and may be associated with vascular rings. Oesophageal repairs for TEF with an RAA via the right chest often pose surgical difficulties. We report for the first time in the world a successful two-stage repair by left-sided thoracoscope for TEF with an RAA and a vascular ring. We switched from right to left thoracoscopy after finding an RAA. A proximal oesophageal pouch was hemmed into the vascular ring; therefore, we selected a two-stage repair. The TEF was resected and simple internal traction was placed into the oesophagus at the first stage. Detailed examination showed the patent ductus arteriosus (PDA) completing a vascular ring. The subsequent primary oesophago-oesophagostomy and dissection of PDA was performed by left-sided thoracoscope. Therefore, left thoracoscopic repair is safe and feasible for treating TEF with an RAA and a vascular ring.

DOI： 10.4103/0972-9941.181771

Comparing surgical outcomes of complete thoracoscopic lobectomy for congenital cystic lung disease between neonatal and infantile patients.

Tainaka T, Uchida H, Tanaka Y, Shirota C, Yokota K, Murase N, Oshima K, Shirotsuki R, Chiba K, Hinoki A

Nagoya journal of medical science 78 巻 ( 4 ) 頁： 447-454 2016年12月

Steroid pulse therapy prevents restenosis following balloon dilatation for esophageal stricture. Open Access

Yokota K, Uchida H, Tanano A, Shirota C, Tainaka T, Hinoki A, Murase N, Oshima K, Shirotsuki R, Chiba K

Pediatric surgery international 32 巻 ( 9 ) 頁： 875-9 2016年9月

A new modification of laparoscopic percutaneous extraperitoneal closure procedure for repairing pediatric femoral hernias involving a special needle and a wire loop. Open Access

Tainaka T, Uchida H, Ono Y, Tanano A, Shirota C, Yokota K, Murase N, Makita S, Shirotsuki R

Nagoya journal of medical science 77 巻 ( 3 ) 頁： 531-5 2015年8月

A New Era of Laparoscopic Revision of Kasai Portoenterostomy for the Treatment of Biliary Atresia. Open Access

Murase N, Uchida H, Ono Y, Tainaka T, Yokota K, Tanano A, Shirota C, Shirotsuki R

BioMed research international 2015 巻頁： 173014 2015年

Hepatolithiasis after hepatic portoenterostomy for biliary atresia.

Tainaka T, Kaneko K, Seo T, Ono Y, Ogura Y, Wada H, Shirota C, Ando H

Journal of pediatric surgery 41 巻 ( 4 ) 頁： 808-11 2006年4月

　前のページ - 次のページ　

<城田 千代栄>

論文 - 城田 千代栄

<城田　千代栄>

論文 - 城田　千代栄