Intraoperative colonoscopy for stapled anastomosis in colorectal surgery.


:Although stapling colorectal anastomosis is widely accepted as an alternative for hand-sewn anastomosis, we continue to experience postoperative complications such as anastomotic hemorrhage and leakage, which sometimes lead to serious morbidity or even mortality. To secure stapling colorectal anastomosis, we adopted intraoperative colonoscopy (IOCS). We performed IOCS in 73 cases of colorectal resection with stapling anastomosis from November 2004 to October 2005. Intraoperative colonoscopy revealed active bleeding from stapling anastomosis in 7 patients (9.6%). Of these, additional sutures were done in 6 patients, while the anastomosis was exteriorized in the other. The air leak test performed by IOCS was positive in 4 patients (5.5%), with additional sutures being done in 2 patients and reanastomoses performed in the other 2. Incomplete cutting of the mucosa was found in one patient, but it was successfully managed. Following the introduction of IOCS, there were no cases of postoperative anastomotic hemorrhage, and only one case of anastomotic leakage (1.4%).


Surg Today


Surgery today


Ishihara S,Watanabe T,Nagawa H




Has Abstract


2008-01-01 00:00:00












  • Predictors of portal and splenic vein thrombosis after laparoscopic splenectomy: a retrospective analysis of a single-center experience.

    abstract:PURPOSE:Laparoscopic splenectomy (LS) has become the standard operative approach for splenectomy. Portal or splenic vein thrombosis (PSVT) is a serious and common complication after LS, and lethal complications of PSVT can occur when the portal vein is completely occluded by portal vein thrombosis (PVT). We aimed to cl...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Kuroki T,Kitasato A,Tokunaga T,Takeshita H,Taniguchi K,Maeda S,Fujioka H

    更新日期:2018-08-01 00:00:00

  • Lymph node metastasis in cancer of the middle-third stomach: criteria for treatment with a pylorus-preserving gastrectomy.

    abstract::A retrospective study was conducted to establish the criteria for performing a pylorus-preserving gastrectomy. This study was performed on 491 patients who had cancer of the middle-third stomach and had been curatively treated with a distal gastrectomy. The incidence of node metastasis for each lymph node station (the...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Kodera Y,Yamamura Y,Kanemitsu Y,Shimizu Y,Hirai T,Yasui K,Morimoto T,Kato T

    更新日期:2001-01-01 00:00:00

  • Evaluation of the health-related quality of life for patients following laparoscopic cholecystectomy.

    abstract:PURPOSE:Laparoscopic cholecystectomy (LC) has become the standard procedure, and contributes to a shorter hospital stay. However, there have been no reports regarding when the patients can be discharged in terms of their health-related quality of life (HRQOL). METHODS:The HRQOL was evaluated by using the SF-8 health s...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Tani M,Kawai M,Okada K,Hirono S,Hotta T,Takifuji K,Yamaue H

    更新日期:2015-05-01 00:00:00

  • Sternal semi-closure using a bioresorbable osteosynthesis device: a new method for delayed sternal closure.

    abstract:PURPOSE:To evaluate the safety and efficacy of our new delayed sternal closure (DSC) method, involving sternal semi-closure using a bioresorbable osteosynthesis device and complete skin closure. METHODS:Between 2013 and 2017, 36 patients underwent DCS at our hospital. The patients were divided into two groups based on...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Tanaka Y,Miyamoto T,Naito Y,Yoshitake S,Sasahara A,Miyaji K

    更新日期:2018-08-01 00:00:00

  • Traction-type heart stabilizer for off-pump coronary bypass grafting.

    abstract::We designed a stabilizer to assist us in performing coronary artery bypass grafting on the beating heart. The stabilizer consists of a U-shaped holed platform, an articulating arm, and a clamp for attachment to an ordinary sternal retractor. The target coronary artery is dissected, then two elastic sutures, 15-20mm ap...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Morishita K,Komatsu K,Kuwaki K,Koshino T,Abe T

    更新日期:2001-01-01 00:00:00

  • Initial experiences with MR Image-guided laparoscopic microwave coagulation therapy for hepatic tumors.

    abstract:PURPOSE:Percutaneous thermal ablation is used for treating hepatic tumors. Recent advances in laparoscopy and imaging modalities have led to the development of a novel image-guided minimally invasive loco-regional treatment. The aim of this trial was to apply laparoscopic assistance to magnetic resonance (MR) image-gui...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Murakami K,Naka S,Shiomi H,Akabori H,Kurumi Y,Morikawa S,Tani T

    更新日期:2015-09-01 00:00:00

  • The enhanced therapeutic efficacy of intra-arterial cis-diamminedichloroplatinum (II) chemotherapy in combination with aortic clamping on metastatic hepatic tumors in the rat.

    abstract::The efficacy of intrahepatic cis-diamminedichloroplatinum (II), cisplatin, administered via the hepatic artery in combination with concomitant clamping of the abdominal aorta beneath the diaphragm against metastatic liver tumors in rats was evaluated. When 2.5 or 5 mg/kg of cisplatin was injected intra-arterially (i.a...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Nishioka Y

    更新日期:1994-01-01 00:00:00

  • Successful treatment of intraoperative heart failure caused by ampulla cardiomyopathy by intra-aortic balloon pumping and percutaneous cardiopulmonary support: report of a case.

    abstract::An 82-year-old woman underwent total gastrectomy for advanced gastric cancer with invasion to the lower esophagus. Her blood pressure dropped alarmingly during the operation, which was performed via the transabdominal and left-side transthoracic approach. Using echocardiography, we diagnosed intraoperative-onset rever...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Yabuuchi S,Miura K,Shiiba K,Shibata C,Ishii S,Mizoi T,Ejima Y,Horinouchi T,Iwabuchi K,Oda K,Unno M,Morita R,Nagaya K,Nitta Y,Matsuno S,Sasaki I

    更新日期:2005-01-01 00:00:00

  • Targeting adjuvant brachytherapy for a superior sulcus tumor: report of two cases.

    abstract::We report herein the cases of two patients who underwent complete resection of a superior sulcus tumor (SST) plus adjuvant brachytherapy, with the area to be irradiated determined by a computer program system designed to minimize unnecessary irradiation to the normal components and to optimize the effect on the target...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ohta Y,Yashiki Y,Go T,Watanabe SI,Oda M,Takanaka T,Nishijima H,Watanabe Y

    更新日期:2001-01-01 00:00:00

  • Factors related to impaired bactericidal activity in patients with esophageal cancer.

    abstract::We examined the possible factors that could contribute to the impairment of polymorphonuclear neutrophil (PMN) bactericidal activities in patients with esophageal cancer, based on the discovery that a depression of the intracellular killing (KI) activity, with an elevation of the superoxide anion-producing capacity (S...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Shigemitsu Y,Saito T,Kinoshita T,Katsuta T,Shimoda K,Kobayashi M

    更新日期:1995-01-01 00:00:00

  • Surgical management of the coronary artery to pulmonary artery fistulas; a case of a large ruptured aneurysm.

    abstract::Three patients were treated for coronary artery-pulmonary artery fistula. Each was asymptomatic due to a coronary artery fistula. There was one instance each of myocardial infarction, mitral stenosis and a large closed ruptured aneurysm including a thrombus. All the fistulas were comprised of several small plexiform a...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ishikura Y,Odagiri S,Shimazu A,Hirao D,Watanabe H,Yano K

    更新日期:1992-01-01 00:00:00

  • Phase III trial comparing UFT + PSK to UFT + LV in stage IIB, III colorectal cancer (MCSGO-CCTG).

    abstract:PURPOSE:Oral adjuvant uracil and tegafur plus leucovorin (UFT/LV) is not inferior to standard weekly fluorouracil and folinate for stage II/III colon cancer. However, protein-bound polysaccharide K (PSK) has been evaluated as postoperative adjuvant therapy for colorectal cancer. This report is the first of MCSGO-CCTG, ...

    journal_title:Surgery today

    pub_type: 杂志文章,多中心研究


    authors: Miyake Y,Nishimura J,Kato T,Ikeda M,Tsujie M,Hata T,Takemasa I,Mizushima T,Yamamoto H,Sekimoto M,Nezu R,Doki Y,Mori M,Multi-center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).

    更新日期:2018-01-01 00:00:00

  • Demonstration of microcystic disease of the pancreas by magnetic resonance cholangiopancreatography: report of a case.

    abstract::A case of microcystic disease of the pancreas which was clearly demonstrated by magnetic resonance cholangiopancreatography (MRCP) is reported herein. Cystic dilatation of the pancreatic duct was recognized by computed tomography scanning and endoscopic retrograde cholangiopancreatography (ERCP). Furthermore, the exis...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Kitagawa T,Matsumoto K,Iriyama K

    更新日期:1998-01-01 00:00:00

  • Limited thoracotomy for segmentectomy: a comparison of postoperative pain with thoracoscopic lobectomy.

    abstract:PURPOSES:To assess whether a video-assisted thoracoscopic surgery (VATS) procedure is superior to limited thoracotomy (LT) for segmentectomy; postoperative pain was compared between VATS-lobectomy (VATS-L) and LT-segmentectomy (LT-S). Widely opened anterolateral thoracotomy segmentectomy (WT-S) was used as a control. ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Nomori H,Cong Y,Sugimura H

    更新日期:2016-11-01 00:00:00

  • Omental flap wrapping with fixation to the cut surface of the liver for reducing delayed gastric emptying after left-sided hepatectomy.

    abstract:BACKGROUND:Delayed gastric emptying (DGE) is a common complication following left-sided hepatectomy. The goal of this study was to clarify the clinical implications of an omental flap wrapping procedure that includes fixation to the cut surface of the liver to reduce the incidence of DGE after left-sided hepatectomy. ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Okano K,Asano E,Oshima M,Yamamoto N,Yachida S,Nishizawa Y,Akamoto S,Fujiwara M,Deguchi A,Mori H,Masaki T,Suzuki Y

    更新日期:2013-12-01 00:00:00

  • Reconstructive surgery for a fusiform common celiomesenteric trunk aneurysm and coexistent abdominal aortic aneurysm: report of a case.

    abstract::A celiomesenteric trunk (CMT) accounts for fewer than 1% of all visceral artery anomalies. Aneurysms involving a CMT are exceptionally rare: our search of the literature found only eight cases reported. We treated a 73-year-old man with both a fusiform CMT aneurysm and an abdominal aortic aneurysm (AAA). The celiac ar...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Obara H,Matsumoto K,Fujimura N,Ono S,Hattori T,Kitagawa Y

    更新日期:2009-01-01 00:00:00

  • Influence of Japan's new Diagnosis Procedure Combination-based payment system on the surgical sector: does it really shorten the hospital stay?

    abstract:PURPOSE:In 2003, the Diagnosis Procedure Combination (DPC)-based payment system was introduced on a trial basis in 82 major Japanese hospitals. We analyzed the influence of this system on hospital revenue and expenditure, focusing on whether it reduces the length of stay in hospital (LOS), particularly in the surgical ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Yasunaga H,Ide H,Imamura T,Ohe K

    更新日期:2006-01-01 00:00:00

  • Laparoscopic resection for gastrointestinal stromal tumors in the stomach.

    abstract:PURPOSE:Gastrointestinal stromal tumors (GISTs) should be surgically resected, even those smaller than 5 cm in size, which is the threshold of clinical malignancy for submucosal tumors (SMTs) in the gastrointestinal tract. This study reviewed the use of laparoscopic surgery for gastric partial resection of GISTs or SMT...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Kakeji Y,Nakanoko T,Yoshida R,Eto K,Kumashiro R,Ikeda K,Egashira A,Saeki H,Oki E,Morita M,Ikeda T,Maehara Y

    更新日期:2012-06-01 00:00:00

  • Advantages of FDG-PET/CT over CT alone in the preoperative assessment of lymph node metastasis in patients with esophageal cancer.

    abstract:PURPOSE:The aim of this study was to determine the benefits of (18)F-fluorodeoxyglucose positron emission tomography (PET)/computed tomography (CT) compared to CT alone in the preoperative assessment of lymph node metastasis in patients with esophageal cancer. METHODS:One-hundred and seven patients who underwent esoph...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Karashima R,Watanabe M,Imamura Y,Ida S,Baba Y,Iwagami S,Miyamoto Y,Sakamoto Y,Yoshida N,Baba H

    更新日期:2015-04-01 00:00:00

  • Effects of antibiotics and Saccharomyces boulardii on bacterial translocation in burn injury.

    abstract:PURPOSE:To investigate the effects of antibiotics and the probiotic, Saccharomyces boulardii, on indigenous microflora and bacterial translocation (BT) in burned rats. METHODS:Twenty-three male albino rats were divided into a sham burn group (group 1, n = 7) exposed to 21 degrees C water, a burn + antibiotic group (gr...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Herek O,Kara IG,Kaleli I

    更新日期:2004-01-01 00:00:00

  • Video-assisted neck surgery (VANS) using a gasless lifting procedure for thyroid and parathyroid diseases: "The VANS method from A to Z".

    abstract:PURPOSE:To describe and evaluate our video-assisted neck surgery (VANS) method for thyroid and parathyroid diseases. METHODS:We describe in detail the VANS method for enucleation, lobectomy, total (nearly total) thyroidectomy, and lymph node dissection for malignancy and Graves' disease. In collaboration with the Japa...

    journal_title:Surgery today

    pub_type: 杂志文章,评审


    authors: Shimizu K,Shimizu K,Okamura R,Igarashi T,Nagaoka R,Sanada M,Sugitani I,Fukumori T,Yamada T

    更新日期:2020-10-01 00:00:00

  • Assessing the economic advantage of laparoscopic vs. open approaches for colorectal cancer by a propensity score matching analysis.

    abstract:PURPOSES:This study investigated the surgical outcomes and potential economic advantage of open vs. laparoscopic surgery for colorectal cancer using a propensity score matching analysis. METHODS:We examined the surgical and economic outcomes of patients undergoing laparoscopic (N = 127) and open surgery (N = 253) for ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Hayashi H,Ozaki N,Ogawa K,Ikuta Y,Tanaka H,Ogata K,Doi K,Takamori H

    更新日期:2018-04-01 00:00:00

  • Clinical evaluation of transhiatal bilateral splanchnicotomy for patients with intractable supramesenteric pain.

    abstract::Although a transhiatal bilateral splanchnicotomy (TBS) has many advantages, it has not been widely employed as an effective minimal invasive therapy for intractable supramesenteric pain. Furthermore, the effects of TBS have not yet been clearly evaluated. Between 1995 and 1997, TBS was performed on 11 patients with in...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Shimada S,Okamoto M,Hirota M,Tashima S,Yamaguchi K,Ogawa M

    更新日期:1999-01-01 00:00:00

  • The dynamics and clinical significance of alpha 2 plasmin inhibitor-plasmin complex and thrombin-antithrombin complex in postoperative pleural effusion following a pulmonary lobectomy.

    abstract:PURPOSE:The overall incidence of postoperative alveolar air leakage (AAL) remains high; however, the mechanism regarding how to adequately heal such postoperative AAL remains to be elucidated. The aim of this study was to determine any correlations between the activity of the fibrinolytic and coagulation system in the ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Shoji F,Yano T,Yoshino I,Kawano D,Takenaka T,Miura N,Ito K,Morodomi Y,Maehara Y

    更新日期:2009-01-01 00:00:00

  • Daikenchuto accelerates the recovery from prolonged postoperative ileus after open abdominal surgery: a subgroup analysis of three randomized controlled trials.

    abstract:PURPOSE:Prolonged postoperative ileus (POI) is a common complication after open abdominal surgery (OAS). Daikenchuto (DKT), a traditional Japanese medicine that peripherally stimulates the neurogenic pathway, is used to treat prolonged POI in Japan. To analyze whether DKT accelerates the recovery from prolonged POI aft...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Kono T,Shimada M,Nishi M,Morine Y,Yoshikawa K,Katsuno H,Maeda K,Koeda K,Morita S,Watanabe M,Kusano M,Sakamoto J,Saji S,Sokuoka H,Sato Y,Maehara Y,Kanematsu T,Kitajima M

    更新日期:2019-08-01 00:00:00

  • Primary mesenteric tumor of adult T-cell leukemia/lymphoma: report of a case.

    abstract::A rare case of primary mesenteric tumor of adult T-cell leukemia/lymphoma (ATLL) is reported. A 64-year-old man was admitted to our hospital after the diagnosis of a palpable ileocecal tumor. Although the serologic test for human T-cell lymphotrophic virus type I (HTLV-I) antibody was positive, neither ATLL cells in t...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Nishimura Y,Takenaka H,Yoshidome K,Iwase K,Oshima S,Tanaka T

    更新日期:1994-01-01 00:00:00

  • Acinar cell carcinoma arising from an ectopic pancreas.

    abstract::We herein report a rare case of ectopic pancreatic acinar cell carcinoma (ACC) which presented as a submucosal tumor of the pylorus. A 73-year-old man came to our hospital presenting with epigastralgia. Esophago-gastroduodenal endoscopy showed no mucosal lesions, but a submucosal tumor was observed around the pylorus....

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Mizuno Y,Sumi Y,Nachi S,Ito Y,Marui T,Saji S,Matsutomo H

    更新日期:2007-01-01 00:00:00

  • Survival advantage of using autologous blood transfusion during surgery for esophageal cancer.

    abstract:PURPOSE:There is evidence that blood transfusion is associated with an increased rate of tumor recurrence. This study was conducted to assess the survival advantage of giving autologous blood instead of allogeneic blood during surgery for esophageal cancer. METHODS:We retrospectively analyzed 62 patients who underwent...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Motoyama S,Saito R,Kamata S,Kitamura M,Okuyama M,Imano H,Nakamura M,Suzuki H,Omokawa S,Motohashi Y,Ogawa J

    更新日期:2002-01-01 00:00:00

  • Cytokine and hormonal responses in laparoscopic-assisted colectomy and conventional open colectomy.

    abstract::Interleukin-6 (IL-6) is an important mediator of the acute phase response and a sensitive marker of tissue damage. This study was conducted to investigate the fluctuation of serum cytokine and hormonal levels during the perioperative period after laparoscopic-assisted colectomy (LAC), and the data were compared with t...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ozawa A,Konishi F,Nagai H,Okada M,Kanazawa K

    更新日期:2000-01-01 00:00:00

  • Composite tumor with papillary adenocarcinoma and squamous cell carcinoma of the esophagus: report of a case.

    abstract::Papillary adenocarcinoma is extremely rare in the squamous epithelium-lined esophagus. The histopathologic and immunohistochemical characteristics were examined in a composite tumor showing distinct papillary adenocarcinoma and squamous cell carcinoma of the esophagus resected from a 66-year-old man. The esophageal tu...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Nakagawa S,Nishimaki T,Kanda T,Suzuki T,Hatakeyama K

    更新日期:2000-01-01 00:00:00