abstract：PURPOSE:To investigate whether cilostazol, a cyclic adenosine monophosphate (cAMP) phosphodiesterase inhibitor, suppresses intimal hyperplasia in canine vein grafts, and to elucidate its mechanisms in terms of cell proliferation and apoptosis. METHODS:Bilateral reversed jugular vein interposition grafts of the common ...

journal_title：Surgery today

authors： Kudo FA,Kondo Y,Muto A,Miyazaki K,Dardik A,Nishibe M,Nishibe T

更新日期：2009-01-01 00:00:00

abstract：:Pulmonary complications after hepatectomy occur with relative frequency and are associated with increased morbidity and mortality. Moreover, their prevention is often difficult. We report using prophylactic bilevel positive airway pressure ventilation, initiated just after the operation, for the successful postoperati...

journal_title：Surgery today

authors： Narita M,Hatano E,Nagata H,Yanagida A,Asechi H,Takahashi K,Ikai I,Uemoto S,Chin K

更新日期：2009-01-01 00:00:00

abstract：:Local tumor control is still the most important consideration in the treatment of hepatocellular carcinoma (HCC). Surgical treatments, including liver resection and liver transplantation are, and will remain, the first-line therapeutic strategies for local control in patients with primary HCC. Although aggressive live...

journal_title：Surgery today

authors： Hasegawa K,Kokudo N

更新日期：2009-01-01 00:00:00

abstract：:This report describes a case of carcinosarcoma of the duodenum. Carcinosarcoma of the duodenum is a very rare tumor. A 72-year-old man was referred to the hospital because of appetite loss. Endoscopy demonstrated an irregularly depressed lesion (type 3) in the descending portion of the duodenum opposite to the ampulla...

journal_title：Surgery today

authors： Sunagawa H,Inamine S,Watanabe M,Kawakami K,Toyama T,Zaha H,Yonaha T,Ohta M,Oshiro N,Takeshima M,Uchima H

更新日期：2009-01-01 00:00:00

abstract：:Late graft failure of autologous vein grafts is associated with intimal hyperplasia resulting from the migration and proliferation of vascular smooth muscle cells (VSMCs). Endothelial nitric oxide synthase (eNOS) is an enzyme that synthesizes nitric oxide (NO). An impairment of NO-mediated vasorelaxation and increases...

journal_title：Surgery today

authors： Sugimoto M,Yamanouchi D,Komori K

更新日期：2009-01-01 00:00:00

abstract：:This report presents the case of a 27-year-old woman with a history of Ehlers-Danlos syndrome Type IV (EDS-IV) who suffered from acute compartment syndrome caused by the spontaneous rupture of the posterior tibial artery. Bleeding control was achieved by endovascular embolization. A fasciotomy was successfully perform...

journal_title：Surgery today

authors： Matsushima K,Takara H

更新日期：2009-01-01 00:00:00

abstract：PURPOSE:We investigated the effects of thrombopoietin (TPO) on platelet counts and liver regeneration after partial hepatectomy in rats. METHODS:We performed 70% partial hepatectomy on 60 rats given either TPO or a vehicle (controls). The rats were killed 6 h, 24 h, 72 h, or 168 h after the procedure, and we examined ...

journal_title：Surgery today

authors： Shimabukuro R,Kawanaka H,Tomikawa M,Akahoshi T,Konishi K,Yoshida D,Anegawa G,Uehara H,Hashimoto N,Hashizume M,Maehara Y

更新日期：2009-01-01 00:00:00

abstract：:A 52-year-old woman with a history of splenectomy for a splenic injury 45 years earlier underwent investigations for a pre-existing gynecologic disease. Contrast-enhanced abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed a tumor, 3 cm in diameter, adjacent to the sigmoid colon, suggestive ...

journal_title：Surgery today

authors： Hashimoto K,Orita H,Koga T,Kawanaka H,Kono H,Maehara Y

更新日期：2009-01-01 00:00:00

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

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

abstract：:Bleeding during liver surgery and liver transplantation (LT) can be caused by coagulation disorders, portal vein hypertension, and adhesions from previous surgical procedures. We describe here how we controlled life-threatening bleeding from a portal vein anastomosis during a third cadaveric LT, by using a carrier-bou...

journal_title：Surgery today

authors： Apestegui C,Breitenstein S,Dutkowski P,Clavien PA

更新日期：2009-01-01 00:00:00

abstract：PURPOSE:We investigated the feasibility of a fluorescence imaging technique using light-emitting diode (LED)-activated indocyanine green (ICG) fluorescence. METHODS:Indocyanine green injections were given to patients undergoing preoperative colonoscopy for early colon cancer or colon adenoma. During subsequent laparot...

journal_title：Surgery today

authors： Watanabe M,Tsunoda A,Narita K,Kusano M,Miwa M

更新日期：2009-01-01 00:00:00

abstract：:This report describes the use of side-to-end anastomosis in a colostomy for an acute malignant large-bowel obstruction. A 59-year-old man presented with a colonic obstruction due to advanced descending colon cancer. The preoperative imaging studies revealed a complete obstruction of the descending colon at the site of...

journal_title：Surgery today

authors： Fukami Y,Terasaki M,Sakaguchi K,Murata T,Ohkubo M,Nishimae K

更新日期：2009-01-01 00:00:00

abstract：:We report a case that was successfully treated by primary stent placement without thrombolysis or thrombectomy for graft thrombosis after aortoiliac reconstructive surgery. A 79-year-old man presented with a 2-month history of severe intermittent claudication of the right leg. He had undergone a surgical repair of abd...

journal_title：Surgery today

authors： Kondo Y,Dardik A,Muto A,Nishibe M,Nishibe T

更新日期：2009-01-01 00:00:00

abstract：PURPOSE:The aim of this study was to identify the predictors of early postoperative hypocalcemia after a total/near total thyroidectomy in order to select patients for prompt treatment to prevent symptomatic hypocalcemia. METHODS:Patients with hypocalcemia within 24 h of surgery were identified as Group I and normocal...

journal_title：Surgery today

authors： Kara M,Tellioglu G,Krand O,Fersahoglu T,Berber I,Erdogdu E,Ozel L,Titiz MI

更新日期：2009-01-01 00:00:00

abstract：:Parkinson's disease is a chronic progressive disease with symptoms of tremors, rigidity, and akinesia. Parkinson's disease is a major risk factor for postoperative complications and it is difficult to manage patients with Parkinson's disease after gastrointestinal surgery. This report presents the cases of three patie...

journal_title：Surgery today

authors： Fujii T,Nakabayashi T,Hashimoto S,Kuwano H

更新日期：2009-01-01 00:00:00

abstract：:Candida esophagitis rarely involves life-threatening complications, such as necrosis, perforation, or fistula formation between the esophagus and the airway. We herein report a case of Candida esophagitis complicated by esophagobronchial and esophagopulmonary fistulas. The patient in our study was a 70-year-old man wi...

journal_title：Surgery today

authors： Kanzaki R,Yano M,Takachi K,Ishiguro S,Motoori M,Kishi K,Miyashiro I,Ishikawa O,Imaoka S

更新日期：2009-01-01 00:00:00

abstract：PURPOSE:To define the indications for thyroid cancer surgery in elderly patients. METHODS:We compared the clinical characteristics of thyroid cancers in 85 elderly patients, defined as those aged > or =75 years, with those of 37 young patients, defined as those aged <30 years. The elderly group included patients who u...

journal_title：Surgery today

authors： Matsuyama H,Sugitani I,Fujimoto Y,Kawabata K

更新日期：2009-01-01 00:00:00

abstract：:Massive presacral bleeding is a severe complication during a resection of the rectum. The combination of oxidized cellulose and cyanoacrylate glue can quickly control presacral bleeding. This report presents nine cases since 2002 of presacral hemorrhage treated using this method. There was no recurrent bleeding during...

journal_title：Surgery today

authors： Chen Y,Chen F,Xie P,Qiu P,Zhou J,Deng Y

更新日期：2009-01-01 00:00:00

abstract：PURPOSE:Human atrial natriuretic peptide (h-ANP) elicits biological effects such as natriuresis, diuresis, and vasodilation, and plays a role in regulating pulmonary circulation. We conducted this clinical study to define its role and elucidate its mechanisms. METHODS:Twelve consecutive adult patients scheduled to und...

journal_title：Surgery today

authors： Morimoto K,Taniguchi I,Miyasaka S,Ishiguro S,Ohgi S

更新日期：2008-01-01 00:00:00

abstract：:Aspergillosis is a common fungal infection in immunocompromised patients undergoing chemotherapy. The incidence of invasive fungal infection in these patients has increased dramatically in recent years. We report a case of small-bowel infarction caused by Aspergillus in a 48-year-old man who was receiving chemotherapy...

journal_title：Surgery today

authors： Enjoji M,Ohtsukasa S,Nagano H,Matsuki M,Kawachi Y,Kurisu A,Maruyama H,Kusakabe M,Nagata K,Hamaguchi H,Taki K

更新日期：2008-01-01 00:00:00

abstract：PURPOSE:Fulminant myocarditis is potentially fatal because it progresses rapidly into cardiogenic shock; thus, immediate and appropriate treatment is essential. Mechanical circulatory support (MCS) is an important part of treatment for fulminant myocarditis. We review our experience of treating fulminant myocarditis wi...

journal_title：Surgery today

authors： Sezai A,Hata M,Niino T,Yoda M,Takayama T,Saito S,Ayusawa M,Minami K

更新日期：2008-01-01 00:00:00

abstract：:Diaphragmatic hernia complicating pregnancy is rare and is associated with high morbidity and mortality, particularly if surgical intervention is delayed. We report a case of diaphragmatic hernia in a pregnant 25-year-old woman. The patient was referred to our hospital in respiratory distress in the 28th week of her p...

journal_title：Surgery today

authors： Sano A,Kato H,Hamatani H,Sakai M,Tanaka N,Inose T,Kimura H,Kuwano H

更新日期：2008-01-01 00:00:00

abstract：PURPOSE:Gender identity disorder is defined as persistent feelings of gender discomfort and the inappropriateness of one's anatomical sex. To study the effects of androgens on female breast tissue, we examined mammary glands from female-to-male transsexual (FTMT) women using androgen therapy and from those not using an...

journal_title：Surgery today

authors： Kuroda H,Ohnisi K,Sakamoto G,Itoyama S

更新日期：2008-01-01 00:00:00

abstract：:Middle esophageal diverticulum is rare, but can result in bronchoesophageal fistula. Previous reports have described open surgical techniques to treat esophageal diverticula, but few have evaluated the effectiveness of a videothoracoscopy approach. We report a case of middle esophageal diverticulum associated with bro...

journal_title：Surgery today

authors： Braghetto I,Cardemil G,Schwartz E,Valladares H,Rencoret G,Estay R,Rodriguez-Navarro AJ

更新日期：2008-01-01 00:00:00

abstract：:An 80-year-old woman was admitted to our hospital complaining of severe abdominal and back pain. Computed tomography (CT) showed an 8.5 x 7.0-cm infrarenal abdominal aortic aneurysm (AAA) with a large contained retroperitoneal hematoma. Known situs inversus totalis was reconfirmed by CT. Just after the CT examination,...

journal_title：Surgery today

authors： Kimura N,Kawahito K,Ito S

更新日期：2008-01-01 00:00:00

abstract：:A right liver graft lacking the middle hepatic vein can result in congestion of the anterior segment. We describe a method of reconstructing the middle hepatic vein tributaries by using the recipient's own middle hepatic vein with vascular closure staples. During a living donor right liver transplantation, the middle ...

journal_title：Surgery today

authors： Tashiro H,Itamoto T,Ohdan H,Oshita A,Fudaba Y,Ishiyama K,Kohashi T,Amano H,Fukuda S,Asahara T

更新日期：2008-01-01 00:00:00

abstract：PURPOSE:The aim of this study was to investigate the effects of fibrin glue on the prevention of postoperative peritoneal adhesion to prosthetic materials used in ventral hernia repair. METHODS:Ten pigs were included in this study. The abdomens of the animals were opened by means of a median subumbilical laparotomy to...

journal_title：Surgery today

authors： Martín-Cartes JA,Morales-Conde S,Suárez-Grau JM,Bustos-Jiménez M,Cadet-Dussort JM,López-Bernal F,Morcillo-Azcárate J,Tutosaus-Gómez JD,Morales-Méndez S

更新日期：2008-01-01 00:00:00

abstract：:A rare case of cecal volvulus in cerebral palsy that was preoperatively diagnosed and surgically treated without complications is herein reported. A 45-year old man, who had been treated for cerebral palsy as a result of a neonatal cerebral hemorrhage, was admitted to our hospital because of abdominal pain and vomitin...

journal_title：Surgery today

authors： Takeuchi H,Ikeda Y,Komori Y,Tahara K,Shiromizu A,Hayashi H,Muto Y

更新日期：2008-01-01 00:00:00

abstract：PURPOSE:Postprandial hyperglycemia is recognized as an important risk factor for developing type 2 diabetes; it is also common in patients after a gastrectomy and is likely to become exacerbated after a total gastrectomy rather than after a distal gastrectomy. In this study, we investigated the glucose and insulin resp...

journal_title：Surgery today

authors： Yamamoto H,Tsuchihashi H,Akabori H,Naitoh H,Maegawa H,Tani T

更新日期：2008-01-01 00:00:00

abstract：:A 53-year-old woman who had end-stage renal disease and hypertension presented with back pain. Chest radiographs and chest computed tomography (CT) showed right pleural effusion with bilateral pleural masses. The patient underwent video-assisted thoracoscopic surgery (VATS) for a biopsy of the right pleural mass and f...

journal_title：Surgery today

authors： Suh JH,Kim YH,Chang ED

更新日期：2008-01-01 00:00:00

abstract：PURPOSE:A diagnosis of concomitant pulmonary carcinoma and abdominal aortic aneurysm is rare (<1% of treated cases). However, such an association makes the therapeutic decisions critical, especially regarding the priority and timing of treatment. This article reports on our experience of 14 cases of concomitant pulmona...

journal_title：Surgery today

authors： Borzellino G,Giovinazzo F,Minicozzi AM,Dusi R,Politi L,Veraldi GF

更新日期：2008-01-01 00:00:00

abstract：:We report a case of acute necrotizing pancreatitis after extraperitoneal repair of an abdominal aortic aneurysm (AAA). Acute pancreatitis (AP) is an uncommon complication of vascular surgery; however, managing its local and general consequences, including the eventual pancreatic abscess and the risk of prosthetic infe...

journal_title：Surgery today

authors： Ferrante A,Cina A,Snider F

更新日期：2008-01-01 00:00:00

abstract：:Although it is generally accepted that aging increases postoperative morbidity and mortality rates, the underlying mechanism remains unknown. The present review evaluates the clinical implications of remodeling the immunoinflammatory status with reference to inflammaging and tumor-specific hyperinflammation. We conduc...

journal_title：Surgery today

authors： Miki C,Kusunoki M,Inoue Y,Uchida K,Mohri Y,Buckels JA,McMaster P

更新日期：2008-01-01 00:00:00

abstract：:While pulmonary tuberculosis is a very frequent infection, chylothorax is an unusual manifestation of tuberculous disease. A 71-year-old woman with chylothorax is herein presented. The ductus thoracicus was ligated and lymphadenomegaly, which was adjacent to diaphragm, was resected. Based on the findings of various te...

journal_title：Surgery today

authors： Karapolat S,Sanli A,Onen A

更新日期：2008-01-01 00:00:00

abstract：PURPOSE:To examine the effect of preoperative administering of a Japanese traditional herbal medicine, Hochu-ekki-to (TJ-41), on immunosuppression induced by surgical stress in patients with gastrointestinal malignancies. METHODS:To monitor the immune functions, the mitochondrial membrane potential (MMP) and natural k...

journal_title：Surgery today

authors： Kimura M,Sasada T,Kanai M,Kawai Y,Yoshida Y,Hayashi E,Iwata S,Takabayashi A

更新日期：2008-01-01 00:00:00

abstract：:A 78-year-old man was admitted to Kumamoto Rosai Hospital with right lower abdominal pain. Abdominal computed tomography (CT) showed penetration of the cecum by a foreign body, which looked like a fish bone, as well as thickening of the right lower abdominal wall. We made an initial diagnosis of penetration of the col...

journal_title：Surgery today

authors： Okuma T,Nagamoto N,Tanaka E,Yoshida Y,Inoue K,Baba H

更新日期：2008-01-01 00:00:00

abstract：PURPOSE:We performed a semiquantitative analysis of the expression of Mucosal addressin cell adhesion molecule-1 (MAdCAM-1) and gut-associated tissues (GALT) during small bowel graft rejection in the rat to confirm the effect of FTY720 and ex vivo graft irradiation. METHODS:Small bowel transplantations (SBT) were perf...

journal_title：Surgery today

authors： Sugito K,Inoue M,Ikeda T,Hagiwara N,Koshinaga T,Kusafuka T

更新日期：2008-01-01 00:00:00

abstract：:Recent advances in imaging techniques such as dynamic intravenous contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) have enabled us to detect pancreatic cysts, some of which are potentially malignant. As the histopathological diagnosis cannot be confirmed preoperatively, enlarged pancreat...

journal_title：Surgery today

authors： So T,Matsuda H,Sonoda T,Matsuura H,Watanabe M,Kabashima A,Okadome K

更新日期：2008-01-01 00:00:00

abstract：PURPOSE:A phase clinical II trial was conducted to determine the antitumor activity and toxicity of weekly paclitaxel administered to patients with advanced gastric cancer. METHODS:Sixty-eight patients with advanced gastric cancer and performance status 0-2 were treated with 80 mg/m2 paclitaxel over 1 h following a sh...

journal_title：Surgery today

authors： Emi Y,Yamamoto M,Takahashi I,Orita H,Kakeji Y,Kohnoe S,Maehara Y

更新日期：2008-01-01 00:00:00

abstract：: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 i...

journal_title：Surgery today

authors： Ishihara S,Watanabe T,Nagawa H

更新日期：2008-01-01 00:00:00