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Your search keyword '"Maeshiro, A"' showing total 26 results
Start Over Author "Maeshiro, A" Journal nihon rinsho geka gakkai zasshi (journal of japan surgical association)
26 results on '"Maeshiro, A"'

13. Video-assisted Thoracoscopic Removal of an Ectopic Mediastinal Parathyroid Adenoma on CO2 Insufflation

Author

Kanetaka Maeshiro, Ryoko Ono, Youei Takamiyagi, Takao Miyaguni, Chiaki Shinzato, and Kenri Akamine

Subjects
Insufflation, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, business.industry, 030220 oncology & carcinogenesis, Medicine, 030211 gastroenterology & hepatology, Video assisted, business, medicine.disease, Parathyroid adenoma, Surgery
Published
2016

19. INDICATION OF CONSERVATIVE THERAPY FOR PERFORATION OF GASTRIC OR DUODENAL ULCER

Author

Soichi Tanaka, Masatsugu Kitamura, Satoru Matsuo, Misao Yoshida, Taiichi Otani, Tsuyoshi Maeshiro, Satoru Inoue, Sachio Miyamoto, Nobutaka Umekita, and Akio Saiura

Subjects
Duodenal ulcer, medicine.medical_specialty, business.industry, Perforation (oil well), medicine, business, Surgery
Abstract

胃,十二指腸潰瘍穿孔に対する保存的治療法の適応を明確にすることを目的として,保存的治療の成功した32例をA群(胃6例,十二指腸26例),保存的治療から手術に移行した5例(胃2例,十二指腸3例)をB群としてretrospectiveに検討した. A群の特徴はB群に比し1) 若年である, 2) 初診時のCT, USにおいて左,右横隔膜下,脾腎境界,モリソン窩,肝下面,左,右傍結腸溝,ダグラス窩のうち腹水貯留部位は2カ所以内である, 3) 腹部筋性防御が初診後24時間以内に軽快する, 4) 腹水量は経時的に減少する,という点にあり,これらを満たすことが保存的治療の適応条件と考えられた.手術移行への遅延は合併症や入院期間を遷延させるため,保存的治療を行う場合には臨床所見の変化を緻密に観察し,手術に移行するタイミングを逃さないことが重要と思われた.

Published
2003

20. LAPAROSCOPIC SPLENECTOMY FOR THROMBOCITOPENIA IN A HIV INFECTED PATIENT-A CASE REPORT

Author

Katsuya Sanada, Chikako Shimizu, Tsuyoshi Maeshiro, Sachio Miyamoto, and Nobutaka Umekita

Subjects
medicine.medical_specialty, medicine.diagnostic_test, business.industry, medicine.medical_treatment, Splenectomy, Human immunodeficiency virus (HIV), virus diseases, medicine.disease_cause, Laparoscopic splenectomy, Surgery, Bone marrow examination, Purpura, Hiv infected, Prednisolone, Medicine, Platelet, medicine.symptom, business, medicine.drug
Abstract

Thrombocytopenia is a common clinical manifestation of HIV infection, and when it does not respond to medical therapy such as steroids and anti-HIV drugs, patients are eligible for splenectomy.A HIV-positive 31-year-old man was admitted to the hospital because of diffuse purpura in the lower imbs. On admission, platelet count was 0.1×104/mm3 and bone marrow examination showed increased numbers of megakaryocytes. Under the diagnosis of thrombocytopenia associated with HIV-Infection, the patient was placed on prednisolone, anti-HIV drugs, and γ-globulin, but did not respond. Laparoscopic splenectomy vas performed, resulting in marked improvement in both clinical symptoms and laboratory data soon after.Considering the safety and effectiveness of the treatment, laparoscopic approach should be encouraged in candidates of splenectomy for thrombocytopenia with HIV infection.

Published
1999

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