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47 results on '"Fujisaki, Seiji"'

4. Duodenal diverticula perforation caused by an impacted bezoar successfully treated by endoscopic drainage and lithotripsy: A case report and literature review

Author

Tadokoro, Takeshi, primary, Oishi, Koichi, additional, Namba, Yosuke, additional, Bekki, Tomoaki, additional, Okimoto, Sho, additional, Mukai, Shoichiro, additional, Saito, Yasufumi, additional, Fujisaki, Seiji, additional, Takahashi, Mamoru, additional, Mouri, Teruo, additional, Nishida, Toshihiro, additional, and Fukuda, Toshikatsu, additional

Published
2022
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7. Duodenal diverticula perforation caused by an impacted bezoar successfully treated endoscop-ic drainage and lithotripsy: A case report and literature review

Author

tadokoro, takeshi, primary, oishi, Koichi, additional, Namba, Youske, additional, Bekki, Tomoaki, additional, Okimoto, Sho, additional, Mukai, Shoichiro, additional, Saito, Yasufumi, additional, Fujisaki, Seiji, additional, Takahashi, Mamoru, additional, Mouri, Teruo, additional, Nishida, Toshihiro, additional, and Fukuda, Toshikatsu, additional

Published
2022
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8. Validation of appendiceal stump invagination in laparoscopic appendectomy.

Author

Bekki, Tomoaki, Abe, Tomoyuki, Namba, Yosuke, Okimoto, Sho, Mukai, Shoichiro, Saito, Yasufumi, Oishi, Koichi, Fujisaki, Seiji, Ohdan, Hideki, and Fukuda, Toshikatsu

Subjects
APPENDECTOMY, APPENDIX (Anatomy), SURGICAL site infections, LAPAROSCOPIC surgery, ABDOMINAL abscess, BODY mass index
Abstract

Introduction: There are various methods for appendiceal stump dissection, but the necessity for stump invagination remains unclear. This study aimed to assess the efficacy of appendiceal stump invagination in patients with acute appendicitis after laparoscopic appendectomy (LA). Methods: We enrolled 327 patients with acute appendicitis who underwent LA between 2012 and 2020. Perioperative variables and surgical outcomes were analyzed between the invagination of the appendiceal stump and noninvagination groups. Propensity score‐matched analysis (PSM) was performed. Results: More patients experienced severe inflammation and severe intra‐abdominal contamination in the noninvagination group than in the invagination group. Patients in the noninvagination group had an older age, higher body mass index, and poorer American Society of Anesthesiologists physical status than the invagination group. Severe inflammation in the noninvagination group was associated with longer hospital stays and poorer postoperative complications than in the invagination group. PSM analysis was performed to minimize bias in the two groups. After PSM analysis, there were no significant differences in surgical site infection, postoperative intra‐abdominal abscess, Clavien–Dindo class ≥IIIa, or postoperative stay between the two groups. During the follow‐up period, the postoperative adhesive ileus was not significantly different between the invagination and noninvagination groups. Conclusion: Invagination of the appendiceal stump during LA is not necessary to prevent short‐ and long‐term complications. Even in cases dissected using a laparoscopic endostapler, the appendiceal stump per se is not related to postoperative adhesive ileus. [ABSTRACT FROM AUTHOR]

Published
2023
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11. Risk Factors for Anastomotic Leakage after Colorectal Surgery with Double-staple Technique Anastomosis: Impact of the Agatston Score

Author

Namba, Yosuke, primary, Mukai, Shoichiro, additional, Saito, Yasufumi, additional, Moriuchi, Toshiyuki, additional, Bekki, Tomoaki, additional, Okimoto, Sho, additional, Oishi, Koichi, additional, Fujisaki, Seiji, additional, Takahashi, Mamoru, additional, Fukuda, Toshikatsu, additional, Egi, Hiroyuki, additional, and Ohdan, Hideki, additional

Published
2021
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12. Effective Appendix Stump Closure Using the Doubleshanked Titanium Ligation Clip (DS Clip): A Case Report

Author

Imaoka, Kouki, Fujisaki, Seiji, Fukuhara, Sotaro, Ono, Kosuke, Sawada, Hiroyuki, Shishida, Masayuki, Hirata, Yuzo, Fukuda, Saburo, Takahashi, Mamoru, and Sakimoto, Hideto

Subjects
animal structures, surgical procedures, operative, acute appendicitis, digestive system, laparoscopic appendectomy, Double-shanked Titanium Ligation Clip
Abstract

Background: During laparoscopic appendectomy, several methods and devices can be used to close the appendicular stump, such as endoloops, linear staplers, clips, and open purse-string sutures. The Double-shanked Titanium Ligation Clip® (DS clip; B. Braun Aesculap, Tuttlinger, Germany), a new device that can be used to close the appendicular stump, was approved for use in Japan in March 2015. We report a case of effective appendix stump closure using DS clips. Case presentation: An 81-year-old man was admitted to our hospital with complaints of severe pain in the right lower quadrant of the abdomen. Abdominal contrast-enhanced computed tomography showed a thickened appendix (1.7 cm in diameter) with fecal stones, while acute inflammatory signs were visible around the appendix. He was diagnosed with acute appendicitis for which laparoscopic appendectomy was performed with a curative intent. It was difficult to mobilize the cecum because of inflammation, so we attempted to use DS clips instead of linear staplers. A histological examination revealed gangrenous appendicitis. The patient’s postoperative course was uneventful and he was discharged 10 days postoperatively. We also used DS clips to close the appendicular stump in 12 other cases. We observed no intra- or postoperative complications and no cases of mortality. Conclusion: The management of an appendicular stump using DS clips during laparoscopic appendectomy was simple, safe, and cost-effective. DS clips may be an alternative method to linear staplers.

Published
2018

19. Mixed neuroendocrine-non-neuroendocrine neoplasms of ascending colon: A case report

Author

Mukai, Shoichiro, primary, Hirata, Yuzo, additional, Ishikawa, Sho, additional, Kai, Azusa, additional, Kohata, Akihiro, additional, Okimoto, Sho, additional, Fujisaki, Seiji, additional, Fukuda, Saburo, additional, Takahashi, Mamoru, additional, Fukuda, Toshikatsu, additional, Nishida, Toshihiro, additional, Egi, Hiroyuki, additional, and Ohdan, Hideki, additional

Published
2020
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21. Transabdominal Approach for Spontaneous Oesophageal Perforation: A Review of Four Cases

Author

Ono, Kosuke, Sakimoto, Hideto, Fukuhara, Sotaro, Imaoka, Koki, Sawada, Hiroyuki, Shishida, Masayuki, Fujisaki, Seiji, Hirata, Yuzo, Fukuda, Saburo, and Takahashi, Mamoru

Subjects
Boerhaave’s syndrome, Oesophageal perforation, transabdominal approach
Abstract

Spontaneous oesophageal perforation is an uncommon and life-threatening disease. Although several methods of treatment have been proposed, surgical treatment is considered the standard procedure. Primary repair using the transthoracic approach is the most common. However, few studies have evaluated the characteristics of the transabdominal approach. This study aimed to investigate the clinical outcomes of spontaneous oesophageal perforation that was surgically treated using the transabdominal approach. We retrospectively reviewed all patients with spontaneous oesophageal perforation who were admitted to the surgical department of our institution between November 2010 and April 2017, and identified a total of four patients. Data including demographic factors (age and sex), location of perforation, time to operation, operative method, complications, length of hospital stay, and postoperative recovery were reviewed. In all four cases, we treated the defect using the transabdominal approach, which provides a good surgical field of view. The aims of operative intervention, namely primary repair and access for enteral feeding, can be achieved using this approach. The most commonly observed complication was pyothorax, and we suggest the addition of intrapleural drainage for its prevention. Dysgraphia was observed in two patients, which improved with conservative treatment. The overall mortality rate was 0%. Our results demonstrate that primary repair using the transabdominal approach is safe and effective for the management of spontaneous oesophageal perforation. Addition of intrapleural drainage can improve the outcome associated with this approach.

Published
2018

22. A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula

Author

Imaoka, Kouki, Fukuda, Saburo, Tazawa, Hirofumi, Fukuhara, Sotaro, Hirata, Yuzo, Fujisaki, Seiji, Takahashi, Mamoru, and Sakimoto, Hideto

Subjects
Article Subject
Abstract

Pylephlebitis is defined as a septic thrombophlebitis of the portal vein and its tributaries that is associated with multiple suppurative abdominal infections. We report a case of pylephlebitis associated with a cholecystocolonic fistula (CCF). A 41-year-old man presented with upper abdominal pain and anorexia for 1 month. Abdominal contrast-enhanced computed tomography (CT) revealed thrombosis in the left and anterior branch of the portal vein and thickening of the walls of the portal vein and periside portals. The gallbladder was collapsed and pneumobilia was seen in the biliary tract. Blood culture was positive for Streptococcus anginosus. A diagnosis of thrombophlebitis of the portal vein associated with CCF was made, and the patient was immediately managed with an intravenous broad-spectrum antibiotic and anticoagulation. After the portal vein thrombosis (PVT) propagation and inflammation had subsided, cholecystectomy and partial resection of the transverse colon were performed. Pylephlebitis is rare but is a life-threatening complication of intra-abdominal infection. A high index of suspicion is required, and a CT scan should be performed immediately for an early diagnosis and appropriate treatment.

Published
2018
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24. A colovesical fistula with a persistent descending mesocolon due to partial situs inversus: A case report

Author

Mochizuki, Tetsuya, primary, Tazawa, Hirofumi, additional, Hirata, Yuzo, additional, Kuga, Yoshio, additional, Miwata, Tomohiro, additional, Fukuhara, Sotaro, additional, Imaoka, Kouki, additional, Fujisaki, Seiji, additional, Takahashi, Mamoru, additional, Fukuda, Saburo, additional, Nishida, Toshihiro, additional, and Sakimoto, Hideto, additional

Published
2017
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47. Transabdominal Approach for Spontaneous Oesophageal Perforation: A Review of Four Cases

Author

Ono, Kosuke, Sakimoto, Hideto, Fukuhara, Sotaro, Imaoka, Koki, Sawada, Hiroyuki, Shishida, Masayuki, Fujisaki, Seiji, Hirata, Yuzo, Fukuda, Saburo, Takahashi, Mamoru, Ono, Kosuke, Sakimoto, Hideto, Fukuhara, Sotaro, Imaoka, Koki, Sawada, Hiroyuki, Shishida, Masayuki, Fujisaki, Seiji, Hirata, Yuzo, Fukuda, Saburo, and Takahashi, Mamoru

Abstract

Spontaneous oesophageal perforation is an uncommon and life-threatening disease. Although several methods of treatment have been proposed, surgical treatment is considered the standard procedure. Primary repair using the transthoracic approach is the most common. However, few studies have evaluated the characteristics of the transabdominal approach. This study aimed to investigate the clinical outcomes of spontaneous oesophageal perforation that was surgically treated using the transabdominal approach. We retrospectively reviewed all patients with spontaneous oesophageal perforation who were admitted to the surgical department of our institution between November 2010 and April 2017, and identified a total of four patients. Data including demographic factors (age and sex), location of perforation, time to operation, operative method, complications, length of hospital stay, and postoperative recovery were reviewed. In all four cases, we treated the defect using the transabdominal approach, which provides a good surgical field of view. The aims of operative intervention, namely primary repair and access for enteral feeding, can be achieved using this approach. The most commonly observed complication was pyothorax, and we suggest the addition of intrapleural drainage for its prevention. Dysgraphia was observed in two patients, which improved with conservative treatment. The overall mortality rate was 0%. Our results demonstrate that primary repair using the transabdominal approach is safe and effective for the management of spontaneous oesophageal perforation. Addition of intrapleural drainage can improve the outcome associated with this approach.

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