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Article: [A Case of Successful Collective Treatment of Rectal Cancer Diagnosed by Liver Abscess].

Kirihara, Masato / Usuda, Mayato / Matsutani, Noriyuki / Kobayashi, Hirotoshi

Gan to kagaku ryoho. Cancer & chemotherapy

2023 Volume 49, Issue 13, Page(s) 1588–1590

Abstract: A 67-year-old woman was found to have multiple liver abscess and pneumonia. Liver abscess was improved after percutaneous transhepatic abscess drainage(PTAD). A diagnosis of rectal cancer was made by colonoscopy and the patient underwent colostomy for ... ...

Abstract	A 67-year-old woman was found to have multiple liver abscess and pneumonia. Liver abscess was improved after percutaneous transhepatic abscess drainage(PTAD). A diagnosis of rectal cancer was made by colonoscopy and the patient underwent colostomy for rectal cancer on February 2018. Laparoscopic low anterior resection was performed on July 2019 after mFOLFOX plus bevacizumab(BEV)14 courses. Lower leaf partial lung resection was performed on September 2019 and upper leaf partial resection was performed on September 2020 for lung metastasis. The patient is currently alive without relapse after 21 months. Liver abscess was caused by portal vein infection of rectal cancer. Effective chemotherapy with surgery was successful.
MeSH term(s)	Female ; Humans ; Aged ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Neoplasm Recurrence, Local/drug therapy ; Rectal Neoplasms/complications ; Rectal Neoplasms/drug therapy ; Rectal Neoplasms/surgery ; Liver Abscess/surgery ; Bevacizumab ; Liver Neoplasms/drug therapy ; Liver Neoplasms/surgery ; Liver Neoplasms/secondary
Chemical Substances	Bevacizumab (2S9ZZM9Q9V)
Language	Japanese
Publishing date	2023-01-24
Publishing country	Japan
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	604842-0
ISSN	0385-0684
ISSN	0385-0684
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Article ; Online: Current situation of management of spontaneous pneumothorax in Japan: A cross-sectional cohort study.

Igai, Hitoshi / Sawabata, Noriyoshi / Obuchi, Toshiro / Matsutani, Noriyuki / Tsuboshima, Kenji / Okamoto, Shouichi / Hayashi, Akihiro

Respiratory investigation

2024 Volume 62, Issue 3, Page(s) 328–333

Abstract: Background: Limited epidemiological information is available on spontaneous pneumothorax. To address this gap, the Japan Society for Pneumothorax and Cystic Lung Disease (JSPCLD) conducted a nationwide retrospective survey to investigate the current ... ...

Abstract	Background: Limited epidemiological information is available on spontaneous pneumothorax. To address this gap, the Japan Society for Pneumothorax and Cystic Lung Disease (JSPCLD) conducted a nationwide retrospective survey to investigate the current epidemiology of spontaneous pneumothorax in Japan. Methods: In this study, we conducted a retrospective cross-sectional cohort study to demonstrate the clinical features of spontaneous pneumothorax in one year from April 2019 to March 2020, compare patient characteristics and treatment outcomes between primary (PSP) and secondary spontaneous pneumothorax (SSP), and investigate the risk factors associated with in-hospital mortality among patients with SSP. Results: A total of 1784 patients from 28 institutions were enrolled in the study, with PSP observed in 956 cases (53.6%) and SSP in 817 cases (45.8%). The age distribution showed a biphasic peak caused by the different peaks between PSP and SSP. In-hospital mortality occurred in 42 cases (2.4%) among all patients, with 0 cases (0%) in PSP and 42 cases (5.1%) in SSP. Multivariable analyses revealed that interstitial pneumonia as an underlying disease (odds ratio: 2.4700, 95% confidence interval: 1.1100 to 5.4800, p = 0.0269), performance status≧3 (odds ratio: 7.3900, 95% confidence interval: 3.1900 to 17.2000, p < 0.0001), and lower value of serum albumin on admission (odds ratio: 0.4060, 95% confidence interval: 0.2140 to 0.7690, p = 0.0057) were significantly associated with in-hospital mortality among patients with SSP. Conclusions: SSP patients with poor baseline conditions are at a higher risk for in-hospital mortality. It is crucial to provide close and meticulous management for SSP patients with compromised conditions.
MeSH term(s)	Humans ; Pneumothorax/epidemiology ; Pneumothorax/therapy ; Pneumothorax/etiology ; Japan/epidemiology ; Retrospective Studies ; Cross-Sectional Studies ; Lung Diseases
Language	English
Publishing date	2024-02-24
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2660821-2
ISSN	2212-5353 ; 2212-5345
ISSN (online)	2212-5353
ISSN	2212-5345
DOI	10.1016/j.resinv.2024.02.006
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Article ; Online: A retrospective multi-institutional survey of characteristics of surgically treated spontaneous hemopneumothorax patients.

Igai, Hitoshi / Sawabata, Noriyoshi / Obuchi, Toshiro / Matsutani, Noriyuki / Kadokura, Mitsutaka

General thoracic and cardiovascular surgery

2022 Volume 71, Issue 4, Page(s) 240–250

Abstract: Objective: The Japan Society for Pneumothorax and Cystic Lung Disease conducted a nationwide retrospective survey to identify correlations between the timing of surgical intervention and the incidence of transfusion, and to examine the factors ... ...

Abstract	Objective: The Japan Society for Pneumothorax and Cystic Lung Disease conducted a nationwide retrospective survey to identify correlations between the timing of surgical intervention and the incidence of transfusion, and to examine the factors contributing to the need for transfusion among clinical features in surgically treated spontaneous hemopneumothorax (SHP) patients. Methods: We analyzed the characteristics and perioperative results of patients with SHP who underwent thoracoscopy or thoracotomy between April 2009 and March 2019. Results: From 17 institutions, 171 cases were enrolled in this study. Receiver-operating characteristic curve analyses for the incidence of transfusion and waiting time before the operation revealed an area under the curve of 0.54 (95% confidence interval [CI] 0.44-0.64). Therefore, we did not compare the clinical features using a cutoff value of waiting time before the operation. More than 80% of the patients underwent surgical treatment within 24 h from admission. Multivariate analysis revealed that the total volume of hemorrhage was the only significant factor contributing to the incidence of transfusion (p = 0.00011, odds ratio: 0.03, 95% CI 0.0051-0.18). Moreover, multivariate analyses revealed that the waiting time before the operation was a contributing factor for prolonged total hospitalization (p < 0.0001, estimated regression coefficient: 0.036, 95% CI 0.027-0.045). Conclusion: In SHP patients, a reduction in the waiting time before the operation significantly contributed to not the avoidance of transfusion but a reduction in total hospitalization time. In addition, transfusion was performed depending on the volume of blood loss.
MeSH term(s)	Humans ; Hemopneumothorax/surgery ; Hemopneumothorax/etiology ; Retrospective Studies ; Thoracic Surgery, Video-Assisted/adverse effects ; Thoracic Surgery, Video-Assisted/methods ; Pneumothorax/surgery ; Thoracotomy/methods ; Hemorrhage/etiology
Language	English
Publishing date	2022-10-18
Publishing country	Japan
Document type	Multicenter Study ; Journal Article
ZDB-ID	2376888-5
ISSN	1863-6713 ; 1863-6705
ISSN (online)	1863-6713
ISSN	1863-6705
DOI	10.1007/s11748-022-01879-3
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Article: [A Case of Perforated Rectal Cancer with Laparoscopic Low Anterior Resection].

Takashima, Junpei / Kobayashi, Hirotoshi / Koizumi, Ayaka / Shigehara, Fumi / Yamasaki, Kenji / Fujimoto, Daisuke / Sugimoto, Hitoshi / Miura, Fumihiko / Taniguchi, Keizo / Matsutani, Noriyuki

Gan to kagaku ryoho. Cancer & chemotherapy

2024 Volume 50, Issue 13, Page(s) 1915–1917

Abstract: We report a case of perforated rectal cancer with laparoscopic low anterior resection. Case: A 60-year-old man was transported to the hospital with a chief complaint of sudden lower abdominal pain. Computed tomography revealed wall thickening of the ... ...

Abstract	We report a case of perforated rectal cancer with laparoscopic low anterior resection. Case: A 60-year-old man was transported to the hospital with a chief complaint of sudden lower abdominal pain. Computed tomography revealed wall thickening of the upper rectum and free air localized around the rectum and fecal mass in the mesorectum. He was diagnosed with perforated rectal cancer. Because of the early onset, young age, and ascites confined to the pelvic floor, we decided to perform laparoscopic low anterior resection(D3 dissection). Intraabdominal observation revealed tumor in the upper rectum with a large rectal perforation 3 cm proximal to the tumor. By using gauze and suction, we were able to complete the surgery with ingenuity laparoscopically. The postoperative course was good, and he was discharged 9 days after surgery. Postoperative pathological examination revealed pT4apN0sM0, pStage Ⅱb. Adjuvant chemotherapy of 8 courses of capecitabine was performed. There has been no recurrence 3 years after surgery.
MeSH term(s)	Male ; Humans ; Middle Aged ; Rectal Neoplasms/drug therapy ; Rectal Neoplasms/surgery ; Rectal Neoplasms/pathology ; Rectum/pathology ; Rectum/surgery ; Laparoscopy/methods ; Rectal Diseases/surgery ; Proctectomy
Language	Japanese
Publishing date	2024-02-01
Publishing country	Japan
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	604842-0
ISSN	0385-0684
ISSN	0385-0684
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Article ; Online: Successful Radiograph-guided Bronchial Occlusion With Silicon Spigots for Bronchobiliary Fistula.

Sakai, Takashi / Honda, Takeshi / Matsutani, Noriyuki / Kawamura, Masafumi

The Annals of thoracic surgery

2021 Volume 114, Issue 3, Page(s) e193–e195

Abstract: Bronchobiliary fistulas (BBFs), defined as abnormal connections between a bronchus and the bile duct, are rare. Bronchial occlusion with silicon spigots under radiographic guidance is a good alternative means of treating a BBF when surgical intervention ... ...

Abstract	Bronchobiliary fistulas (BBFs), defined as abnormal connections between a bronchus and the bile duct, are rare. Bronchial occlusion with silicon spigots under radiographic guidance is a good alternative means of treating a BBF when surgical intervention is considered too risky. A 60-year-old man had a diagnosis of intrahepatic cholangiocarcinoma and underwent chemotherapy. Obstructive jaundice developed and was treated with percutaneous transhepatic cholangiography drainage (PTCD). Subsequent bronchoscopy with contrast medium through the PTCD tube enabled identification of a BBF and the responsible bronchus, which was occluded with silicon spigots. There were no complications after this procedure.
MeSH term(s)	Biliary Fistula/diagnostic imaging ; Biliary Fistula/surgery ; Bronchial Fistula/diagnostic imaging ; Bronchial Fistula/surgery ; Cholangiography/methods ; Drainage/methods ; Humans ; Male ; Middle Aged ; Silicon
Chemical Substances	Silicon (Z4152N8IUI)
Language	English
Publishing date	2021-12-28
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	211007-6
ISSN	1552-6259 ; 0003-4975
ISSN (online)	1552-6259
ISSN	0003-4975
DOI	10.1016/j.athoracsur.2021.11.056
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Article: Effect of preoperative pregabalin in video-assisted thoracoscopic surgery.

Matsutani, Noriyuki / Seki, Nobuhiko

Journal of thoracic disease

2018 Volume 10, Issue Suppl 33, Page(s) S4028–S4030

Language	English
Publishing date	2018-10-22
Publishing country	China
Document type	Editorial ; Comment
ZDB-ID	2573571-8
ISSN	2077-6624 ; 2072-1439
ISSN (online)	2077-6624
ISSN	2072-1439
DOI	10.21037/jtd.2018.09.82
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Article ; Online: Positive Intrapleural Pressure with Carbon Dioxide May Limit Intraoperative Pulmonary Arterial Bleeding: Verification by Animal Model.

Asami, Momoko / Kanai, Eiichi / Yamauchi, Yoshikane / Saito, Yuichi / Matsutani, Noriyuki / Kawamura, Masafumi / Sakao, Yukinori

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia

2022

Abstract: Purpose: Intraoperative complications, especially unexpected bleeding, are of great concern in the safety of thoracoscopic surgery. We investigated the hemostatic efficacy and safety of positive intrapleural pressure (PIP) with carbon dioxide ... ...

Abstract	Purpose: Intraoperative complications, especially unexpected bleeding, are of great concern in the safety of thoracoscopic surgery. We investigated the hemostatic efficacy and safety of positive intrapleural pressure (PIP) with carbon dioxide insufflation by assessing the amount of blood loss in a pulmonary arterial hemorrhage model. Methods: An ex vivo experimental model of saline flow into a swine vessel was created in a container simulating a chest cavity. From the results, in vivo experiments (swine model) were conducted to compare the pulmonary arterial bleeding volume while applying PIP. Results: In the ex vivo experiment, regardless of the incision type, the outflow volumes did not significantly differ at flow pressures of 20, 30, and 40 mmHg. At each flow pressure, the outflow volumes at 10, 15, and 20 mmHg of positive pressure in the container were significantly smaller than those of the control (p = 0.027, p = 0.002, and p = 0.005, respectively). Similarly, the in vivo experiments showed that bleeding decreased as intrapleural pressure increased (slope = -0.22, F = 55.13, p <0.0001). Conclusion: It may be possible to temporarily suppress pulmonary arterial bleeding by increasing the intrapleural pressure to 10 to 20 mmHg using carbon dioxide insufflation. This method may be an adjunctive hemostatic maneuver for intraoperative bleeding.
Language	English
Publishing date	2022-08-25
Publishing country	Japan
Document type	Journal Article
ZDB-ID	2019756-1
ISSN	2186-1005 ; 1341-1098
ISSN (online)	2186-1005
ISSN	1341-1098
DOI	10.5761/atcs.oa.22-00104
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Article: [A Case of Long-Term Survival Achieved by Multimodal Treatments for Postoperative Lung Metastasis and Mediastinal Lymph Node Metastasis after Surgery for Ascending Colon Cancer].

Sugiura, Kota / Takashima, Junpei / Koizumi, Ayaka / Shigehara, Fumi / Yamazaki, Kenji / Sugimoto, Hitoshi / Fujimoto, Daisuke / Miura, Fumihiko / Taniguchi, Keizo / Matsutani, Noriyuki / Kobayashi, Hirotoshi

Gan to kagaku ryoho. Cancer & chemotherapy

2024 Volume 50, Issue 13, Page(s) 1650–1652

Abstract: A 52-year-old male patient with Stage Ⅲc ascending colon cancer underwent laparoscopic right hemicolectomy with D3 lymph node dissection. Adjuvant chemotherapy was administered for 6 months, and no recurrence was observed during the follow-up period. ... ...

Abstract	A 52-year-old male patient with Stage Ⅲc ascending colon cancer underwent laparoscopic right hemicolectomy with D3 lymph node dissection. Adjuvant chemotherapy was administered for 6 months, and no recurrence was observed during the follow-up period. Left lung metastasis was detected and surgically removed 7 years after the initial surgery. He underwent open partial small bowel resection with lymph node dissection when mesenteric lymph node metastasis was identified 2 years later. Although chemotherapy was conducted on the identification of mediastinal lymph node metastasis 2 years later, the mediastinal lymph nodes increased. Although attempted, lymph node dissection was impossible because of the strong adhesion to the trachea. Subsequently, chemotherapy and radiation therapy were administered. However, an infiltration of the mediastinal lymph nodes into the trachea was observed. The patient underwent bronchoscopic laser tumor ablation. The patient died 4 months after the resumption of chemotherapy(18 years after the initial surgery). Mediastinal lymph node recurrence after curative resection for colon cancer is a rare clinical condition. Nevertheless, long-term survival could be achieved by multimodal treatments in such patients.
MeSH term(s)	Male ; Humans ; Middle Aged ; Lymphatic Metastasis/pathology ; Colon, Ascending/surgery ; Colonic Neoplasms/pathology ; Lymph Nodes/pathology ; Lung Neoplasms/surgery ; Lung Neoplasms/drug therapy ; Lymph Node Excision ; Chemotherapy, Adjuvant
Language	Japanese
Publishing date	2024-02-01
Publishing country	Japan
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	604842-0
ISSN	0385-0684
ISSN	0385-0684
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Article: [A Case of pagetoid Carcinoma of the Breast with Pathological Complete Response by Neoadjuvant Chemotherapy].

Koizumi, Ayaka / Sugimoto, Hitoshi / Shigehara, Fumi / Takashima, Jumpei / Yamazaki, Kenji / Fujimoto, Daisuke / Miura, Fumihiko / Taniguchi, Keizo / Matsutani, Noriyuki / Takahashi, Mikiko / Kobayashi, Hirotoshi

Gan to kagaku ryoho. Cancer & chemotherapy

2024 Volume 50, Issue 13, Page(s) 1677–1679

Abstract: We herein report a 63-year-old woman who presented with about 20 mm-sized mass in the right breast and the right nipple with erosion. Preoperative examinations revealed a diagnosis of HER2-type pagetoid carcinoma with axillary lymph node metastasis. ... ...

Abstract	We herein report a 63-year-old woman who presented with about 20 mm-sized mass in the right breast and the right nipple with erosion. Preoperative examinations revealed a diagnosis of HER2-type pagetoid carcinoma with axillary lymph node metastasis. After neoadjuvant chemotherapy(pertuzumab, trastuzumab, and docetaxel, followed by adriamycin and cyclophosphamide), a pathological complete response was achieved. The patient was treated with anti-HER2 therapy without recurrence.
MeSH term(s)	Female ; Humans ; Middle Aged ; Neoadjuvant Therapy ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Trastuzumab ; Docetaxel ; Carcinoma ; Breast Neoplasms/drug therapy ; Breast Neoplasms/surgery ; Receptor, ErbB-2
Chemical Substances	Trastuzumab (P188ANX8CK) ; Docetaxel (15H5577CQD) ; Receptor, ErbB-2 (EC 2.7.10.1)
Language	Japanese
Publishing date	2024-02-01
Publishing country	Japan
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	604842-0
ISSN	0385-0684
ISSN	0385-0684
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Article: [A Case of Robotic Abdominoperineal Resection for Rectal Cancer with Leriche Syndrome].

Ohnuki, Ayaka / Takashima, Junpei / Koizumi, Ayaka / Shigehara, Fumi / Yamasaki, Kenji / Fujimoto, Daisuke / Sugimoto, Hitoshi / Miura, Fumihiko / Taniguchi, Keizo / Matsutani, Noriyuki / Kobayashi, Hirotoshi

Gan to kagaku ryoho. Cancer & chemotherapy

2024 Volume 50, Issue 13, Page(s) 1869–1871

Abstract: We report a case of robotic abdominoperineal resection for rectal cancer with Leriche syndrome. Case: A 75-year-old male. Colonoscopy, which was performed due to persistent diarrhea, revealed type 2 lower rectal circumferential tumor. Pathological ... ...

Abstract	We report a case of robotic abdominoperineal resection for rectal cancer with Leriche syndrome. Case: A 75-year-old male. Colonoscopy, which was performed due to persistent diarrhea, revealed type 2 lower rectal circumferential tumor. Pathological examination revealed adenocarcinoma. Computed tomography revealed no distant metastasis, and incidentally complete occlusion from the abdominal aorta to both common iliac arteries. He was diagnosed to rectal cancer(RbRaP, cT3N0M0, cStage Ⅱa)with Leriche syndrome. Therefore, robotic abdominoperineal resection(D3 dissection)was performed. There was no complication, and he was discharged 15 days after surgery. Postoperative pathological examination revealed pT3N1asM0, pStage Ⅲb.
MeSH term(s)	Male ; Humans ; Aged ; Robotic Surgical Procedures/methods ; Leriche Syndrome ; Treatment Outcome ; Rectal Neoplasms/surgery ; Rectal Neoplasms/pathology ; Proctectomy/methods
Language	Japanese
Publishing date	2024-02-01
Publishing country	Japan
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	604842-0
ISSN	0385-0684
ISSN	0385-0684
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