• Title/Summary/Keyword: kyushu

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The Impact of Obesity on the Use of a Totally Laparoscopic Distal Gastrectomy in Patients with Gastric Cancer

  • Oki, Eiji;Sakaguchi, Yoshihisa;Ohgaki, Kippei;Saeki, Hiroshi;Chinen, Yoshiki;Minami, Kazuhito;Sakamoto, Yasuo;Toh, Yasushi;Kusumoto, Testuya;Okamura, Takeshi;Maehara, Yoshihiko
    • Journal of Gastric Cancer
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    • v.12 no.2
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    • pp.108-112
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    • 2012

  • Purpose: Since a patient's obesity can affect the mortality and morbidity of the surgery, less drastic surgeries may have a major benefit for obese individuals. This study evaluated the feasibility of performing a totally laparoscopic distal gastrectomy, with intracorporeal anastomosis, in obese patients suffering from gastric cancer. Materials and Methods: This was a retrospective analysis of the 138 patients, who underwent a totally laparoscopic distal gastrectomy from April 2005 to March 2009, at the National Kyushu Cancer Center. The body mass index of 20 patients was ${\geq}25$, and in 118 patients, it was <25 kg/$m^2$. Results: The mean values of body mass index in the 2 groups were $27.3{\pm}2.2$ and $21.4{\pm}2.3$. Hypertension was significantly more frequent in the obese patients than in the non-obese patients. The intraoperative blood loss, duration of surgery, post-operative complication rate, post-operative hospital stay, and a number of retrieved lymph nodes were not significantly different between the two groups. Conclusions: Intracorporeal anastomosis seemed to have a benefit for obese individuals. Totally laparoscopic gastrectomy is, therefore, considered to be a safe and an effective modality for obese patients.

  • https://doi.org/10.5230/jgc.2012.12.2.108 인용 PDF KSCI

Current Status of the Diagnosis and Management of Pancreatic Neuroendocrine Tumors in Japan

  • Tetsuhide Ito;Masami Miki;Keijiro Ueda;Lingaku Lee;Ken Kawabe;Hisato Igarashi;Nao Fujimori;Kazuhiko Nakamura;Kohei Yasunaga;Robert T. Jensen;Takao Ohtsuka;Yoshihiro Ogawa
    • Journal of Digestive Cancer Research
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    • v.4 no.2
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    • pp.51-57
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    • 2016

  • The epidemiology of pancreatic neuroendocrine neoplasms (PNENs) in Asia has been clarified through epidemiological studies, including one conducted in Japan, and subsequently another in South Korea. As endoscopic ultrasonography (EUS) has become more widely accessible, endoscopic ultrasound-fine needle aspiration (EUS-FNA) has been performed in pancreatic tumors for which the clinical course was only monitored previously. This has enabled accurate diagnosis of pancreatic tumors based on the 2010 WHO classification; as a result, the number of patients with an accurate diagnosis has increased. Although surgery has been the standard therapy for PNENs, new treatment options have become available in Japan for the treatment of advanced or inoperable PNENs; of particular note is the recent introduction of molecular target drugs (such as everolimus and sunitinib) and streptozocin. Treatment for progressive PNENs needs to be selected for each patient with consideration of the performance status, degree of tumor differentiation, tumor mass, and proliferation rate. Somatostatin receptor (SSTR)-2 is expressed in many patients with neuroendocrine tumor. Somatostatin receptor scintigraphy (SRS), which can visualize SSTR-2 expression, has been approved in Japan. The SRS will be a useful diagnostic tool for locating neuroendocrine neoplasms, detecting distant metastasis, and evaluating therapy outcomes. In this manuscript, we review the latest diagnostic methods and treatments for PNENs.

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Hydrological aspects of a non-managed artificial forest watershed of Chamaecyparis obtuse Endl.

  • Otsuki, Kyoichi;Higashi, Tomohiro;Ide, Junichiro;Sato, Nobuhiro;Kume, Atsushi;Ogawa, Shigeru
    • Proceedings of the Korea Water Resources Association Conference
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    • 2003.05a
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    • pp.81-88
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    • 2003

  • In this report, we first introduce the plan of the Japanese Council of University Experimental Forests to establish Long-Term Forest Hydrological Network, and propose the cooperation between Japan Society of Hydrology and Water Resources (JSHWR) and Korean Water Resources Association (KWRA) to fulfill the plan. Then we introduce our hydrological researches conducted in a non-managed artificial forest watershed of Kyushu University Forests in 2002. Though hydrological phenomena have not sufnciently investigated, we introduce the hydrological aspects obtained in 2002 to initiate cooperative researches on Forest Ecosystems with KWRA.

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