Publications by authors named "A Fujinaga"
Currently, neoadjuvant chemotherapy (NAC) is usually performed even for resectable pancreatic ductal adenocarcinoma (rPDAC). The present study investigated the benefits of NAC with gemcitabine plus S-1 for rPDAC. The medical records of 170 patients diagnosed as having rPDAC based on preoperative imaging were reviewed retrospectively.
View Article and Find Full Text PDFEpiphrenic esophageal diverticulum is rare and often associated with abnormalities of esophageal motility. Here, we report a case of a patient diagnosed with high-resolution manometry as having epiphrenic esophageal diverticulum with esophagogastric junction outflow obstruction, which were successfully treated with laparoscopic transhiatal surgery. A 59-year-old woman presented to our hospital for treatment of a symptomatic epiphrenic esophageal diverticulum.
View Article and Find Full Text PDFArticle Synopsis
- Health economic evaluation is crucial for efficiently allocating healthcare resources, particularly in Japan, where a cost-effectiveness evaluation system for drugs was introduced in 2019 but not yet fully applied to medical procedures.
- Cancer care presents unique challenges for health economic evaluation due to the invasive nature of surgical treatments, which can lead to variable complications and costs, highlighting the need for collaboration with medical affairs.
- Quality of life (QOL) surveys are essential for assessing the impacts of surgical treatments on patients, yet there is a lack of large-scale studies in Japan, especially for cancer patients, signaling a need for future research in this area.
Background: Although findings from drip infusion cholangiography with computed tomography (DIC-CT) are useful in preoperative anatomic evaluation for laparoscopic cholecystectomy (LC), their relationship with intraoperative surgical difficulty based on the difficulty score (DS) proposed by Tokyo Guidelines 2018 is unclear. We examined this relationship.
Methods: Data were collected from 202 patients who underwent LC for benign gallbladder (GB) disease with preoperative DIC-CT in our department.
Background: A stapler is usually used for transection and closure of the pancreas in distal pancreatectomy (DP) or central pancreatectomy (CP). When the pancreas is transected to the right of the portal vein, it is difficult to use a stapler and clinically relevant postoperative pancreatic fistula (CR-POPF) frequently occurs. We report on the efficacy of pancreaticojejunostomy (PJ) of the pancreatic stump for patients in whom stapler use is difficult.
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