Publications by authors named "Atsuro Takimoto"
Article Synopsis
- This study compared long-term urinary outcomes after two surgical methods—laparoscopic-assisted anorectoplasty (LAARP) and posterior sagittal anorectoplasty (PSARP)—in patients with anorectal malformations (ARM).
- Out of 45 patients treated from 2001 to 2022, those in the LAARP group experienced remnant fistulas and neurogenic bladder dysfunction, while PSARP patients had issues like urethral injury; all complications were managed effectively.
- Key findings suggest that preoperative assessments, especially regarding rectourethral anatomy, and careful surgical techniques are crucial in minimizing complications, particularly those linked to underlying spinal anomalies.
Article Synopsis
- Intrahepatic bile duct stones are common complications after Roux-en-Y hepaticojejunostomy for congenital biliary dilatation, with a study reporting these problems in 10.2% of patients.
- The treatment methods used included oral ursodeoxycholic acid (UDCA), double-balloon endoscopic retrograde cholangiography (DB-ERC), percutaneous cholangio-drainage (PTCD), and open surgery, with varying success rates and complications.
- While UDCA may help small stones, DB-ERC has limitations, and open surgery is sometimes necessary, highlighting the importance of early detection and management for better outcomes.
An 84-year-old man on hemodialysis was referred to our department for an advanced gastric cancer with pyloric stenosis. Pre-operative CT showed thickening of the stomach wall at the primary lesion and regional lymph node metastasis, while no clear peritoneal metastasis was found. However, we found peritoneal disseminations during the operation, so gastrojejunal bypass was performed.
View Article and Find Full Text PDFIn general, gastrojejunal bypass is performed for unresectable gastric cancers with stenosis. It enables patients to take food and be discharged from the hospital earlier. Previously, we used to primarily perform open gastrojejunal bypass; however, recently, we perform laparoscopic gastrojejunal bypass because it is minimally invasive.
View Article and Find Full Text PDF