Publications by authors named "Gakuto Tani"
Introduction: This study aimed to compare the safety and efficacy of laparoscopic percutaneous extraperitoneal closure (LPEC) and conventional open repair (OR) for inguinal hernia in infants younger than 6 months.
Methods: The medical records of 202 patients who had undergone LPEC or OR at an age younger than 6 months between 2010 and 2016 were reviewed. Patient characteristics and surgical outcomes were compared between LPEC and OR.
Background: Enteric glial cells are essential for normal gastrointestinal function. Abnormalities in glial structure, development, or function lead to disturbances in gastrointestinal physiology. Fatty acid-binding protein 7 (FABP7) is a marker of immature enteric glial cells, whereas S100 is expressed only by mature glial cells.
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- The study focused on understanding the factors that contribute to parenteral nutrition-associated liver disease (PNALD) in extremely low-birthweight infants (ELBWI) who needed parenteral nutrition due to severe digestive conditions.
- Researchers examined 13 ELBWI from 2000 to 2013, assessing biochemical markers and liver tissue for changes related to PNALD, categorizing them into those who developed liver damage (F+) versus those who did not (F-).
- The findings showed that prolonged fasting during treatment led to severe liver damage in some infants, resulting in high mortality rates, while highlighting significant differences in fasting times between the groups.
Article Synopsis
- A study was conducted to evaluate the effects of strong acid electrolyzed water (SAEW) versus saline on treating perforated appendicitis in children, following promising results from earlier research on rats.
- The study involved 44 patients aged 3-14, divided into two groups: one receiving saline and the other receiving SAEW for peritoneal lavage and wound wash.
- Results showed that SAEW had no adverse effects and significantly reduced the incidence of surgical site infections compared to saline, although both treatments had similar outcomes for bacterial reduction and other health markers.
Article Synopsis
- - The study aimed to identify factors that predict the outcomes of biliary atresia (BA) following Kasai's operation, reviewing 54 cases over two decades.
- - Patients were split into two groups: those who needed liver transplants or died (Group I) and those who survived with their native liver (Group II), with significant differences noted in liver enzyme levels between the groups after surgery.
- - Key indicators for long-term success were found to be direct bilirubin (DB) and aspartate aminotransferase (AST) levels at 2 months post-surgery, with a notable survival rate difference among groups categorized by these levels.
Article Synopsis
- The study investigates how cow's milk allergy (CMA) affects infants who have Hirschsprung's disease (HD).
- It involved 24 infants who had gastrointestinal symptoms early on and looked at two groups: one without CMA and one with possible CMA based on specific medical tests.
- The results indicated that infants with possible CMA experienced more instances of postoperative enterocolitis, suggesting CMA could be a risk factor for this condition in HD patients.
Purpose: To clarify the significance of intrahepatic cystic lesions (ICLs) after Kasai procedure for biliary atresia (BA), we reviewed the BA patients with special reference to the shape of ICLs.
Methods: For the last two decades, 75 cases have been followed up at our institution. The patients were divided into two groups: ICLs (+) with ICL and ICLs (-) without ICL.
Purpose: The purpose of this study was to clarify the current status and the problems associated with using medical information on the internet during pregnancy in patients prenatally diagnosed with fetal abnormalities at a single Japanese institution.
Methods: A written, anonymous questionnaire survey was conducted in 155 pregnant patients who had been prenatally diagnosed as having neonatal surgical diseases between January 2000 and December 2009, and their families.
Results: Forty-three out of the 75 responding families (57.
Purpose: The purpose of the present study was to evaluate the prognostic factors and review the outcome of primary isolated fetal ascites.
Methods: A retrospective cohort study was conducted for fetuses with primary isolated ascites with a prenatal diagnosis between 1994 and 2009. The patients were divided into the favorable group (Group I) whose ascites were resolved by medical treatment alone and an unfavorable group (Group II) who required surgical intervention after birth due to refractory ascites.
Background/purpose: The termination of pregnancy because of fetal abnormalities in Japan has not been described. The aim of the present study was to analyze the current status and to evaluate the medical and ethical relevance in our institution for negative treatment decision-making for fetuses demonstrating neonatal surgical disease with a prenatal diagnosis.
Materials And Methods: The medical records of 209 fetuses with a prenatal diagnosis from 1999 to 2008 were retrospectively reviewed.
Purpose: This study analyzed the inside appearance of the trachea and the main bronchus at the time of performing the Nuss procedure to test the hypothesis that the trachea and the main bronchus might be deformed by compression from great vessels due to sternal depression.
Methods: A retrospective cohort study included 36 patients with pectus excavatum, who were treated using the Nuss procedure between July 2001 and December 2009. The primary outcome measures were the oblateness of the trachea and bilateral main bronchus.
In the few surviving cases of tracheal agenesis, infants have not been capable of oral intake because the esophagus was used as a substitute for the trachea. We performed a three-stage reconstruction of the airway and alimentary tract in an infant with tracheal agenesis. This procedure involved a double cervical esophagostomy followed by an anastomosis of the upper mid-esophagus and carinal trachea.
View Article and Find Full Text PDFPurpose: Tissue-engineered cartilage may offer a solution for the treatment of serious airway disease. This study developed a novel procedure to fabricate a scaffold-free cylindrical cartilage under in vitro conditions, while also evaluating the effect of a dynamic culture on the engineered construct.
Methods: Auricular chondrocytes were harvested from New Zealand white rabbits and cultivated under high-density conditions to form a chondrocyte sheet.
Total laparoscopic excision of retroperitoneal ganglioneuroma using the hanging method and a vessel-sealing device.
J Laparoendosc Adv Surg Tech A
October 2008
An 11-year-old girl presented with a homogeneous right retroperitoneal tumor 5 cm in diameter. Nonfunctioning benign neurogenic tumor was suspected, and a laparoscopic resection was performed. The inferior vena cava ran just behind the tumor, and there were small vessels between the tumor and inferior vena cava.
View Article and Find Full Text PDFBackground/purpose: Percutaneous endoscopic gastrostomy has become a common technique to provide nutritional support to handicapped children with swallowing disorders; however, this technique is sometimes associated with serious complications. We report a novel method of 1-trocar laparoscopy-aided gastrostomy with special reference to its influence on gastroesophageal reflux (GER).
Methods: The subjects consisted of 22 profoundly handicapped children, aged from 1 to 14 years (median, 7 years).