Publications by authors named "H Makuuchi"
Background: The mortality rate of splenic artery aneurysm rupture is very high, and patients with aneurysms larger than 30 mm are recommended for treatment, regardless of the presence or absence of symptoms. We herein report a case of splenic artery aneurysm with an abnormal bifurcation that was treated with laparoscopic ligation of the splenic artery.
Case Presentation: A 51 year-old Japanese male was referred to our hospital because a splenic artery aneurysm was noted on abdominal echocardiography during a medical examination.
Background: Spontaneous mesenteric hematoma is a rare condition that is diagnosed when clinical and pathological findings do not identify an obvious causative disease. Various treatment options for spontaneous mesenteric hematoma exist; however, there are no clear treatment criteria. Herein, we report a case of spontaneous mesenteric hematoma that was successfully treated surgically and discuss the optimum treatment strategy based on similar cases.
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- Pancreaticoduodenectomy (PD) is a complex surgery, especially when dealing with vascular structures and tumors in patients who have had previous surgeries like esophageal cancer reconstruction.
- The case presented involves a 76-year-old man with pancreatic head cancer and median arcuate ligament syndrome (MALS), who had previously undergone gastric tube reconstruction.
- This unique surgical procedure utilized advanced imaging techniques to preserve blood flow to critical arteries, ensuring the patient's vascular integrity during and after the operation.
Background: Elderly gastric cancer patients (EGCPs) require treatment according to not just the stage of their cancer, but also to their general condition and organ function, and rather than full treatment, the appropriate amount of treatment is necessary.
Methods: A total of 425 patients who underwent gastrectomy for primary gastric cancer in our institution between April 2013 and March 2020 were classified by age into two groups: elderly patients (EP, age ≥ 80 years, n = 89); and younger patients (YP, age < 80 years, n = 336). The preoperative, intraoperative, and postoperative conditions of the two groups were then compared.
Background: Postoperative pancreatic fistulas (POPFs) occur after 20% to 30% of laparoscopic distal pancreatectomies. This study aimed to evaluate the clinical efficacy of laparoscopic distal pancreatectomy using triple-row staplers in preventing POPFs.
Methods: Between April 2016 and May 2023, 59 patients underwent complete laparoscopic distal pancreatectomies.