Publications by authors named "K Sugimachi"

Article Synopsis
  • Osteosarcopenia, a condition combining sarcopenia and osteopenia, is linked to poor survival rates in patients who have undergone biliary tract cancer (BTC) resection.
  • A study of 109 patients revealed that 28% had osteosarcopenia, which was associated with higher rates of lymph node metastasis and worse disease-free and overall survival outcomes.
  • The findings indicate that osteosarcopenia is an important prognostic factor for predicting adverse outcomes following BTC surgery.
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Article Synopsis
  • - The study investigates how splenic vein occlusion (SpVO) from pancreatic tumors affects surgical outcomes and complications in patients undergoing distal pancreatectomy (DP).
  • - Out of 124 patients analyzed, 20.8% had SpVO, leading to longer surgery times and more postoperative complications compared to those with open splenic veins.
  • - The findings suggest that understanding collateral circulation patterns can aid in better surgical planning to minimize complications related to left-sided portal hypertension caused by SpVO.
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Background And Purpose: In recent years, new systemic therapies have been developed for hepatocellular carcinoma (HCC). The aim of this study was to evaluate the prognosis of patients with unresectable HCC treated with R0 hepatectomy after systemic therapy.

Methods: Data from 27 patients who underwent hepatectomy for HCC after systemic therapy at six facilities were analyzed retrospectively.

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Introduction: Achieving an adequate surgical plane through optimal traction is crucial for liver parenchymal transection in minimally invasive liver surgery (MILS). MILS is more technically demanding than open liver surgery because of limited instrument mobility and the inability to use the surgeon's hand, potentially leading to iatrogenic injuries. The Pulley maneuver using barbed sutures has been used for laparoscopic hepatectomy; however, the sutures are single-use and may pass through the liver parenchyma, making it uneconomical and inflexible.

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Aim: Postoperative dysphagia after emergency abdominal surgery (EAS) in patients of advanced age has become problematic, and appropriate dysphagia management is needed. This study was performed to identify predictive factors of dysphagia after EAS and to explore the usefulness of swallowing screening tools (SSTs).

Methods: This retrospective study included 267 patients of advanced age who underwent EAS from 2012 to 2022.

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