Publications by authors named "Keiichi Shiokawa"

Article Synopsis
  • - Colonic varices, often linked to portal hypertension, are rare, and the presence of an arteriovenous fistula (AVF) in the inferior mesenteric artery (IMA) is even more uncommon, presenting unique diagnosis and treatment challenges.
  • - A 48-year-old man with a positive fecal occult blood test was found to have varices and suspected AVF in the IMA region; due to the risks of other interventions, a laparoscopic sigmoidectomy was performed successfully.
  • - This case highlights the need for surgical intervention in managing AVF and colonic varices in the IMA, especially when other treatments are risky and less effective, demonstrating a positive postoperative outcome through proper surgical techniques.
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Background/aim: Surgery for elderly patients with gastric cancer is becoming more common. However, the risk factors of the laparoscopic surgery for these patients are unknown, and thus it is difficult to determine appropriate treatments for such patients. The aim of this retrospective study was to clarify the risk factors for the treatment outcomes after laparoscopic gastrectomy in elderly patients.

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Purpose: Selected patients with initially unresectable colorectal cancer (CRC) and liver metastases undergo conversion surgery after appropriate chemotherapy. The prognosis of these patients is good, with some even cured of the disease. This retrospective, single-institution study analyzes the clinical importance of patient characteristics on the outcomes of conversion hepatectomy.

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Esophageal cancer is one of the malignant tumors with the poorest prognosis. Esophagectomy, which is the mainstay of curative-intent treatments, imposes excessive surgical stress on the patients, and postoperative morbidity and mortality rates after esophagectomy remain high. On the other hand, the number of survivors after esophagectomy for esophageal cancer is increasing due to recent improvements in surgical techniques and multidisciplinary treatments for this cancer.

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Background: Compared with open standard gastrectomy (OG), laparoscopic gastrectomy (LG) did not result in inferior disease-free survival for early-stage and locally advanced gastric cancer (AGC). However, whether LG for AGC in elderly patients is more beneficial than OG is unclear.

Methods: This study examined 458 patients with AGC.

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Background: In laparoscopic gastrointestinal surgery, the location of the tumor is identified mainly with marking methods, such as ink tattooing and intraoperative gastrointestinal endoscopy and marking with a metal clip followed by confirmation with intraoperative x-ray fluoroscopy. Each method has disadvantages, such as complexity, instability of ink sticks, and radiation exposure. Thus, a simple and less-invasive marking method is needed.

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