Publications by authors named "Kenichi Oshiro"

Background: The aim of this study was to evaluate the effect of staple height and rectal wall thickness on the development of an anastomotic leak after laparoscopic low anterior resection performed with the double stapling technique.

Methods: One hundred ninety-nine patients treated from 2013 to 2021 were enrolled. Patients were divided into two groups: those who developed an anastomotic leak (AL (+)) and those who did not (AL (-)).

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Article Synopsis
  • Pancreatojejunostomy (PJ) is a complex surgical procedure that currently lacks effective training programs outside the operating room, prompting the development of a structured teaching program for surgical residents and fellows.
  • The program includes a detailed manual breaking down the PJ procedure into twelve steps, along with simulation training using organ models and surgical instruments.
  • Results from a pilot study showed improved performance among fellows compared to residents, with faster completion times and higher skill assessment scores, while participants reported increased confidence in performing PJ after the training.
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Introduction: Internal hernias are rare after laparoscopic colorectal resections. We report a patient with an internal hernia through a defect in the transverse mesocolon following laparoscopic resection.

Presentation Of Case: A 52-year-old male underwent laparoscopic colectomy for transverse colon cancer and had an unremarkable postoperative course.

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Introduction: Having experienced the Tokyo subway sarin attack in 1995, Japan has established extremely strict rules on handling injured victims before they are sent to a hospital. As a result, it takes a long time before rescue actions are taken. This report aims to propose a reform to change the system that focuses on saving lives.

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An 18-year-old man presented after undergoing multiple investigations for abdominal pain. Retrograde double-balloon enteroscopy showed a protruding red lesion in the ileum with small ulcers, approximately 75 cm proximal to the ileocecal valve, resulting in an intussusception. An inverted Meckel's diverticulum was strongly suspected.

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Aim: Transporting critically ill patients outside of disaster-affected areas for treatment is an important activity of Japan Disaster Medical Assistance Teams (DMATs). We investigated whether this activity is possible after possible catastrophic damage from a Nankai Trough earthquake.

Methods: Japan was divided into three areas based on the level of predicted damage (definitely, possibly, and non-affected areas).

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This report outlines the need for the development of an advanced course in mass-casualty life support (MCLS) and introduces the course content. The current problems with education on disasters involving chemical agents, biological agents, radiation/nuclear attacks, or explosives (CBRNE) in Japan are presented. This newly developed "MCLS-CBRNE" program was created by a Ministry of Health, Labour, and Welfare (Tokyo, Japan) research group based on these circumstances.

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