Publications by authors named "Kuniyo Sueyoshi"

Background: Early chest tube removal should be considered to enhance recovery after surgery. The current study aimed to provide a predictive algorithm for air leak episodes (ALE) and to create a knowledge base for early chest tube removal.

Methods: This retrospective study enrolled patients who underwent thoracoscopic anatomical pulmonary resections in our unit.

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Thoracoscopy under local anaesthesia is recommended for malignant tumours with negative pleural effusion cytology. Cryobiopsy from the visceral pleura by thoracoscopy under local anaesthesia can provide more diagnostic options for patients with thoracentesis-negative malignant effusions. Here we present the first case in which this technique was used.

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Article Synopsis
  • A 41-year-old woman had a cough and difficulty breathing, leading to the discovery of a tumor in the bronchus via bronchoscopy.
  • The tumor was identified as a typical carcinoid and required surgical removal of parts of the right main bronchus, right upper lobe bronchus, and intermediate bronchus.
  • After ensuring the bronchial stumps were free of cancer, the surgery involved reconnecting the bronchial tubes and covering the connection site with muscle tissue for support.
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Ingested sharp foreign bodies rarely migrate extraluminally into adjacent organs such as the pharynx, lungs, and liver. Herein, we report a case of fish bone ingestion where the foreign body followed a unique migration trajectory. Computed tomography revealed a fish bone extraluminally located in the aortopulmonary space in the left mediastinum and peri-esophageal pneumomediastinum.

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Article Synopsis
  • Thoracoscopic resection of the left upper lobe's anterior segment (S) is difficult due to complex anatomical structures and dissection planes.
  • A single-direction approach allows surgeons to work on the hilum from the front without cutting the interlobar fissure.
  • A series of cases and a surgical video show that this method is viable, especially when the lingular artery branches from the left pulmonary artery.
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The patient-derived xenograft (PDX) model is a versatile tool used to study the tumor microenvironment (TME). However, limited studies have described multi-tumor PDX screening strategies to detect hub regulators during cancer-stroma interaction. Transcriptomes of cancer (human) and stroma (mouse) components of 70 PDX samples comprising 9 distinctive tumor types were analyzed in this study.

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Introduction: Thoracoscopic surgery is performed for refractory or recurrent primary spontaneous pneumothorax (PSP). To reduce postoperative recurrence, additional treatment is occasionally adopted during surgery after bulla resection. However, the most effective method has not been fully elucidated.

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Article Synopsis
  • - Intrathoracic omental herniation is a type of esophageal hiatal hernia that mistakenly resembles a lipomatous tumor; it's an important condition to recognize for accurate diagnosis.
  • - A 72-year-old man had a mediastinal mass initially thought to be a lipomatous tumor for five years, but was later diagnosed as intrathoracic omental herniation using contrast-enhanced CT scans.
  • - Successful preoperative diagnosis allows for less invasive laparoscopic surgery and effective repair of the hernia, improving patient care and outcomes.
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The patient was a 64-year-old man with Type 3 advanced cancer in the upper body of the stomach. The preoperative tumor marker value of CA19-9 was abnormally high, but there was no proof of distant metastasis or peritoneal dissemination. The first operation was an exploratory laparotomy due to direct tumor invasion to the pancreas.

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A 68-year-old female with rectal cancer underwent low anterior resection with regional lymph node dissection. The final pathological diagnosis was Stage Ⅲa, and an adjuvant therapy(S-1)was provided for 6 months. One year after the surgery, an anastomotic recurrence was detected.

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