Publications by authors named "M Miguchi"
Objective: To investigate the incidence of male sexual dysfunction (SD) including erectile dysfunction (ErD) and ejaculatory dysfunction (EjD) after minimally invasive rectal cancer surgery.
Background: Male SD significantly affects post-rectal cancer surgery quality of life (QOL). Current assessments using the International Index of Erectile Function-5 are unsuitable for patients with reduced postoperative sexual activity, because it assumes sexual intercourse.
Article Synopsis
- The study investigates optimal colonoscopy surveillance intervals for Lynch syndrome cases by analyzing colorectal cancer incidence and precancerous lesions in a multicenter study conducted in Japan.
- Results show that advanced colorectal cancers are detected more frequently beyond a 2-year interval, with significant differences in detection rates between intervals.
- The findings suggest that regular colonoscopy surveillance within 2 years is crucial for early detection, with specific risk stratifications for different gene mutations indicating varying risks for subsequent colorectal cancers.
Article Synopsis
- The study investigated how preoperative gallbladder drainage affects surgical outcomes in patients with acute cholecystitis.
- A total of 221 patients were analyzed, comparing outcomes of those with no drainage, percutaneous drainage, and endoscopic drainage.
- Findings suggested that drainage method did not significantly influence operation time, blood loss, or complications, although the PTGBD group experienced longer hospital stays.
Article Synopsis
- Preoperative diagnosis of gallbladder amyloidosis can be challenging, but in this case, a patient showed symptoms like gallbladder dyskinesia that pointed towards this condition.
- A 59-year-old male with a history of multiple myeloma underwent imaging that revealed an enlarged gallbladder, and after further examination, he was diagnosed with gallbladder dyskinesia likely due to amyloidosis.
- The patient successfully underwent laparoscopic cholecystectomy, showing amyloid deposits upon histopathological examination, and was discharged without any recurrence of pain.