Publications by authors named "Norihiko Furusawa"
Background: Surgical site infection (SSI) is a common complication of gastrointestinal surgery. Olanexidine gluconate (OLG) is a novel skin antiseptic that is effective against a wide range of bacteria. The purpose of this study was to evaluate the bactericidal efficacy of OLG in gastrointestinal cancer surgery.
View Article and Find Full Text PDFBackground: Horseshoe kidney is a congenital malformation in which the bilateral kidneys are fused. It is frequently complicated by other congenital malformations and is often accompanied by anomalies of the ureteropelvic and vascular systems, which must be evaluated to avoid iatrogenic injury. We report a case of laparoscopic high anterior resection of rectosigmoid colon cancer associated with a horseshoe kidney using preoperative 3D-CT angiography.
View Article and Find Full Text PDFArticle Synopsis
- The study aims to determine how pancreatic signal intensity (SI) on MRI can predict the likelihood of developing pancreatic fistula (PF) after distal pancreatectomy (DP) using a triple-row stapler closure.
- Researchers used multivariate logistic regression to analyze risk factors for clinical PF in 41 patients, finding a significant connection between pancreatic thickness and SI ratio.
- Results indicated that a thick pancreas (≥15 mm) and a high SI ratio (≥1.3) are strong predictors for clinical PF, with the predictive model showing an area under the curve of 0.87, suggesting the SI ratio could be a valuable tool in this context.
Background: Among the intrahepatic bile ducts, the biliary system of the left medial sectional bile duct (B4) is known to have relatively complex patterns.
Methods: The records of 500 patients who had been diagnosed as having hepato-pancreatico-biliary disease were retrospectively studied for anatomical biliary variations of the left liver with special reference to the drainage system of B4 using magnetic resonance images.
Results: The left hepatic duct was present in 494 patients (98.
Purpose: The aim of this study was to construct a prediction model for posthepatectomy liver failure (PHLF), as defined by the International Study Group of Liver Surgery, and evaluate its accuracy in hepatocellular carcinoma (HCC) patients with cirrhosis or chronic hepatitis.
Methods: A total of 277 consecutive hepatectomies for HCC between 2005 and 2013 were analyzed retrospectively. Multivariate logistic regression analysis was used to develop a predictive model for PHLF.
Background: The purpose of this study was to analyze the influence of age on both the risk of hepatectomy and the prognosis in patients with hepatocellular carcinoma (HCC).
Methods: Patients undergoing an initial hepatectomy for HCC were classified into 2 age groups: 75 years or over (n = 113) and less than 75 years (n = 499).
Results: A zero 90-day mortality was achieved in the elderly.
Background: The present study evaluated whether the short- and long-term outcomes improved during our 23 years of experience treating 144 consecutive patients with hilar cholangiocarcinoma.
Methods: Patients treated between 1990 and 2000 (period 1; n = 70) were retrospectively compared with those treated between 2001 and 2012 (period 2; n = 74). Mortality and major complications were defined as any death occurring within 90 days of surgery and a grade III-IV complication according to the Clavien classification, respectively.
Article Synopsis
- The study aimed to determine if trends in serum alpha-fetoprotein (AFP) and des-gamma-carboxy prothrombin (DCP) levels are linked to survival rates in patients with recurrent hepatocellular carcinoma (HCC) receiving trans-catheter arterial chemo-embolization (TACE).
- A retrospective analysis was conducted on 142 patients, categorizing them based on pre- and post-treatment levels of AFP and DCP into low, decreased, and elevated groups.
- Results indicated that the trend in DCP was a strong independent predictor of survival, while AFP only correlated with overall response rates, suggesting DCP may be a better marker for evaluating treatment effectiveness after TACE.
Background: Although a right hepatectomy (RH) traditionally has been performed for liver tumors infiltrating the main trunk of the right hepatic vein (RHV), the presence of drainage veins of the posterior section (DVPS) beside the RHV provides a chance to preserve their draining area even if the main trunk of the RHV is removed.
Methods: Since 2005, we systematically have performed DVPS-preserving hepatectomies whenever possible. In the present study, we describe our experience treating 12 consecutive patients who underwent this procedure.