Publications by authors named "Sohei Akuta"
Background: The Senhance digital laparoscopic system (Senhance) is a surgical robot approved for use in Japan after the da Vinci system. Our institution was the first to introduce this system, which has been used primarily for gastrointestinal surgery. Featuring tactile feedback, eye-movement-controlled camera operation, stereoscopic vision, and magnification, the short-term postoperative outcomes of the Senhance in abdominal surgery have been documented.
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- This study investigated the use of amylase levels in drainage fluid (DFA) to detect anastomotic leakage (AL) early and non-invasively in patients undergoing low anterior resection (LAR) for rectal cancer.
- The study analyzed drainage fluid samples from 120 patients post-surgery, finding that DFA levels were significantly higher in those with AL, particularly on postoperative days 3 and 5.
- The results indicated that DFA levels on day 5 offered excellent diagnostic accuracy for detecting AL, with high sensitivity and specificity, suggesting that this method could be a simple and cost-effective way to detect complications early in these patients.
A 65-year-old man presented to our hospital with complaints of diarrhea. Computed tomography showed a fistula with the small intestine, and a single incision laparoscopic low anterior resection for rectum with D3 dissection and partial resection of the small intestine were performed. Lymph node dissection, including a part of the inflow vessel area, was also performed because lymph node swelling was observed in the mesentery of the small intestine around the fistula.
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