Publications by authors named "Takafumi Shima"

Aim: Many studies have revealed the benefits of robotic surgery for rectal cancer; however, real-world data are insufficient. This study aimed to compare the short-term outcomes and perioperative costs of laparoscopic and robotic surgery for rectal cancer using a real-world database.

Methods: The data of patients who underwent laparoscopic or robotic surgery for rectal cancer between January 2018 and January 2021 from a nationwide Japanese inpatient database provided by Medical Data Vision Co.

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Gastrointestinal stromal tumor (GIST) is the most prevalent mesenchymal tumor of the digestive tract. Its growth is primarily influenced by mutations in KIT or PDGFRA. Surgery is the primary treatment option for GIST; however, KIT inhibitors, such as imatinib, are used for inoperable cases.

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Article Synopsis
  • A 69-year-old man with descending colon cancer and metastasis to the lymph nodes underwent surgery to remove the primary tumor.
  • After surgery, he began chemotherapy with mFOLFOX6 and panitumumab but faced severe side effects that necessitated changes in his treatment plan.
  • 18 months post-chemotherapy initiation, he achieved complete remission and has remained cancer-free for over 2.5 years after finishing treatment.
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Robotic surgery rates, typified by the use of the da Vinci Surgical System, have increased in recent years. However, robotic surgery is mostly performed in large hospitals and has not been fully implemented in small hospitals. Therefore, we aimed to verify the feasibility of robotic surgery in small hospitals and verify the number of cases in which perioperative preparation for robotic surgery is stable by creating a learning curve in small hospitals.

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Article Synopsis
  • The report discusses a rare case of simultaneous colonic metastasis in a 78-year-old woman diagnosed with advanced gastric cancer, presenting with nausea and epigastric pain.
  • During examinations, both gastric and colonic tumors were found to be poorly differentiated adenocarcinoma with signet ring cell carcinoma features.
  • The authors suggest that thorough screening, including colonoscopy, should be considered for advanced gastric cancer patients to identify any potential metastases, as this could improve prognosis.
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Article Synopsis
  • - Acryloyl chloride is a toxic substance that can lead to serious respiratory issues, specifically acute respiratory distress syndrome (ARDS), with no established treatments documented before this case.
  • - A 36-year-old man accidentally inhaled acryloyl chloride, presenting with breathing difficulties, low oxygen levels, and was diagnosed with ARDS, requiring intensive care.
  • - The patient was treated with high-flow nasal cannula and medications, later switching to methylprednisolone; he improved and was discharged after 8 days without needing intubation.
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Introduction And Importance: Ventral hernial repair extensively requires the use of surgical meshes to cover the abdominal wall. Patients with a history of laparoscopic ventral hernial repair are predisposed to secondary mesh infections. However, strategies to avoid these mesh infections have not yet been reported.

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Imatinib mesylate (imatinib) is the primary agent of choice used to treat gastrointestinal stromal tumors (GIST). However, drug resistance to imatinib poses a major obstacle to treatment efficacy. In addition, the relationship between imatinib resistance and glycolysis is poorly understood.

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Introduction: Laparoscopic liver resection (LLR) in obese patients has been reported to be particularly challenging owing to technical difficulties and various comorbidities.

Methods: The safety and efficacy outcomes in 314 patients who underwent laparoscopic or open nonanatomical liver resection for colorectal liver metastases (CRLM) were analyzed retrospectively with respect to the patients' body mass index (BMI) and visceral fat area (VFA).

Results: Two hundred and four patients underwent LLR, and 110 patients underwent open liver resection (OLR).

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Delta-like 3 (DLL3) is a member of the Delta/Serrate/Lag2 (DSL) group of Notch receptor ligands. Five DSL ligands are known in mammals, among which DLL3 has a unique structure. In the last few years, DLL3 has attracted attention as a novel molecular targeting gene in neuroendocrine carcinoma of the lung due to its high expression.

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Background: Dissemination of lung cancer to cutaneous sites usually results in a poor prognosis. Pulmonary lymphoepithelioma-like carcinoma (PLELC) is a rare tumor, and no therapeutic strategy for it has yet been established. We present herein an extremely rare case of a long-term surviving patient with PLELC showing subcutaneous metastasis.

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Rationale: Nonocclusive mesenteric ischemia (NOMI) is a life-threatening disorder; prompt diagnosis is vital. Surgical treatment is often required, but some cases can be treated conservatively. We herein report an extremely rare case wherein protein-losing enteropathy (PLE) developed after conservative treatment of NOMI.

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Background: A sarcoid reaction is a phenomenon characterized by histologically proven granulomatous lesions without evidence of sarcoidosis. This pathology is a benign tumor itself, but several reports have described sarcoid reactions accompanying malignant tumors. Sarcoid reactions occur in various cancers, such as skin, lung, ovary, stomach, and breast cancers.

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