Publications by authors named "Toshimitsu Maki"

Article Synopsis
  • The study reviewed cases of Toxic Megacolon (TM) treated at a single center from 1985 to 2020, focusing on surgical timing and techniques.
  • Key diagnostic criteria, including Narabayashi's guidelines and SIRS, were validated, revealing that many patients met these indicators for toxemia and sepsis.
  • Results showed a high mortality rate (50%) for patients with intestinal perforation, emphasizing the need for early recognition and surgical intervention in TM cases.
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Background/aim: Self-expandable metallic stent (SEMS) placement is becoming the standard bridge-to-surgery (BTS) strategy for potentially curable left-sided obstructive colorectal cancer (OCRC). The study objective was to evaluate the effectiveness of SEMS placement as a BTS strategy for both right- and left-sided OCRC.

Patients And Methods: We retrospectively compared the short- and long-term outcomes of patients with OCRC who underwent placement of a SEMS versus a trans-nasal/anal decompression tube (DCT).

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Purpose: The current study summarized the clinical course and treatment outcomes of intestinal cancer in CD seen in our department and explored the steps to take in the future.

Methods: Subjects were patients who had been diagnosed with CD at our hospital and who underwent surgery in our department from 1985 to 2020.

Results: Thirty-one patients had CD and intestinal cancer, including 6 with cancer of the small intestine and 25 with cancer of the large intestine.

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Article Synopsis
  • A 77-year-old woman developed a dilated main pancreatic duct after gastric cancer surgery, which led to the discovery of a low-grade tumor called an intraductal papillary mucinous neoplasm.
  • To treat this condition while preserving her stomach, she underwent a laparoscopic distal pancreatectomy that preserved blood flow to her remaining stomach due to careful surgical techniques.
  • The surgery was successful with minimal blood loss, and her recovery was smooth, highlighting the effectiveness of this approach for patients with similar medical histories.
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