Publications by authors named "Y Shioaki"
Background: Although the dissected lymph node number in remnant gastric cancer (RGC) may be smaller than in primary proximal gastric cancer (PGC), altered lymphatic flow provides different metastatic patterns in lymph nodes, which could potentially give rise to prognostic differences between RGC and PGC with nodal metastasis.
Methods: Between 1993 and 2020, 2546 consecutive patients with gastric cancer underwent gastrectomy. Of these, 53 patients with RGC and 381 patients with PGC with pathologic TNM stage I-III gastric cancer underwent curative gastrectomy.
The aim of this study was to investigate the short-term outcomes of surgery for colorectal cancer(CRC)in the elderly aged over 90 years old. We retrospectively analyzed 1,043 patients with stage Ⅰ-Ⅳ CRC who underwent curative surgery in our institutions between 2013 and 2022. The patients were divided into the super older(aged ≥90 years, 20 patients) and non-super older groups(aged 80-89 years, 243 patients).
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- The study investigated how postoperative complications affect outcomes in older (≥80 years) versus non-older (<80 years) colorectal cancer patients after surgery.
- The analysis included 760 patients and found that while severe complications were equally likely in both age groups, older patients with such complications had significantly worse cancer-specific survival rates.
- The results suggest that severe complications are a stronger predictor of poor prognosis in older patients with colorectal cancer compared to their younger counterparts.
We investigated the safety and efficacy of UDON(5-FU, docetaxel and nedaplatin), a similar DCF therapy, as neoadjuvant chemotherapy for advanced esophageal cancer. Twelve patients who underwent radical esophagectomy after neoadjuvant chemotherapy for esophageal cancer at our department from June 2021 to December 2022 were retrospectively evaluated. One patient had Grade Ⅲ or higher neutropenia(8%)and 2 patients had anorexia(15%)as adverse events, but they could be safely treated.
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- A 72-year-old man with advanced gastric cancer and pyloric stenosis experienced gastric outlet obstruction and malnutrition.
- He underwent successful neoadjuvant chemotherapy alongside enteral feeding using a W-ED® tube, which improved his nutritional status.
- Following the treatment, he had a robot-assisted distal gastrectomy (D2) and Billroth II reconstruction, highlighting the effectiveness of the W-ED® tube in managing nutrition for such patients.