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Surgery Today OnlineFirst articles

14-05-2024 | Short Communication

Development of a laparoscopic sigmoidectomy simulator: Sigmaster

The sigmoid colon simulator was designed to accurately reproduce the anatomical layer structure and the arrangement of characteristic organs in each layer, and to have conductivity so that energy devices can be used. Dry polyester fibers were used …

Authors:
Takahiro Shigaki, Hiro Hasegawa, Koichi Teramura, Nobuyoshi Takeshita, Koji Ikeda, Yuichiro Tsukada, Yuji Nishizawa, Takeshi Sasaki, Masaaki Ito

13-05-2024 | Original Article

Inter-prefectural and urban–rural regional disparities in lung cancer surgery: a Japanese nationwide population-based cohort study from 2017 to 2019

Lung cancer (LC) is a major public health concern worldwide [ 1 ]. Age-adjusted LC incidence rates have started to decrease in the United States and other Western countries with the implementation of comprehensive tobacco control programs [ 1 ].

Authors:
Masamitsu Kido, Satoru Okada, Naoyuki Takashima, Luying Yan, Atsuki Uchibori, Koji Sensaki, Tetsuo Kido, Masayoshi Inoue

12-05-2024 | Cholecystectomy | Original Article

Utilization of the modified Kama scoring system for predicting bail-out cholecystectomy: a valuable tool in the era of rising laparoscopic surgery prevalence

Laparoscopic cholecystectomy (LC) is a standard introductory procedure in abdominal surgery. The primary goal of LC in benign disease is to remove the gallbladder (GB) while avoiding injuring the adjacent organs. Bile duct injury (BDI) is one of …

Authors:
Ryota Ito, Ryuji Yoshioka, Yu Gyoda, Mamiko Miyashita, Ryoji Furuya, Masahiro Fujisawa, Fumihiro Kawano, Yoshinori Takeda, Hirofumi Ichida, Yoshihiro Mise, Akio Saiura

Open Access 11-05-2024 | Heart Transplantation | Review Article

How should cardiac xenotransplantation be initiated in Japan?

The world's first clinical cardiac xenotransplantation, using a genetically engineered pig heart with 10 gene modifications, prolonged the life of a 57-year-old man with no other life-saving options, by 60 days. It is foreseeable that …

Authors:
Shunsuke Saito, Shuji Miyagawa, Takuji Kawamura, Daisuke Yoshioka, Masashi Kawamura, Ai Kawamura, Yusuke Misumi, Takura Taguchi, Takashi Yamauchi, Shigeru Miyagawa

08-05-2024 | Rectal Cancer | Original Article

Robotic intersphincteric resection for low rectal cancer: a cumulative sum analysis for the learning curve

With the continuous advancement of medical technology, robot-assisted surgery has emerged as a crucial technique in colorectal cancer surgery. The da Vinci surgical system was approved for clinical application by the Food and Drug Administration …

Authors:
Yihuang Gao, Hongfeng Pan, Jiahong Ye, Haoyang Ruan, Weizhong Jiang, Pan Chi, Ying Huang, Shenghui Huang

08-05-2024 | Incisional Hernia | Original Article

Increased risk of incisional hernia after stoma closure in patients with colorectal cancer

Incisional hernia (IH) is one of the most common complications of colorectal cancer surgery [ 1 ]. The incidence of IH after colorectal cancer surgery is as high as 2–20% [ 2 – 6 ], and approximately 80–95% of IH cases occur within 6 months to 3 …

Authors:
Naoki Takada, Yasuhiro Takano, Atsuko Okamoto, Takafumi Nakano, Yuta Imaizumi, Hiroshi Sugano, Yasuhiro Takeda, Masahisa Ohkuma, Makoto Kosuge, Ken Eto

Open Access 06-05-2024 | Thymoma | Original Article

Surgical resection of advanced intrathoracic tumors through a combination of the hemiclamshell and transmanubrial approaches

Intrathoracic tumors are difficult to detect and often become large and invade the surrounding area. Surgical resection is the choice of treatment and complete resection improves the prognosis significantly [ 1 – 3 ]. Therefore, the surgical …

Authors:
Yudai Miyashita, Eriko Fukui, Hiroto Ishida, Toru Kimura, Takashi Kanou, Naoko Ose, Soichiro Funaki, Yasushi Shintani

Open Access 06-05-2024 | NSCLC | Original Article

The CONUT score is associated with the pathologic grade in non-small cell lung cancer

Non-small cell lung cancer (NSCLC) is the leading cause of cancer-related death worldwide. The 5-year overall survival (OS) rates for patients with pathological stage IA1/IA2/IA3/IB early-stage lung cancer are 90%, 85%, 80%, and 73%, respectively.

Authors:
Ken Onodera, Hirotsugu Notsuda, Tatsuaki Watanabe, Yui Watanabe, Takaya Suzuki, Takashi Hirama, Hisashi Oishi, Hiromichi Niikawa, Masafumi Noda, Yoshinori Okada

04-05-2024 | Peridural Anesthesia | Original Article

Prospective observational study comparing the perioperative outcomes of laparoscopic colectomy with or without epidural anesthesia: the Kanagawa Yokohama Colorectal Cancer Study Group (KYCC) 1806

In the perioperative period, adequate postoperative analgesia is necessary for both functional recovery and patient comfort. Epidural anesthesia (EDA) is recommended in the ERAS protocol for open colorectal resection, based on its provision of …

Authors:
Aya Kato, Masakatsu Numata, Shota Izukawa, Takashi Ohgimi, Hironao Okamoto, Yosuke Atsumi, Keisuke Kazama, Masahiro Asari, Koji Numata, Sho Sawazaki, Takuo Watanabe, Yo Mikayama, Teni Godai, Akio Higuchi, Hiroyuki Saeki, Shinsuke Hatori, Hiroyuki Mushiake, Satomi Matsumoto, Yasushi Rino, Aya Saito, Manabu Shiozawa

03-05-2024 | Thrombosis | Original Article

Proximal ligation technique prevents thrombus formation in the pulmonary vein stump after lobectomy

Because pulmonary lobectomy with lymph node dissection provides better local control and an improved survival, it is the gold standard for any primary non-small cell lung cancer (NSCLC) [ 1 – 3 ]. However, a variety of complications can occur after …

Authors:
Shin-nosuke Watanabe, Kazuhiro Imai, Masafumi Mitsui, Takashi Ono, Hiroshi Toda, Shinogu Takashima, Nobuyasu Kurihara, Ryo Demura, Tatsuki Fujibayashi, Yoshihiro Minamiya

Open Access 03-05-2024 | NSCLC | Original Article

Prognostic value of perioperative changes in the prognostic nutritional index in patients with surgically resected non-small cell lung cancer

Immunonutritional status has emerged as a significant prognostic indicator for patients with various types of malignant tumors and is believed to reflect their overall condition [ 1 – 6 ]. The prognostic nutritional index (PNI) is an …

Authors:
Kazuki Hayasaka, Hirotsugu Notsuda, Ken Onodera, Tatsuaki Watanabe, Yui Watanabe, Takaya Suzuki, Takashi Hirama, Hisashi Oishi, Hiromichi Niikawa, Yoshinori Okada

01-05-2024 | Lung Cancer | Original Article

Maximum resistance pressure at the time of lung tissue rupture after porcine lung transection using automatic linear staplers with different reinforcement methods

A Japanese phase III randomized trial of lobectomy versus segmentectomy for small (≤ 20 mm) peripheral NSCLC (JCOG0802) showed that patients who underwent segmentectomy had significantly longer overall survival (OS) than those who underwent …

Authors:
Shinkichi Takamori, Tomoyoshi Takenaka, Mototsugu Shimokawa, Asato Hashinokuchi, Kyoto Matsudo, Taichi Nagano, Mikihiro Kohno, Naoko Miura, Tomoharu Yoshizumi

30-04-2024 | Original Article

Histological and radiological analysis of simultaneous dual hepatic vein embolization for right-sided major hepatectomy

Post-hepatectomy liver failure (PHLF) is the most common cause of death after major hepatectomy, and the future liver remnant (FLR) volume is associated with postoperative hepatic dysfunction [ 1 ]. Portal vein embolization (PVE) has been widely …

Authors:
Koichiro Haruki, Masashi Tsunematsu, Kazutaka Gomisawa, Hirokazu Ashida, Kenei Furukawa, Yoshihiro Shirai, Yuta Yamada, Shun Sato, Shinji Onda, Toru Ikegami

30-04-2024 | Peritonitis | Original Article

Pathophysiology and surgical outcomes of patients with fungal peritonitis from upper gastrointestinal tract perforation: a retrospective study

According to the National Clinical Database of Japan, 5801 surgeries for upper gastrointestinal perforation were performed in 2018, of which 1975 (34.0%) were done laparoscopically, 925 (15.9%) were followed by postoperative severe complications …

Authors:
Yuya Nyumura, Kazuto Tsuboi, Toshimasa Suzuki, Tetsuya Kajimoto, Yuichiro Tanishima, Fumiaki Yano, Ken Eto

30-04-2024 | Cholecystectomy | Original Article

Factors contributing to prolonged operative time for laparoscopic cholecystectomy performed by trainee surgeons: a retrospective single-center study

Laparoscopic cholecystectomy, like laparoscopic appendectomy, is one of the initial procedures performed by trainee surgeons in many training hospitals, particularly in patients without acute inflammation, such as those with cholelithiasis [ 1 , 2 …

Authors:
Yohei Sanmoto, Makoto Hasegawa, Shunji Kinuta

29-04-2024 | Sarcopenia | Original Article

Prognostic significance of preoperative osteosarcopenia on patient’ outcomes after emergency surgery for gastrointestinal perforation

Emergency surgery for gastrointestinal perforation has one of the highest mortality rates among all types of surgeries [ 1 ]. The mortality rate 30 days after emergency surgery is reported to be 8.4%, and that at 1 year is 24.6% [ 2 ]. Predicting …

Authors:
Naoko Fukushima, Takahiro Masuda, Kazuto Tsuboi, Masami Yuda, Keita Takahashi, Fumiaki Yano, Ken Eto

29-04-2024 | Thymoma | Letter to the Editor

Comments on ‘‘Lobulated tumor contour as a predictor of preoperative tumor invasion of the lung or pericardium in thymoma patients’’

Authors:
Jing Zhao, Yue Bi

28-04-2024 | Cytostatic Therapy | Original Article

Prognostic factors and significance of postoperative adjuvant chemotherapy in patients with advanced gastric cancer undergoing neoadjuvant chemotherapy followed by gastrectomy

Gastric cancer is the fifth-most common type of cancer and the third leading cause of cancer-related deaths worldwide [ 1 ]. Surgical resection combined with preoperative and/or postoperative adjuvant treatment is performed worldwide to improve the …

Authors:
Masaaki Motoori, Kentaro Kishi, Kazuyoshi Yamamoto, Atsushi Takeno, Hisashi Hara, Kohei Murakami, Takuya Hamakawa, Yujiro Nakahara, Toru Masuzawa, Takeshi Omori, Yukinori Kurokawa, Kazumasa Fujitani, Yuichiro Doki

25-04-2024 | Pneumonectomy | Original Article

Native lung surgery after single lung transplantation: clinical characteristics and outcomes

Lung transplantation is a viable option for patients with end-stage pulmonary parenchymal and vascular diseases for which all medical therapies have failed. In Japan, 108 lung transplants were performed in 2022, of which 48 were single lung …

Authors:
Hideki Nagata, Takashi Kanou, Eriko Fukui, Toru Kimura, Naoko Ose, Soichiro Funaki, Yasushi Shintani

23-04-2024 | Gastrectomy | Original Article

Differences in glycemic trends due to reconstruction methods after proximal gastrectomy from the perspective of continuous glucose-monitoring

Gastric cancer (GC) is the leading cause of cancer-related death worldwide [ 1 ]. Although the overall incidence of gastric cancer has been decreasing due to advances in Helicobacter pylori eradication, the incidence of upper gastric cancer has …

Authors:
Katsutoshi Shoda, Takeshi Kubota, Yoshihiko Kawaguchi, Hidenori Akaike, Suguru Maruyama, Yudai Higuchi, Takashi Nakayama, Ryo Saito, Koichi Takiguchi, Shinji Furuya, Kensuke Shiraishi, Hidetake Amemiya, Hiromichi Kawaida, Daisuke Ichikawa