Faculty Profiles - ARAKI Motoo

MISC - ARAKI Motoo

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Catheter free potassium-titanyl-phosphate (KTP) laser photoselective vaporization prostatectomy (PVP): Patient characteristic analysis

Motoo Araki, Po N. Lam, Daniel J. Culkin, Glenn M. Sulley, Carson Wong

LASERS IN SURGERY AND MEDICINE 53 - 53 2007

Decreased efficiency of potassium-titanyl-phosphate (KTP) laser photoselective vaporization prostatectomy (PVP) with long-term 5 alpha-reductase inhibition therapy: Is it true?

Motoo Araki, Po N. Lam, Daniel J. Culkin, Glenn M. Sulley, Carson Wong

LASERS IN SURGERY AND MEDICINE 53 - 53 2007

High power (120 W) potassium-titanyl-phosphate (KTP) laser photoselective vaporization prostatectomy (PVP) for symptomatic benign prostatic hyperplasia (BPH)

Carson Wong, Motoo Araki, Po N. Lam, Glenn M. Sulley, Daniel J. Culkin

LASERS IN SURGERY AND MEDICINE 52 - 52 2007

Does age affect the safety and efficacy of potassium-titanyl-phosphate (KTP) laser photoselective vaporization prostatectomy (PVP)?

Motoo Araki, Po N. Lam, Daniel J. Culkin, Glenn M. Sulley, Carson Wong

LASERS IN SURGERY AND MEDICINE 53 - 53 2007

High power (80 W) potassium-titanyl-phosphate (KTP) laser photoselective vaporization prostatectomy (PVP) for large volume benign prostatic hyperplasia (BPH)

Motoo Araki, Po N. Lam, Daniel J. Culkin, Glenn M. Sulley, Carson Wong

LASERS IN SURGERY AND MEDICINE 54 - 54 2007

Recurrence Following Hand-Assisted Laparoscopic Nephroureterectomy with Cystoscopic En Bloc Excision of the Distal Ureter and Bladder Cuff

Motoo Araki, Po N. Lam, Arthur E. Fetzer, David L. Clair, Carson Wong, Incidence of, Urothelial Carcinoma

Journal of the Society of Laparoendoscopic Surgeons 2007

A pelvic drain can often be avoided after radical retropubic prostatectomy--an update in 552 cases. International journal

Motoo Araki, Murugesan Manoharan, Sachin Vyas, Alan M Nieder, Mark S Soloway

European urology 50 ( 6 ) 1241 - 7 2006.12

Language：English Publisher：ELSEVIER SCIENCE BV

OBJECTIVES: The routine placement of a pelvic drain following radical retropubic prostatectomy (RRP) may not be required. We describe our experience in 552 consecutive RRPs to emphasise the safety of this approach and explain our rationale for avoiding a drain when possible. METHODS: RRP was performed in 552 consecutive patients with clinically localised adenocarcinoma of the prostate between January 2002 and June 2005. Clinical and pathologic information was documented for each patient. After the prostate was removed and the anastomotic sutures tied, the bladder was gently filled with approximately 50 ml of saline through the urethral catheter. If there was no leak, a drain was not placed. RESULTS: A drain was not placed in 419 (76%) of the 552 patients. We compared the postoperative complication rates in those with (D+) and without (D-) a drain. There were 27 (5%) immediate postoperative complications and no significant difference between the two groups (D+, 6%; D-, 5%; p=0.629): three (1%) patients who did not have a drain had a urinoma, one (1%) who had a drain had a lymphocele, and two (2%) who had a drain had a small pelvic haematoma. CONCLUSIONS: If the bladder neck is preserved or meticulously reconstructed, there may be little extravasation and, thus, routine drainage is unnecessary. Our 4-year experience indicates that morbidity is not increased by omitting a drain from the pelvic cavity after RRP in properly selected cases.

DOI： 10.1016/j.eururo.2006.05.026

Web of Science

PubMed

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Concurrent radical retropubic prostatectomy and Lichtenstein inguinal hernia repair through a single modified Pfannenstiel incision: a 3-year experience. International journal

Murugesan Manoharan, Sachin Vyas, Motoo Araki, Alan M Nieder, Mark S Soloway

BJU international 98 ( 2 ) 341 - 4 2006.8

Language：English Publisher：BLACKWELL PUBLISHING

OBJECTIVE: To present the results of a 3-year experience of radical retropubic prostatectomy (RRP) through a modified Pfannenstiel incision and concomitant repair of an inguinal hernia at the time of RRP, using a tension-free technique with a mesh, as described by Lichtenstein, with no additional incision(s), as 5-10% of patients with clinically localized prostate cancer have a detectable inguinal hernia. PATIENTS AND METHODS: Patients who had RRP between October 2002 and July 2005 were included; we used a standard open RRP, in all cases using a modified Pfannenstiel incision. If the patient had an inguinal hernia, we approached the inguinal canal through the same incision and performed a Lichtenstein mesh repair, through the inguinal canal and avoiding placing mesh within the pelvis. Patients were followed at 1 and 6 weeks, 3-monthly for 1 year and 6-monthly thereafter. All clinical variables were entered into a database and analysed. RESULTS: In all, 450 men underwent RRP; 44 (10%) had inguinal hernia and in all, 56 hernias were repaired (32 unilateral and 12 bilateral; 16 indirect, 22 direct, six both) The mean (sd) age of the patients was 60 (7) years. Most patients were discharged within 36 h. The mean (sd) follow-up was 9 (8) months. Two patients had a superficial inguinal haematoma and one had a scrotal haematoma. They were treated conservatively with no sequelae. There were no wound infections. One patient developed a recurrent inguinal hernia. None had any clinical evidence of testicular atrophy or chronic pain. CONCLUSION: Concurrent formal mesh repair of the inguinal hernia and RRP through a single modified Pfannenstiel incision is safe and effective. The complications were minimal and recurrence rates were low. This procedure eliminates the risks involved with the preperitoneal mesh repair and avoids multiple incisions.

DOI： 10.1111/j.1464-410X.2006.06270.x

Web of Science

PubMed

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透析腎癌に生じた膀胱転移の2例

松田香, 前田佳子, 西野整一, 橋本恭伸, 白川浩希, 飯塚淳平, 荒木元朗, 鬼塚史朗, 中澤速和, 東間紘

泌尿器外科 16 ( 臨増 ) 456 - 456 2003.4

画像診断が困難であった成人異所性尿管瘤の一例

高木敏男, 山崎雄一郎, 家後理枝, 西野整一, 白川浩希, 飯塚淳平, 荒木元朗, 前田佳子, 東間紘

泌尿器外科 16 ( 3 ) 250 - 250 2003.3

腎癌との鑑別が困難であった限局型黄色肉芽腫性腎盂腎炎の1例

荒木元朗, 橋本恭伸, 南里正之, 鬼塚史朗, 龍治修, 中沢速和, 東間紘, 山口裕

泌尿器科紀要 48 ( 10 ) 621 - 624 2002.10

Language：Japanese Publisher：泌尿器科紀要刊行会

34歳女.左側腹部痛が出現し,超音波で左腎上極に内部低エコーの腫瘤を認めた.腫瘍の辺縁はMRIのT1強調像で等,T2強調像で低信号を示し,dynamic phaseで不均一に造影された.腹部造影CTでは左腎上極に内部に嚢胞を伴う2.8×4.0cmの辺縁不整な腫瘍を認め,後期相で造影効果を示した.腫瘍は脾臓へ直接浸潤しており,2ヵ月前のCTで認めなかった径2cmの傍大動脈リンパ節の嚢胞性腫脹を認めた.尿路に器質的異常は認めず,腎細胞癌を疑って根治的左腎摘除術を行った.術中腎門部から大動脈に沿って径1cm以下の比較的柔らかいリンパ節が数珠状となっており,これを郭清した.左腎上極は脾尾部及び一部横隔膜と強固に癒着しており,これらを合併切除した.腫瘍は1.8×1.5cmで,黄色を呈し,内部に嚢胞を伴っていた.病理組織学的所見で,泡沫細胞の密な細胞が自壊した腎盂側から腎全層及び周囲脂肪織内に広がっていた.術後経過良好で9日目に退院した

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2002&ichushi_jid=J01269&link_issn=&doc_id=20021217650009&doc_link_id=120002142359&url=http%3A%2F%2Fci.nii.ac.jp%2Fnaid%2F120002142359&type=CiNii&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00003_3.gif

術後早期にタクロリムスによる白質脳症をきたした一例

荒木元朗, 田邊一成, 前田佳子, 徳本直彦, 新村浩明, 東間紘

移植 37 ( 3 ) 99 - 99 2002.6

術前診断の困難であった集合管癌の1例

野崎大司, 前田佳子, 高木敏男, 荒木元朗, 尾本和也, 龍治修, 合谷信行, 中沢速和, 東間紘

泌尿器外科 15 ( 6 ) 720 - 720 2002.6

腎移植前後の体重変化についての検討

宮崎博喜, 中村道郎, 高木敏男, 金光泉, 森川志保, 荒木元朗, 槙山和秀, 松田香, 石田英樹, 田邉一成

日本透析医学会雑誌 35 ( Suppl.1 ) 990 - 990 2002.6

嚢胞性腎細胞癌との鑑別が困難であった黄色肉芽腫性腎盂腎炎の1例

荒木元朗, 橋本恭伸, 尾本和也, 南里正之, 角山邦子, 鬼塚史朗, 龍治修, 中沢速和, 東間紘, 山口裕

泌尿器外科 15 ( 5 ) 627 - 627 2002.5

生体腎移植における抗ドナー抗体陽性歴の生着率に及ぼす影響の検討

荒木元朗, 石田英樹, 戸田房子, 徳本直彦, 田邊一成, 東間紘

日本泌尿器科学会雑誌 93 ( 2 ) 313 - 313 2002.2

非細菌性慢性前立腺炎に対すセルニルトンの効果に関する検討 : NIH慢性前立腺炎symptom index(NIH-CPSI)の有用性について

門田晃一, 荒木元朗, 石井亜矢乃, 津川昌也, 公文裕巳

日本泌尿器科学会雑誌 92 ( 2 ) 397 - 397 2001

膀胱腫瘍の皮膚転移の1例

池原明子, 宮本亨, 赤枝輝明, 白崎義範, 荒木元朗

西日本皮膚科 62 ( 2 ) 274 - 274 2000.4

泌尿器科領域における周術期感染予防に関する検討

門田晃一, 荒木元朗, 石井亜矢乃, 津川昌也, 公文裕巳, 那須良次

日本泌尿器科学会雑誌 91 ( 3 ) 197 - 197 2000

urinomaを来たすも保存的治療により治癒した腎外傷の1例

荒木元朗, 白崎義範, 赤枝輝明

津山中央病院医学雑誌 13 ( 1 ) 115 - 119 1999.6

Language：Japanese Publisher：(一財)津山慈風会津山中央病院

40歳男.大木を伐採中,伐採した木が滑り,左腹部を直撃.救急車にて近医へ搬送され,CT,DIPにて左腎外傷と診断され保存的治療を受けていたが,専門医での治療を希望し当科入院.入院時,高度貧血を認めるも,血圧は142/80と安定.MAP800ml輸血したところ貧血改善し,手術を見送った.受傷後19日目のCT,DIPにて尚左腎よりの尿の漏出を認めたので尿管カテーテルを留置.11月2日尿管カテーテル抜去.11月9日DIP,CTにて左腎よりの漏出は見られなかった

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