Faculty Profiles - FUJIWARA Toshiyoshi

Papers - FUJIWARA Toshiyoshi

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消化管外科のSSI チームで取り組む食道外科手術における周術期感染症対策

田辺俊介, 野間和広, 橋本将志, 前田直見, 白川靖博, 藤原俊義

日本外科感染症学会雑誌 19 ( 1 ) 150 - 150 2022.10

食道がん集学的治療におけるチーム医療の実践とこれから食道癌周術期管理における多職種チーム医療の早期介入の有用性と今後の展望

田辺俊介, 野間和広, 橋本将志, 前田直見, 菊地覚次, 黒田新士, 近藤喜太, 櫻間教文, 吉田龍一, 寺石文明, 楳田祐三, 白川靖博, 藤原俊義

日本癌治療学会学術集会抄録集 60回 OWS8 - 2 2022.10

膵がんの治療成績は向上したか? 切除可能膵癌に対するNAC-GS療法は予後を改善したか? 非切除例を含む全コホート解析

安井和也, 吉田龍一, 楳田祐三, 藤智和, 高木弘誠, 宮本耕吉, 黒田新士, 野間和広, 八木孝仁, 藤原俊義

日本癌治療学会学術集会抄録集 60回 OWS15 - 5 2022.10

進行胸部食道癌に対するMIEの適応と工夫強力な導入DCF療法とロボット支援下手術を用いたcT3.5食道癌症例に対する治療戦略

田辺俊介, 野間和広, 橋本将志, 前田直見, 白川靖博, 藤原俊義

日本胸部外科学会定期学術集会 75回 EVS1 - 5 2022.10

内視鏡外科手術時代における開胸手技の意義 Cadaverを用いた開胸手術トレーニング

前田直見, 野間和広, 橋本将志, 田辺俊介, 白川靖博, 藤原俊義

日本胸部外科学会定期学術集会 75回 EPD1 - 4 2022.10

Developing the academic surgeons-キャリアパス形成-大学(院)での研究は必要か? 創造性を育む外科医の基礎研究

野間和広, 橋本将志, 前田直見, 田辺俊介, 白川靖博, 藤原俊義

日本胸部外科学会定期学術集会 75回 CDPD2 - 6 2022.10

術後補助免疫療法に向けた術前DCF療法の再発リスク解析

橋本将志, 野間和広, 前田直見, 田辺俊介, 白川靖博, 藤原俊義

日本胸部外科学会定期学術集会 75回 EOP2 - 3 2022.10

移植患者の外科感染症対策肝移植後の日和見感染症への対策と課題

安井和也, 吉田龍一, 畑七々子, 木村次郎, 高木弘誠, 藤智和, 楳田祐三, 八木孝仁, 藤原俊義

日本外科感染症学会雑誌 19 ( 1 ) 200 - 200 2022.10

肝胆膵がんに対する高難度腹腔鏡・ロボット支援手術の定型化と工夫当院におけるロボット支援下膵切除術の初期治療成績

高木弘誠, 楳田祐三, 吉田龍一, 藤智和, 安井和也, 木村次郎, 畑七々子, 八木孝仁, 藤原俊義

日本癌治療学会学術集会抄録集 60回 OWS29 - 8 2022.10

リキッドバイオプシーが変えるがん医療膵癌術前・術後血中循環腫瘍DNA内KRAS遺伝子変異の臨床的意義に関する検討

吉田龍一, 安井和也, 楳田祐三, 藤智和, 高木弘誠, 宮本耕吉, 黒田新士, 野間和宏, 八木孝仁, 藤原俊義

日本癌治療学会学術集会抄録集 60回 WS3 - 2 2022.10

切除可能膵癌に対する術前治療の現状と課題血中循環腫瘍DNA内Kras遺伝子変異情報とCA19-9値による切除可能膵癌層別化の試み

吉田龍一, 宮本耕吉, 楳田祐三, 藤智和, 安井和也, 高木弘誠, 八木孝仁, 藤原俊義

日本臨床外科学会雑誌 83 ( 増刊 ) S95 - S95 2022.10

Robotic Spleen-Preserving Distal Pancreatectomy with Preservation of Splenic Vessels Using the Gastrohepatic Ligament Approach: The Superior Window Approach in the Kimura Technique. International journal

Kosei Takagi, Ryuichi Yoshida, Yuzo Umeda, Tomokazu Fuji, Kazuya Yasui, Takahito Yagi, Toshiyoshi Fujiwara

Digestive surgery 39 ( 4 ) 137 - 140 2022.9

Language：English Publishing type：Research paper (scientific journal)

Minimally invasive spleen-preserving distal pancreatectomy (SPDP) is technically challenging, and only a few reports have described surgical approaches for minimally invasive SPDP. This report demonstrates our novel gastrohepatic ligament approach in robotic SPDP with preservation of the splenic vessels (the superior window approach in the Kimura technique). Our gastrohepatic ligament approach for robotic SPDP included four steps. First, the gastrohepatic ligament was divided extensively, and the pancreas was confirmed (step 1). In this step, we did not lift the stomach, nor did we divide the gastrocolic ligament. Next, the superior and inferior borders of the pancreas were dissected, and tunneling of the pancreas on the superior mesenteric vein was performed (step 2). Following the division of the pancreas (step 3), the pancreatic body and tail were dissected from the medial to the lateral side with preservation of the splenic vessels (step 4). Using this approach, the pancreas can be directly accessed via the gastrohepatic ligament route and dissected without division of the gastrocolic ligament or retraction of the stomach. The present approach for robotic SPDP preserves splenic vessels, facilitating easy access to the pancreas with minimal dissection, and may be optional in selected patients, including those with low body mass index.

DOI： 10.1159/000527249

PubMed

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Effect of Patient-Participation Continuous Nutritional Counseling in Gastric Cancer Patients who Underwent Gastrectomy. International journal

Nobuo Takata, Satoru Kikuchi, Shinji Kuroda, Shunsuke Tanabe, Naoaki Maeda, Kazuhiro Noma, Ayako Takahashi, Yuzo Umeda, Kenichi Shikata, Kazuhide Ozaki, Toshiyoshi Fujiwara

Annals of surgical oncology 30 ( 2 ) 1110 - 1118 2022.9

Language：English Publishing type：Research paper (scientific journal)

BACKGROUND: Body weight loss (BWL) and skeletal muscle loss (SML) are inevitable after gastrectomy for gastric cancer (GC) and can decrease patients' quality of life (QOL) and survival. OBJECTIVE: The aim of this retrospective study was to evaluate the effect of perioperative and post-discharge patient participation in continuous nutritional counseling (CNC) on post-gastrectomy BWL and SML. METHODS: Ninety-three patients with GC who underwent curative gastrectomy between March 2018 and July 2019 were analyzed. Patients received either pre-discharge nutritional counseling alone (control group, n = 49) or patient-participation CNC (CNC group, n = 44) after gastrectomy. Differences between percentage BWL (%BWL), percentage SML (%SML), and nutrition-related blood parameters between the preoperative values and those at 12 months after surgery were compared between the groups. RESULTS: Compared with the control group, %BWL was significantly lower in the CNC group at 1 month (-6.2 ± 2.5% vs. -7.9 ± 3.3%, p = 0.005), 6 months (-7.8 ± 6.6% vs. -12.3 ± 6.4%, p = 0.001) and 12 months (-7.9 ± 7.6% vs. -13.2 ± 8.2%, p = 0.002), and %SML was significantly lower in the CNC group at 12 months (-5.3 ± 10.3% vs. -12.8 ± 12%, p = 0.002). Regarding nutrition-related blood parameters, change in total cholesterol was significantly lower in the CNC group than the control group at 12 months after surgery (p = 0.02). Multivariate analysis identified no CNC as an independent risk factor for severe BWL (p = 0.001) and SML (p = 0.006) at 12 months after surgery. CONCLUSIONS: Following gastrectomy, patient-participation CNC prevented postoperative BWL and SML after surgery. These results support the induction of such a CNC program in these patients.

DOI： 10.1245/s10434-022-12572-3

PubMed

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Surgical Strategies to Approaching the Splenic Artery in Robotic Distal Pancreatectomy. International journal

Kosei Takagi, Kenjiro Kumano, Yuzo Umeda, Ryuichi Yoshida, Tomokazu Fuji, Kazuya Yasui, Takahito Yagi, Toshiyoshi Fujiwara

Anticancer research 42 ( 9 ) 4471 - 4476 2022.9

Language：English Publishing type：Research paper (scientific journal)

BACKGROUND/AIM: Understanding different surgical approaches and anatomical landmarks adjacent to the splenic artery (SpA) is important for safe robotic distal pancreatectomy (RDP). Herein, we propose our standardized RDP techniques, focusing on these issues. PATIENTS AND METHODS: Between April 2021 and April 2022, 19 patients who underwent RDP at our Institution were reviewed. Anatomical patterns of the SpA were classified into three types: Type 1, no pancreatic parenchyma on the root of the SpA; type 2, any pancreatic parenchyma on the root of the SpA; and type 3, dorsal pancreatic artery around the bifurcation of the common hepatic artery and SpA. Next, the surgical strategy for approaching the SPA was determined according to the location of the pancreatic transection line: On the superior mesenteric vein (SMV) or on the left side of the root of the SpA. RESULTS: There were seven cases of type 1, nine cases of type 2, and three cases of type 3. When transecting the pancreas on the SMV, the SpA-first ligation technique was used for type 1 SpA anatomy, and the pancreas-first division technique was applied for types 2 and 3. In patients in whom the pancreas was transected at the left side of the root of the SpA, the SpA-first ligation technique was used. CONCLUSION: Our standardized surgical strategy based on anatomical landmarks and focusing on the approach to the SpA in RDP is demonstrated. Our strategy should help trainees approach the SpA and perform RDP safely.

DOI： 10.21873/anticanres.15947

PubMed

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EMTバイオセンサーを用いたリアルタイムイメージングによる難治性膵臓癌の治療戦略(Real-time imaging of EMT biosensor provide a therapeutic strategy for refractory pancreatic cancer)

谷悠真, 田澤大, 重安邦俊, 藤原俊義

日本癌学会総会記事 81回 P - 3146 2022.9

直腸癌低位前方切除後の縫合不全に対する取り組みと課題

寺石文則, 半澤俊哉, 庄司良平, 松三雄騎, 重安邦俊, 近藤喜太, 香川俊輔, 藤原俊義

日本大腸肛門病学会雑誌 75 ( 9 ) A163 - A163 2022.9

男女を問わず外科医が輝き続けるためにステレオタイプ・スレットという問題とニュースレターの果たす役割

竹原裕子, 溝尾妙子, 小林純子, 坂本美咲, 新田薫, 工藤由里絵, 安井和也, 菊池覚次, 黒田新士, 吉田龍一, 岡崎幹生, 枝園忠彦, 山根正修, 小谷恭弘, 豊岡伸一, 笠原真悟, 土井原博義, 藤原俊義

日本外科学会雑誌 123 ( 5 ) 501 - 502 2022.9

食道癌に対するウイルス治療、ワクチン治療の最前線食道癌に対する腫瘍融解ウイルス併用放射線療法の臨床研究の成果と展望

田辺俊介, 野間和広, 橋本将志, 最所公平, 賀島肇, 前田直見, 菊地覚次, 田澤大, 白川靖博, 藤原俊義

日本食道学会学術集会プログラム・抄録集 76回 59 - 59 2022.9

エクソソームを用いた食道扁平上皮癌のリンパ節転移メカニズムの解明(Elucidation for the mechanism of lymph node metastasis of esophageal squamous cell carcinoma by extracellular vesicles)

木谷嘉孝, 吉岡祐亮, 賀島肇, 野間和広, 田澤大, 藤原俊義, 永川裕一, 落谷孝広

日本癌学会総会記事 81回 P - 2122 2022.9

【ここまで進んだERAS】ERASにおけるチーム医療

野間和広, 田邊俊介, 藤原俊義

消化器外科 45 ( 9 ) 961 - 966 2022.9

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Papers - FUJIWARA Toshiyoshi