Faculty Profiles - TANABE Shunsuke

Papers - TANABE Shunsuke

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The progress of minimally invasive surgery for esophageal cancer Standardization of robotic-assisted thoracoscopic esophagectomy(和訳中)

Noma Kazuhiro, Maeda Naoaki, Kikuchi Satoru, Tanabe Shunsuke, Kuroda Shinji, Sakurama Kazufumi, Teraishi Fuminori, Umeda Yuzo, Shirakawa Yasuhiro, Fujiwara Toshiyoshi

日本消化器外科学会総会 76回 SY3 - 6 2021.7

The treatment strategies for esophagogastric junction cancer Retrospective study of induction chemotherapy and surgery for esophagogastric junction cancer(和訳中)

Tanabe Shunsuke, Noma Kazuhiro, Maeda Naoaki, Kikuchi Satoru, Kuroda Shinji, Sakurama Kazufumi, Umeda Yuzo, Teraishi Fuminori, Shirakawa Yasuhiro, Fujiwara Toshiyoshi

日本消化器外科学会総会 76回 SY4 - 4 2021.7

術前診断に苦慮した、稀な形態を呈した胃粘膜下腫瘍の治療経験

猿渡和也, 野間和広, 前田直見, 菊地覚次, 田邊俊介, 黒田新士, 楳田祐三, 寺石文則, 白川靖博, 藤原俊義

日本消化器外科学会総会 76回 P230 - 1 2021.7

食道裂孔ヘルニア、逆流性食道炎に対する外科的治療法 80歳以上の高齢者に対する食道裂孔ヘルニア手術の安全性と有効性の検討

井上弘章, 野間和広, 前田直見, 菊池覚次, 田辺俊介, 黒田新士, 楳田祐三, 寺石文則, 白川靖博, 藤原俊義

日本消化器外科学会総会 76回 RS2 - 1 2021.7

高齢者食道癌患者に対する治療戦略高齢者食道癌に対する包括的治療戦略

前田直見, 野間和広, 田辺俊介, 菊地覚次, 黒田新士, 櫻間教文, 楳田祐三, 寺石文則, 白川靖博, 藤原俊義

日本消化器外科学会総会 76回 O21 - 3 2021.7

T4食道癌への最適な治療Strategyの模索 cT4食道癌に対する導入療法後手術症例の検討

宇根悠太, 野間和広, 前田直見, 田邊俊介, 菊地覚次, 黒田新士, 楳田祐三, 寺石文則, 白川靖博, 藤原俊義

日本消化器外科学会総会 76回 RS17 - 4 2021.7

消化管腫瘍に対する内視鏡治療、現況と展望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高リスク症例の治療成績向上を目指して

田辺俊介, 野間和広, 田澤大, 白川靖博, 藤原俊義

日本消化器内視鏡学会中国支部例会 126回 32 - 32 2021.6

A case of esophageal cancer with an aberrant right subclavian artery treated with mediastinoscopic esophagectomy. Reviewed

Masashi Hashimoto, Yasuhiro Shirakawa, Naoaki Maeda, Shunsuke Tanabe, Kazufumi Sakurama, Kazuhiro Noma, Toshiyoshi Fujiwara

Asian journal of endoscopic surgery 14 ( 2 ) 293 - 296 2021.4

Language：English

An aberrant right subclavian artery (ARSA) is one of the famous anatomical abnormalities with a prevalence of 0.16-4.4%. In esophagectomy, anatomical abnormalities of the ARSA could cause complications with some surgical procedures. An 85-year old man was referred to our department for esophageal adenocarcinoma that was at a slightly high position for esophagectomy with the abdominal approach. However, he had a significant past medical history. This risk factor made it difficult to perform thoracoscopic esophagectomy. He underwent mediastinoscopic esophagectomy (ME) with the left cervical and laparoscopic approach. The ARSA presented no difficulties with the ME surgical technique including the dissection of the left recurrent laryngeal nerve lymph node. Although this patient had a respiratory dysfunction and some difficulties in a prone position, ME enabled a safe esophagectomy with lymph node dissection.

DOI： 10.1111/ases.12859

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外科生涯教育におけるCSTの果たす役割

近藤喜太, 前田直見, 黒田新士, 信岡大輔, 武田正, 重安邦俊, 菊地覚次, 矢野修也, 田辺俊介, 野間和広, 楳田祐三, 寺石文則, 香川俊輔, 白川靖博, 藤原俊義

日本外科学会定期学術集会抄録集 121回 SP - 4 2021.4

食道胃接合部癌に対する至適な手術術式 Siewert type I/II食道胃接合部癌に対する至適手術郭清から再建まで

野間和広, 赤井正明, 國友知義, 西脇紀之, 前田直見, 田邊俊介, 黒田新士, 西崎正彦, 香川俊輔, 白川靖博, 藤原俊義

日本外科学会定期学術集会抄録集 121回 SY - 3 2021.4

外科周術期管理におけるサルコペニア対策患者教育と栄養・運動強化プロトコールが胃癌術後体重減少に与える影響

高田暢夫, 菊地覚次, 黒田新士, 田辺俊介, 垣内慶彦, 西崎正彦, 香川俊輔, 藤原俊義

日本外科学会定期学術集会抄録集 121回 PD - 5 2021.4

食道胃接合部癌に対する至適な手術術式 Siewert type I/II食道胃接合部癌に対する至適手術郭清から再建まで

野間和広, 赤井正明, 國友知義, 西脇紀之, 前田直見, 田邊俊介, 黒田新士, 西崎正彦, 香川俊輔, 白川靖博, 藤原俊義

日本外科学会定期学術集会抄録集 121回 SY - 3 2021.4

食道疾患に対する低侵襲手術(Current status and perspective of minimally invasive surgery for esophageal cancer)

Shirakawa Yasuhiro, Noma Kazuhiro, Tanabe Shunsuke, Maeda Naoaki, Kawasaki Kento, Kunitomo Tomoyoshi, Nishie Naoki, Yamada Motohiko, Kikuchi Satoru, Kuroda Shinji, Nishizaki Masahiko, Kagawa Shunsuke, Fujiwara Toshiyoshi

日本内視鏡外科学会雑誌 25 ( 7 ) SY6 - 5 2021.3

腹腔鏡下胃全摘術および噴門側胃切除術における再建法腹腔鏡下噴門側胃切除術における観音開き法食道残胃吻合

西崎正彦, 黒田新士, 菊地覚次, 垣内慶彦, 香川俊輔, 前田直見, 田邊俊介, 野間和広, 藤原俊義

日本内視鏡外科学会雑誌 25 ( 7 ) SY12 - 3 2021.3

進行・再発胃癌に対するNivolumabの実臨床での治療成績(Clinical Outcome of Nivolumab for Advanced or Recurrent Gastric Cancer)

香川俊輔, 黒田新士, 菊地覚次, 西崎正彦, 野間和広, 田辺俊介, 重安邦俊, 前田直見, 垣内慶彦, 武田正, 近藤喜太, 矢野修也, 寺石文則, 藤原俊義

日本胃癌学会総会記事 93回 284 - 284 2021.3

胃癌治療における栄養治療戦略患者教育プログラムが胃癌術後の体および骨格筋量の変化に及ぼす影響(Effect of patient education protocol on body weight and skeletal muscle reduction after gastrectomy)

高田暢夫, 菊地覚次, 黒田新士, 垣内慶彦, 田辺俊介, 西崎正彦, 香川俊輔, 藤原俊義

日本胃癌学会総会記事 93回 216 - 216 2021.3

胃癌に対する内視鏡外科手術手技の工夫(Present position and future possibility of the double-flap reconstruction after proximal gastrectomy)

Kuroda Shinji, Nishizaki Masahiko, Choda Yasuhiro, Ishida Michihiro, Muraoka Atsushi, Tanaka Norimitsu, Hato Shinji, Kikuchi Satoru, Takata Nobuo, Kakiuchi Yoshihiko, Tanabe Shunsuke, Noma Kazuhiro, Kagawa Shunsuke, Shirakawa Yasuhiro, Kamikawa Yasuaki, Fujiwara Toshiyoshi

日本内視鏡外科学会雑誌 25 ( 7 ) WS33 - 7 2021.3

岡山大学における消化器外科領域鏡視下カダバートレーニングの現状と未来

近藤喜太, 前田直見, 黒田新士, 楳田祐三, 矢野修也, 菊地覚次, 田辺俊介, 野間和広, 寺石文則, 西崎正彦, 香川俊輔, 藤原俊義

日本内視鏡外科学会雑誌 25 ( 7 ) SP9 - 1 2021.3

Association of dental occlusal support with the Prognostic Nutritional Index in patients with esophageal cancer who underwent esophagectomy. Reviewed

Reiko Yamanaka-Kohno, Yasuhiro Shirakawa, Mami Inoue-Minakuchi, Aya Yokoi, Misato Muro, Hirotaka Kosaki, Shunsuke Tanabe, Toshiyoshi Fujiwara, Manabu Morita

Esophagus : official journal of the Japan Esophageal Society 18 ( 1 ) 49 - 55 2021.1

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

BACKGROUND: The Prognostic Nutritional Index is useful for predicting surgical risk and overall survival based on preoperative immunological and nutritional status in patients undergoing digestive organ cancer surgery. The purpose of this study was to examine the association between the Prognostic Nutritional Index and dental status in patients with esophageal cancer who underwent esophagectomy. METHODS: This retrospective case-control study included 73 patients who underwent resection of esophageal cancer (69 males, 4 females; age 36-83). General and dental status were evaluated. The Prognostic Nutritional Index was calculated based on the serum albumin concentration and the total lymphocyte count, and subjects were divided into two groups based on index scores: a higher group, characterized by scores ≥ 45 (n = 54); and a lower group, characterized by scores < 45 (n = 19). Univariate analysis and multiple logistic regression analyses were used to compare between groups. RESULTS: Total protein, C-reactive protein, the number of sound and total decayed, missing and filled teeth, and the rate of patients with poor dental occlusal support showed significant differences between the lower and higher Prognostic Nutritional Index groups (p < 0.05). Stepwise logistic regression analysis by backward selection approach showed that low total protein, few sound teeth, and poor status of dental occlusal support were significantly associated with the lower Prognostic Nutritional Index (p = 0.007, 0.042, and 0.009, respectively). CONCLUSION: Dental status, especially dental occlusal support and the number of sound teeth, showed a positive relationship with the Prognostic Nutritional Index in esophageal cancer patients who underwent esophagectomy.

DOI： 10.1007/s10388-020-00751-8

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Microanatomy-based standardization of left upper mediastinal lymph node dissection in thoracoscopic esophagectomy in the prone position. Reviewed International journal

Yasuhiro Shirakawa, Kazuhiro Noma, Naoaki Maeda, Shunsuke Tanabe, Kazufumi Sakurama, Toshiyoshi Fujiwara

Surgical endoscopy 35 ( 1 ) 349 - 357 2021.1

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

BACKGROUND: Although thoracoscopic esophagectomy in the prone position (TEPP) has become a standard procedure for esophageal cancer surgery, upper mediastinal lymph node dissection (UMLND) on the left side remains an issue. We have recently developed a new standardized approach to left UMLND in TEPP based on the microanatomy of the membranes and layers with the aim of achieving quick and safe surgery. The purpose of this study was to establish and evaluate our new standardized procedure in left UMLND. PATIENTS AND METHODS: Patients were divided into 2 groups: a pre-standardization group (n = 100) and a post-standardization group (n = 100). Eventually, 83 paired cases were matched using propensity score matching. In our new standardized procedure, left UMLND was performed while focusing on the visceral sheath, vascular sheath, and the fusion layer between them using a magnified view. RESULTS: The thoracoscopic operative time was significantly shorter (P < 0.001) in the post-standardization group [n = 83; 209.0 (176.0-235.0) min] than in the pre-standardization group [n = 83; 235.5 (202.8-264.5) min]. No significant differences were found in the number of mediastinal lymph nodes dissected or intraoperative blood loss between the two groups. There was a tendency for the total postoperative morbidity to decrease in the post-standardization group. Furthermore, the left recurrent laryngeal nerve palsy rate was significantly lower in the post-standardization group (18.1% to 8.7%, P = 0.015). CONCLUSION: Microanatomy-based standardization contributes to safe and efficient left UMLND.

DOI： 10.1007/s00464-020-07407-9

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