Faculty Profiles - TANABE Shunsuke

MISC - TANABE Shunsuke

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NST連携が奏功した高齢の咽喉頭食道全摘術患者の1例

櫻根裕子, 長谷川祐子, 日野隼人, 名和秀起, 谷口恵子, 縄稚久美子, 菊地覚次, 田辺俊介, 宗淳一, 四方賢一

日本病態栄養学会誌 21 ( Suppl. ) S - 195 2018.1

体成分分析に基づいたNST栄養介入

田辺俊介, 櫻根裕子, 日野隼人, 谷口恵子, 長谷川祐子, 前田直見, 菊地覚次, 白川靖博, 四方賢一, 藤原俊義

日本静脈経腸栄養学会雑誌 33 ( Suppl. ) 565 - 565 2018.1

抗リン脂質抗体症候群既往のTPN管理妊婦に対し脂肪乳剤を安全に使用した一例

日野隼人, 名和秀起, 田辺俊介, 菊地覚次, 谷口恵子, 櫻根裕子, 長谷川祐子, 四方賢一, 北村佳久, 千堂年昭

日本静脈経腸栄養学会雑誌 33 ( Suppl. ) 522 - 522 2018.1

鞘と層の微細解剖に留意した左反回神経周囲リンパ節郭清手技定型化の工夫

白川靖博, 前田直見, 田辺俊介, 野間和広, 楳田祐三, 藤原俊義

日本胸部外科学会定期学術集会(Web) 71st 2018

食道胃接合部癌切除後の観音開き法を用いた腹腔鏡下経裂孔食道残胃吻合

西崎正彦, 野間和広, 田邊俊介, 二宮卓之, 前田直見, 白川靖博, 藤原俊義

日本食道学会学術集会抄録集(CD-ROM) 72nd 2018

癌関連線維芽細胞は腫瘍浸潤リンパ球を制御することにより食道癌の予後に寄与する

加藤卓也, 加藤卓也, 野間和広, 賀島肇, 賀島肇, 桂佑貴, 桂佑貴, 前田直見, 二宮卓之, 田邊俊介, 白川靖博, 稲垣優, 藤原俊義

日本食道学会学術集会抄録集(CD-ROM) 72nd 2018

集学的治療を要する肺瘻合併胸部進行食道癌の一例

田辺俊介, 白川靖博, 前田直見, 野間和広, 藤原俊義

日本胸部外科学会定期学術集会(Web) 71st 2018

胸部食道癌手術における血流評価を元に行う安全な胃管・空腸再建法

野間和広, 白川靖博, 西脇紀之, 松田達雄, 前田直見, 田辺俊介, 藤原俊義

日本胸部外科学会定期学術集会(Web) 71st 2018

食道癌外科診療における周術期チーム連携PERiO:Perioperative management center

白川靖博, 小川俊博, 前田直見, 二宮卓之, 田辺俊介, 野間和広, 楳田祐三, 西崎正彦, 香川俊輔, 藤原俊義

日本消化器外科学会雑誌(Web) 51 ( Supplement1 ) 2018

食道癌患者に対する腫瘍融解ウイルスの内視鏡的投与の実際-感染対策の取り組み-

矢野朋美, 采女典子, 森隆弘, 笠原由美子, 田辺俊介, 黒田新士, 野間和広, 田澤大, 香川俊輔, 白川靖博, 藤原俊義

日本消化器内視鏡技師学会プログラム・講演抄録 81st 2018

食道亜全摘手術患者における術前筋肉量が術後経過に与える影響

園井みか, 伊藤真理, 足羽孝子, 前田直見, 二宮卓之, 田邊俊介, 野間和広, 白川靖博, 藤原俊義, 森松博史

日本食道学会学術集会抄録集(CD-ROM) 72nd 2018

進行食道癌に対するDCF療法による強力な術前治療と早期支持療法介入の取り組み

田邊俊介, 白川靖博, 小川俊博, 前田直見, 二宮卓之, 櫻間教文, 野間和広, 楳田祐三, 藤原俊義

日本消化器外科学会雑誌(Web) 51 ( Supplement1 ) 2018

Minimal invasive esophagectomy:current state of art of each approach 腹臥位胸腔鏡下食道切除における微細層構造を意識した安全な上縦隔郭清術

野間和広, 白川靖博, 鳴坂徹, 前田直見, 二宮卓之, 田辺俊介, 楳田祐三, 西崎正彦, 香川俊輔, 藤原俊義

日本内視鏡外科学会雑誌 22 ( 7 ) S2 - 4 2017.12

腹臥位胸腔鏡下食道亜全摘における臨床応用解剖実習の有用性

前田直見, 白川靖博, 鳴坂徹, 二宮卓之, 田辺俊介, 近藤喜太, 野間和広, 藤原俊義

日本内視鏡外科学会雑誌 22 ( 7 ) SF108 - 01 2017.12

混合型食道裂孔ヘルニア手術のQOL改善への貢献

田辺俊介, 白川靖博, 前田直見, 二宮卓之, 野間和広, 西崎正彦, 香川俊輔, 藤原俊義

日本内視鏡外科学会雑誌 22 ( 7 ) EP036 - 02 2017.12

A case of long-term survival after surgical resection for solitary adrenal recurrence of esophageal squamous carcinoma. International journal

Nobuhiko Kanaya, Kazuhiro Noma, Tsuyoshi Okada, Naoaki Maeda, Shunsuke Tanabe, Kazufumi Sakurama, Yasuhiro Shirakawa, Toshiyoshi Fujiwara

Surgical case reports 3 ( 1 ) 61 - 61 2017.12

Language：English

BACKGROUND: Esophageal carcinomas are highly malignant tumors with a high frequency of lymph node and distant organ metastasis. Treatment for recurrent tumors is generally decided on an individual basis. Although multidisciplinary treatments involving chemotherapy, surgical resection, and radiation are performed, the prognosis remains poor. Here, we report a case of prolonged recurrence-free survival (38 months) after esophageal carcinoma surgery and subsequent laparoscopic adrenalectomy for right adrenal metastasis. CASE PRESENTATION: An 83-year-old man was diagnosed with type 3 esophageal squamous cell carcinoma (T3N1M0, cStage IIIA, UICC-7), spreading from the lower thoracic esophagus to the abdominal esophagus. He underwent thoracoscopic esophagectomy with a two-field lymph node dissection followed by substernal gastric tube reconstruction. The final diagnosis was moderately differentiated squamous cell carcinoma (T3N2M0, fStage IIIB). Adjuvant chemotherapy was not administered because of the advanced age and postoperative condition of the patient. Computed tomography (CT) at 14 months postoperatively showed a mass with a 2-cm diameter at the right adrenal gland. Positron emission tomography (PET)/CT revealed a high fluorodeoxyglucose (FDG) uptake in the mass. It was suspected that the mass was a metastatic lesion secondary to the primary esophageal carcinoma. No metastases to lymph nodes or other distant organs were identified. The patient underwent laparoscopic right adrenalectomy. The histopathological examination revealed moderately differentiated squamous cell carcinoma, suggesting metastasis from the primary esophageal carcinoma. He has survived without recurrence for 38 months since laparoscopic adrenalectomy to remove the right adrenal metastastic mass after the esophageal carcinoma surgery. CONCLUSIONS: We describe a very elderly male who survived laparoadrenalectomy for right adrenal metastasis following esophageal cancer surgery without recurrence for 38 months postoperatively. Therefore, surgical resection might be an option for solitary adrenal recurrence.

DOI： 10.1186/s40792-017-0337-8

PubMed

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[Radical Thoracoscopic Esophagectomy for Elderly Patients with Advanced Esophageal Cancer].

Yuki Matsumi, Yasuhiro Shirakawa, Shunsuke Tanabe, Satoshi Komoto, Naoaki Maeda, Takayuki Ninomiya, Kazuhiro Noma, Masahiko Nishizaki, Shunsuke Kagawa, Toshiyoshi Fujiwara

Gan to kagaku ryoho. Cancer & chemotherapy 44 ( 12 ) 1784 - 1786 2017.11

Language：Japanese

We report a case of an elderly patient with advanced esophageal cancer who underwent multidisciplinary treatment. An 86-year-old male consulted our hospital with complaints of pharynx discomfort and difficulty in swallowing. He was preoperatively diagnosed with esophageal cancer, T3N2M0, Stage III . We performed 2 courses of cisplatin plus 5-FU therapy as neoadjuvant chemotherapy. The primary tumor and metastatic lymph nodes reduced in size, and thoracoscopic esophagectomy in the prone position was performed. Pathological findings were esophageal cancer, pT3-Ad, INF b, ly2, v1, IM0, pPM0, pDM0, pRM1, pN3, pStage III . As the radical margin was positive, chemoradiotherapy was performed. We continued postoperative chemotherapy for approximately 1 year, and the patient has survived without relapse for 4 years from esophagectomy. Even in patients over 80 years old, long-term prognosis can be expected by performing radical surgery and chemoradiotherapy.

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[Successful Multimodality Treatment Including Three-Stage Operation for Esophageal Cancer with Esophagorespiratory Fistula - A Case Report].

Satoshi Komoto, Kazuhiro Noma, Naoaki Maeda, Yuki Matsumi, Takayuki Ninomiya, Shunsuke Tanabe, Yasuhiro Shirakawa, Toshiyoshi Fujiwara

Gan to kagaku ryoho. Cancer & chemotherapy 44 ( 12 ) 1053 - 1055 2017.11

Language：Japanese

The esophagorespiratory fistula(ERF)is a fatal complication ofesophageal cancer, because ofadvanced oncological status and poor conditions due to pneumonia and/or malnutrition.We report here a case of patient who was successfully treated for esophageal cancer with ERF with multimodality therapy including three-stage operation. A 65-year-old woman ofesophageal cancer received preoperative chemotherapy, and developed EFR before operation. Prolonged conservative therapies for ERF let her general condition get worse. Therefore, the patient underwent esophagostomy and gastrostomy to recover her condition. She received chemo-radiotherapy followed by esophagectomy. And she was performed the reconstruction next month. She is still alive without recurrence at 20 months after resection. In previous reports, a total of 6 cases have been performed esophagectomy for esophageal cancer with ERF in Japan. Only one case was reported that had survived longer than 12 months. This multimodality therapy can be one ofthe best strategies for the patients ofesophageal cancer with ERF, even ifthey have poor condition.

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切除困難局所進行食道癌に対するDCF併用放射線療法を用いた集学的治療

白川靖博, 鳴坂徹, 前田直見, 二宮卓之, 田辺俊介, 櫻間教文, 野間和広, 西崎正彦, 香川俊輔, 藤原俊義

日本癌治療学会学術集会抄録集 55回 O19 - 3 2017.10

食道・胃癌術前補助療法CR症例[手術vs経過観察] 進行食道癌に対するDCF療法を軸にした集学的治療戦略著効例にも根治手術は必要か?

田辺俊介, 白川靖博, 前田直見, 二宮卓之, 野間和広, 藤原俊義

日本臨床外科学会雑誌 78 ( 増刊 ) 355 - 355 2017.10

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