研究者詳細 - 田邊　俊介

MISC - 田邊　俊介

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切除不能局所進行食道癌に対するDCFを軸にした集学的治療による根治への挑戦

田辺俊介, 野間和広, 國友知義, 前田直見, 櫻間教文, 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 SF - 8 2021年4月

食道癌手術周術期における心合併症の発生とリスク因子の解析

山田元彦, 野間和広, 西脇紀之, 前田直見, 田辺俊介, 菊地覚次, 櫻間教文, 楳田祐三, 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 SF - 3 2021年4月

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年3月

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年3月

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年3月

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

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年1月

記述言語：英語

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. 査読国際誌

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

Surgical endoscopy 35 ( 1 ) 349 - 357 2021年1月

記述言語：英語

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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西脇紀之, 野間和広, 大原利章, 河崎健人, 赤井正明, 小林照貴, 加藤卓也, 前田直見, 菊地覚次, 田辺俊介, 田澤大, 白川靖博, 藤原俊義

日本分子腫瘍マーカー研究会誌 36 32 - 33 2021年

頭頚部癌集学的治療に対する胃瘻を有効に活用した栄養管理確立への道のり

田辺俊介, 田辺俊介, 今井祥子, 今井祥子, 開原裕子, 開原裕子, 長谷川祐子, 長谷川祐子, 岡野寛子, 岡野寛子, 大木晴美, 大木晴美, 三浦太郎, 三浦太郎, 金聖暎, 金聖暎, 前田直見, 前田直見, 菊地覚次, 菊地覚次, 野間和広, 白川靖博, 四方賢一, 四方賢一, 藤原俊義

学会誌JSPEN(Web) 3 ( Supplement 1 ) 2021年

食道癌周術期管理における早期介入の有用性岡山大学病院におけるPERiOの取り組み

野間和広, 最所公平, 前田直見, 田辺俊介, 白川靖博, 白川靖博, 藤原俊義

外科と代謝・栄養 55 ( 4 ) 2021年

有茎広背筋弁移植による胸部食道癌術後気管瘻の予防

太田智之, 松本洋, 前田直見, 田辺俊介, 野間和広, 白川靖博, 藤原俊義, 木股敬裕

日本食道学会学術集会プログラム・抄録集 74回 326 - 326 2020年12月

Risk factor of mediastinal lymph node metastasis of Siewert type I and II esophagogastric junction carcinomas. 査読国際誌

Noriyuki Nishiwaki, Kazuhiro Noma, Tatsuo Matsuda, Naoaki Maeda, Shunsuke Tanabe, Kazufumi Sakurama, Yasuhiro Shirakawa, Toshiyoshi Fujiwara

Langenbeck's archives of surgery 405 ( 8 ) 1101 - 1109 2020年12月

記述言語：英語

BACKGROUND: Incidence of esophagogastric junction (EGJ) carcinoma has been increasing worldwide. Several studies revealed that the distance from the EGJ to the proximal edge of the primary tumor (esophageal invasion: EI) may be a significant indicator of metastasis in the mediastinal lymph nodes in patients with Siewert type II carcinomas. However, few studies have been conducted in patients with carcinomas located at Siewert type II sequentially to upper carcinomas (Siewert type I) for mediastinal metastasis regardless of histological types. METHODS: This was a single-center retrospective cohort study. EGJ carcinomas located at Siewert type I and II regions including both squamous cell carcinoma (SCC) and adenocarcinoma were analyzed in terms of lymph node metastasis patterns. RESULTS: We included 121 patients in this study. Thirty-three (27.3%) patients had SCC. In multivariate analysis, the distance of EI (> 20 mm) was an independent risk factor (OR 11.80, p = 0.005) for lower mediastinal lymph node metastasis. In terms of above the middle mediastinal metastasis, the distance of EI (> 30 m), histological type (SCC), and tumor size (> 40 mm) were risk factors in univariate analysis. Furthermore, EI was significant (OR 13.50, p = 0.026) in multivariate analysis. CONCLUSIONS: The distance of EI was the independent risk factor for mediastinal lymph node metastasis, especially > 20 mm related with a higher risk for mediastinal lymph node metastasis. Furthermore, EGJ carcinoma patients who have EI > 30 mm, large SCC carcinoma, and multiple lymph node metastasis might be considered the middle-upper mediastinal lymph node dissection by transthoracic approach.

DOI： 10.1007/s00423-020-02017-4

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局所進行食道癌に対するDCF-RT後の食道切除術の有用性と安全性の検討

山田元彦, 白川靖博, 河崎健人, 橋本将志, 前田直見, 田辺俊介, 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総会 75回 O1 - 5 2020年12月

観音開き法(上川法)再建における胃食道逆流予防と吻合部狭窄予防に重要な手技上のポイント

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

日本消化器外科学会総会 75回 RSV6 - 1 2020年12月

術前化学療法後に手術を行った食道胃接合部癌症例の検討

赤井正明, 野間和広, 西江尚貴, 前田直見, 田辺俊介, 櫻間教文, 楳田祐三, 白川靖博, 藤原俊義

日本消化器外科学会総会 75回 P010 - 2 2020年12月

腹臥位胸腔鏡下食道切除における微細解剖に基づいた上縦隔リンパ節郭清手技の定形化

前田直見, 白川靖博, 河崎健人, 西江尚貴, 山田元彦, 田辺俊介, 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総会 75回 O2 - 4 2020年12月

食道がん症例におけるチームによる周術期管理の介入開始の至適時期の検討

河崎健人, 白川靖博, 西江尚貴, 山田元彦, 前田直見, 田辺俊介, 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総会 75回 RS5 - 6 2020年12月

MM、SM1食道癌の治療手術か化学放射線療法か(領域横断的セッション) 食道ESD後追加手術例と再発後手術例から考える食道ESD後の適切な追加治療

田辺俊介, 白川靖博, 國友知義, 前田直見, 櫻間教文, 野間和広, 西崎正彦, 藤原俊義

日本食道学会学術集会プログラム・抄録集 74回 54 - 54 2020年12月

新規技術の開発とカダバートレーニングの実際食道癌手術におけるCadaver Surgical Trainingの現状と課題

前田直見, 白川靖博, 橋本将志, 田辺俊介, 野間和広, 櫻間教文, 西崎正彦, 藤原俊義

日本食道学会学術集会プログラム・抄録集 74回 75 - 75 2020年12月

食道癌に対する低侵襲手術の現況と展望

白川靖博, 野間和広, 河崎健人, 西江尚貴, 山田元彦, 前田直見, 田辺俊介, 西崎正彦, 藤原俊義

日本食道学会学術集会プログラム・抄録集 74回 8 - 8 2020年12月

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