研究者詳細 - 三好　健太郎

論文 - 三好　健太郎

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三好健太郎, 大藤剛宏, 岡崎幹生, 山根正修, 豊岡伸一, 佐野由文, 三好新一郎

移植 44 ( 総会臨時 ) 316 - 316 2009年9月

Clinical outcomes of short hook wire and suture marking system in thoracoscopic resection for pulmonary nodules 査読

Kentaroh Miyoshi, Shinichi Toyooka, Hideo Gobara, Takahiro Oto, Hidefumi Mimura, Yoshifumi Sano, Susumu Kanazawa, Hiroshi Date

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY 36 ( 2 ) 378 - 382 2009年8月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：ELSEVIER SCIENCE BV

Objective: The short hook wire and suture marking system is a device for localization of small pulmonary nodules in thoracoscopic resection. We and other authors have shown the feasibility of the marking procedure. In this study, we reviewed our recent experience to examine the problems for resecting procedure using the device and determine if the system negatively impacts the survival rates for lung cancers. Methods: Between November 1996 and March 2007, a total of 125 pulmonary nodular lesions in 108 patients were intended for thoracoscopic resection after localization with computed tomography-guided short hook wire and suture placement. We reviewed the major problems during surgery among all cases and prognosis in 64 patients with primary lung cancer. Results: One hundred and seventeen lesions (93.6%) were successfully resected by intitial resection with no major complication. However, we experienced missing events, the major problem during surgery, which was defined as temporarily missing lesions or hook wires. Eight missing events (6.4%) consisting of five unresected lesions and three remaining hook wires occurred after initial wedge resection. All the missing lesions and one remaining hook wire were recovered by additional resection. No specific factors of lesions, including location, diameter, distance from the pleural surface, and opacification were related to incidence of the 'missing event'. Five-year survival of patients with stage IA lung cancer was 90.0% with no local recurrence. Conclusions: Our localization method assured a consistent quality of resection regardless of the lesion characteristics and a reasonable prognosis for patients with primary lung cancer. The short hook wire and suture system provides acceptable utility in thoracoscopic surgery. (C) 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

DOI： 10.1016/j.ejcts.2009.03.039

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生体肺移植後Calcineurin inhibitor起因性薬物性肝障害と、白血球貪食症候群

大藤剛宏, 山根正修, 三好健太郎, 大谷真二, 柿下大一, 堀志郎, 脇直久, 山本澄治, 吉田修, 岡崎恵, 岡崎幹生, 豊岡伸一, 佐野由文

移植 44 ( 3 ) 266 - 267 2009年6月