Shirou Kuwabara

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Although the feasibility and advantages of video-assisted thoracoscopic esophagectomy (VATS-E) for esophageal cancer are well studied, its application is limited, possibly because it is technically complex. Ninety-eight patients who underwent VATS-E at our institutes were divided into three groups by the type of thoracoscope, TV monitor, and patient(More)
We report herein the rare case of a 65-year-old man found to have esophageal intramural metastasis from cancer of the gastric cardia. Endoscopic examination initially revealed an infiltrating ulcerative tumor of the gastric cardia involving the esophagogastric junction, as well as a submucosal tumor of the lower esophagus. A total thoracic(More)
IT HAS BEEN XaEt'ORTED that, when administered alone, the hvo clinically available narcotic antagonists, nalorphine hydrochloride (Nalline) 1-7 and levallorphan tartrate, 8-1~ have respiratory and circulatory effects similar to those of narcotics. When a third potent narcotic antagonist, naloxone hydrochloride, became available for experimental use, it(More)
Carcinosarcoma is a rare esophage al tumor that shows polypoid con® gurations; it has an incidence of 0.1% ± 1.5% of all esophage al malignancie s (1). This tumor is usually composed of both invasive or in situ squamous cell carcinomas surrounding the base of the exophytic tumor and sarcomatous spindle cells forming the body of the polypoid mass. The(More)
To test the usefulness of diagnostic peritoneal lavage (DPL) for identifying blunt hollow visceral injury with two different sets of criteria or a combination of the two. Fifty victims with physical examinations and/or computed tomography findings equivocal for blunt hollow visceral injury underwent DPL. Whether or not to perform surgery was determined(More)
OBJECTIVES Frequency of CVAPD-related complications in colorectal cancer patients is investigated to clarify the relationship to the clinical factors. METHODS The subjects were 57 patients with unresectable or recurrent colorectal cancer who received interposition operation of CVAPD during the period from February 2006 to April 2009. The clinical factors(More)
Many cases of choledocholiths formed around sutures and clips used during cholecystectomy have been reported. We describe a case of gallstone formation around a nylon suture after non-biliary surgery. To the best of our knowledge, this is the first report of such a case. A 75-year-old Japanese man, who had undergone distal gastrectomy for gastric cancer and(More)
INTRODUCTION The purpose of this study was to evaluate the safety and efficacy of a novel continuous incision technique for the cystic duct and the bile duct over the orifice for laparoscopic transcystic choledocholithotomy (LTCL). METHODS LTCL was attempted in 103 consecutive patients from January 1998 to March 2015 and was successful in 96 patients. The(More)