Tetsuji Fujita

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OBJECTIVE To evaluate the safety and effectiveness of laparoscopic total gastrectomy with D2 lymphadenectomy for gastric cancer. DESIGN Review of findings from a prospectively acquired institutional database. SETTING University hospital. PATIENTS Fifty-five consecutive patients operated on by the same surgeon between October 1997 and March 2008. (More)
UNLABELLED The aim of this retrospective study was to determine clinicopathological factors pertinent to the prognosis of perforated colorectal cancer (PCRC). PATIENTS AND METHODS A retrospective review of clinical records of 17 cases of emergency primary resection for PCRC (stage IIIa in 2, stage IIIb in 6 and stage IV in 9) was performed. RESULT The(More)
BACKGROUND Retraction of the liver is necessary to ensure an adequate working space in laparoscopic surgery, but the retraction force applied may cause transient liver dysfunction. We have introduced the technique using a Penrose drain to suspend the liver with the performance of laparoscopic gastrectomy for gastric adenocarcinoma. METHODS 111 patients(More)
Although glutamine is an important fuel for the intestinal epithelium, the metabolic fate of glutamine extracted by the human intestine remains unclear. The aim of this study was to investigate the relationship between glutamine extraction and the release of other amino acids by the human intestine. In 21 patients undergoing major abdominal cancer surgery,(More)
www.thelancet.com Vol 374 November 7, 2009 1593 looked at the number of concomitant antipsychotics at baseline (not at the time of death), or mainly the role of antipsychotic dose or polypharmacy. In the review of 12 studies, one study showed that cardiovascular risk was inversely associated with the intensity of use of antipsychotic drugs. This fi nding(More)
Endovascular aneurysm repair (EVAR) is a new and minimally invasive alternative to open repair for patients with abdominal aortic aneurysm (AAA). Soon after its introduction in 1990, it was recognized that EVAR had potential and distinct advantages in the elective and emergency settings. However, long-term follow-up has shown enlargement of the AAA in a(More)