Nihon Daicho Komonbyo Gakkai Zasshi
Online ISSN : 1882-9619
Print ISSN : 0047-1801
ISSN-L : 0047-1801
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Volume 35, Issue 4
Displaying 1-6 of 6 articles from this issue
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  • Classiflcation of Anal Fistula and Its Surgical Treatment
    Y. Ui
    1982 Volume 35 Issue 4 Pages 305-311
    Published: 1982
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.35.305
    JOURNAL FREE ACCESS
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    Among proctological disorders, anal fistula appears to be most controversial about classification and treatment.
    Although several surgical procedures have resulted in relatively sufficient outcomes, none of them have resolved completely the problem of post operative dysfunction and other sequales. Adequate procedure with minimum invasion and maximum effectiveness should be chosen, based on careful considerations.
    I examined the classifications of anal fistula and adopted Sumikoshi's one, which was most advantageous for planning the treatment. For surgical procedures, five methods were employed as follows : Lay-open method, Submucosal fistulectomy, Parks method, Hanley method, and modified Goligher method.
    Two hundred and eighty four cases, treated according to this regimen during the past 5 years, have demonstrated excllent results. Sumikoshi's classification is strongly recom-mended here because it will introduce proper surgical treatment and simplified management even to unexperienced clinicians.
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  • Primary Carcinoma of the Appendix Presenting with Pseudomyxoma Peritonei
    Y. Umeda, A. Matsuura, S. Kobayashi, T. Kasugai, E. Yamada
    1982 Volume 35 Issue 4 Pages 312-316
    Published: 1982
    Released on J-STAGE: December 03, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.35.312
    JOURNAL FREE ACCESS
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    This is a case report of primary appendiceal carcinoma presenting with pseudomyxoma peritonei.
    A 52-year-old male presented with a tender mass in the right lower quadrant of the abdomen, increasing in size. Barium enema revealed no abnormalities. Abdominal ultrasonography revealed a hypoechoic mass with multiple small septations corresponding to the soft mass spreading over the umbilicus. A CT-film showed a tumor with irregular density just below the abdominal wall and ascites. By cytological evaluation of ascitic fluid, pseu-domyxoma peritonei was suspected without definite evidence of mailgnancy. At operation, a cystic mass, about 3 cm in size, was found at the tip of the appendix and the peritoneal cavity was filled with a large amount of gelatinous material. Microscopically, the diagnosis of the resected appendix was cystic adenocarcinoma with psendomyxoma peritonei.
    Generally speaking, the diagnosis of primary appendiceal carcinoma is very difficult preoperatively and the authors also felt the difficulty in establishing a correct diagnosis.
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  • [title in Japanese]
    1982 Volume 35 Issue 4 Pages 335
    Published: 1982
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.35.335
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    1982 Volume 35 Issue 4 Pages 337-340,411
    Published: 1982
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.35.337
    JOURNAL FREE ACCESS
    Download PDF (467K)
  • [title in Japanese]
    1982 Volume 35 Issue 4 Pages 341-343,413
    Published: 1982
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.35.341
    JOURNAL FREE ACCESS
    Download PDF (301K)
  • [title in Japanese]
    1982 Volume 35 Issue 4 Pages 345-410,415
    Published: 1982
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.35.345
    JOURNAL FREE ACCESS
    Download PDF (7396K)
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