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Volume 65 (2005)
- Issue 6 Pages 473-
- Issue 5 Pages 385-
- Issue 4 Pages 275-
- Issue 3 Pages 205-
- Issue 2 Pages 111-
- Issue 1 Pages 1-
Volume 65, Issue 6
Displaying 1-5 of 5 articles from this issue
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Kiyoshi MIYAKAWA, Takemasa MIDORIKAWA, Gaku KIKAWA, Kazuyoshi ISHIBASH ...2005 Volume 65 Issue 6 Pages 473-478
Published: December 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSRecently ultrasonically-activated shears (USAS) have been used in not only laparotomic surgery but also laparoscopic surgery. USAS has greatly improved coagulation ability and cutting time. In addition, the improvement of the braid has been beneficial for surgery. We report the clinical use of USAS in laparotomic surgery for low anterior resection of rectal cancer compared with similar surgery with a hemostatic clip. Blood loss during surgery was significantly less with USAS. Significant differences of operating time, duration of drainage, post operative hospitalization, and mobility were recognized. Using USAS for low anterior resection might contribute to a decrease in the amount of operative blood loss and promote safety in these typer of operation.View full abstractDownload PDF (3557K) -
Akiko TOMITA, Yoko SHINODA, Raita KIKUCHI, Kazuto KOZUKA, Satoshi KIMU ...2005 Volume 65 Issue 6 Pages 479-487
Published: December 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSTo contribute to infection control activities in a university hospital, we developed a new system using electric medical records (EMR) . We programmed the following ERM functions at Showa University Northern Yokohama Hospital (661 beds) which opened in 2001 : 1) To prevent transmission of pathogens, the names of patients with pathogens appear in color on the display. Colors are classified according to protection method, blue for air-borne and green for contact precautions. Patients with blood stream pathogens such as hepatitis virus, syphilis or HIV are colored in red. 2) To regulate usage of antibiotics, all antibiotic prescriptions are monitored by the hospital pharmacy. Orders of intra-venous antibiotics longer than 16 days must report the reason to an infection control department. A warning message appears when prescribing specified antibiotics such as anti-MRSA drugs. 3) To detect outbreaks, numbers of patients who have infectious diseases are automatically counted every day and displayed on monitors in graphics. Results of this new system show the numbers of patients who had intravenous administration of antibiotics for longer than 15 days were 5.0±2.6 patients (mean ± SD) . Only five multi-drug resistant Pseudomonas aeruginosa (MDRP) were detected in 32 months from January 2002. Surveillance of central line catheter-related bloodstream infections (CR-BSI) revealed that infection occurred in only 0%, 2.2% and 2.0% per 1000 device days in the ICU and two common wards, respectively. Though many factors were involved in these results, we estimate the numbers of hospital-acquired infections remained low by introducing our new ERM system.View full abstractDownload PDF (5164K) -
Jun YAMASHITA, Michiaki NARUSHIMA, Jun MATSUISHI, Hajime SUZUKI2005 Volume 65 Issue 6 Pages 488-493
Published: December 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSThoracoscopy is useful for the diagnosis of pleural diseases. The macroscopic features of carcinomatous pleurisy, tuberculous pleurisy, and malignant mesothelioma are specific. To determine the relationship between the success rate of pleurodesis and the macroscopic appearance of the pleural space revealed by thoracoscopy in patients with carcinomatous pleurisy. The subjects were 19 patients (12 men, 7 women with a mean age of 72.6 years), including 16 patients with lung cancer, 2 with gastric cancer, and 1 with colon cancer. We grouped the patients according to the following criteria ; A-1 suffered fsom multiple large tumors growing on the parietal or visceral pleura ; A-2, multiple large tumors growing on both surfaces of the pleura ; and B, multiple small nodules on both surfaces of the pleura. The criteria for measurement of efficacy were as follows : success was the disappearance or no change of pleural effusion at 4 weeks after pleurodesis and failure was an increase of the effusion. The success rate was 66.7% (4/6) for the A-1 cases and 71.4% (5/7) for the A-2 cases, but pleurodesis was only successful in 25% (1/4) of the B cases. When the relationship between the success rate of pleurodesis and the macroscopic appearance of carcinomatous pleurisy was examined, it was found that pleurodesis tended to fail when the patient had disseminated small nodules. Further investigation of a larger population is required to confirm these findings.View full abstractDownload PDF (2468K) -
Terumasa SAWADA, Kenya SUZUKI, Tatsuhisa KASHIWASE, Yuko DATE, Masaaki ...2005 Volume 65 Issue 6 Pages 494-499
Published: December 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSThe sentinel node (SN), defined as the first draining node from the primary lesion, has proven to be a good indicator of the metastatic status of regional lymph nodes in solid tumors. This procedure is a promising surgical technique to avoid unnecessary axillary lymph node dissection (ALND) in breast cancer. If ALND can be omitted, patients avoid suffering from edema and disorders of the postoperative arm. Thus, we strongly believe that SNB would be a convenient and safe procedure to minimize the operative complications of breast cancer surgery. We reviewed 129 patients with breast cancer who had received SNB using the“indigocarmine single method”and a concurrent backup ALND operation in the Department of Surgery, School of Medicine, Showa University from December, 2001 to March, 2005. The identification rate of SNB and its relevance to age, diameter of tumor, main locus of tumor, and pathological type were evaluated. The identification rate of SNB was 85.3% of 110 cases and 91.4% of 63 cases after 2004. Only papillotubular carcinoma showed a high identification rate of SNB when identification rate and age, diameter of tumor, main locus of tumor and pathological type were compared to identification rate of SNB. The proper diagnosis rate in SNB was 91.9%, which was similar to other reports. However, a false negative rate of SNB was 38.5%. We attribute the high false negative rate of SNB to the insufficient number of sections of the SNB specimens and the lack of immunohistochemical examinations in SNB. Establishing SNB standards would serve the field of breast cancer surgery by minimizing postoperative complications.View full abstractDownload PDF (563K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2005 Volume 65 Issue 6 Pages 500-502
Published: December 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSDownload PDF (308K)
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