Background: Intraoperative rectal washout is considered to be important in colorectal surgery, but it is rather difficult in laparoscopic surgery. To resolve the problem, a new device called gut-clamper have invented for complete washout of the rectum during the laparoscopic low anterior resection. Methods: Forty patients with rectal cancer underwent laparoscopic low anterior resection by a sin...

Anatomical resection (AR) has been reported to achieve better long-term outcomes than non-anatomical for the treatment of hepatocellular carcinoma (HCC). The surgical feasibility and oncological significance laparoscopic AR (LAR), especially “subsegment resection”, “cone unit repeat LAR HCC, remain unproven. We present a 67-year-old patient with alcoholic liver cirrhosis HCC who underwent full ...

INTRODUCTION Postoperative care after oesophageal tumour resection holds a high risk of respiratory complications. We therefore aimed to determine the value of systemic inflammatory markers in predicting arterial hypoxaemia as the earliest sign of developing lung injury after oesophageal tumour resection. METHODS In a prospective observational study, 33 consecutive patients were observed for ...

We present a case of metastatic recurrence of carcinoid tumor accompanied by carcinoid syndrome in a 68-year-old Japanese man, 12 years after resection of typical pulmonary carcinoid. Histopathologic examination from percutaneous liver biopsy revealed metastatic typical carcinoid. Clinical symptoms gradually improved after administration of octreotide LAR. Two years after starting treatment, th...