Researcher Profiles - Nakamura Yuka

写真a

Nakamura Yuka

Affiliation

Musashikosugi Hospital, Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Assistant Professor

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Papers

Periappendiceal fluid collection on preoperative computed tomography can be an indication for interval appendectomy: a retrospective study. International journal

Shintaro Kanaka, Satoshi Mizutani, Yasuyuki Yokoyama, Takeshi Matsutani, Naoto Chihara, Akira Katsuno, Hideyuki Takata, Ryosuke Nakata, Keisuke Mishima, Yudai Wada, Takao Shimizu, Ryo Yamagiwa, Takahiro Haruna, Yuka Nakamura, Akira Hamaguchi, Nobuhiko Taniai, Hiroshi Yoshida

World journal of emergency surgery : WJES 17 ( 1 ) 30 - 30 2022.5

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Language：English Publishing type：Research paper (scientific journal)

BACKGROUND: The treatment strategies for acute appendicitis, such as emergency appendectomy (EA), interval appendectomy (IA), and repeating nonoperative management (NOM), are controversial. In this study, we examined the preoperative factors that can be used to distinguish which patients should undergo IA. METHODS: We retrospectively identified 902 patients who underwent surgery for appendicitis in our hospital from January 2010 to December 2021. Of these patients, 776 were included in this study. The patients were divided into two groups: those with a periappendiceal fluid collection (PAFC) on preoperative computed tomography (PAFC-positive group, n = 170) and those without a PAFC (PAFC-negative group, n = 606). In each group, we compared patients who underwent EA and IA. RESULTS: In the PAFC-positive group, patients who underwent EA had a significantly higher postoperative complication rate than those who underwent IA (40.5% vs. 24.0%, p = 0.037). In the multivariate analysis, only the presence of PAFC was significantly associated with an increased risk of postoperative complications (odds ratio, 7.11; 95% confidence interval, 2.73-18.60; p < 0.001). The presence of PAFC alone was not significantly associated with an increased risk of IA or NOM failure (odds ratio, 1.48; 95% confidence interval, 0.19-11.7; p = 0.71). The rate of neoplasia on pathologic examination was significantly higher in the PAFC-positive than PAFC-negative group (7.6% vs. 1.5%, p < 0.001); the rate of carcinoma was also higher in the PAFC-positive group (2.4% vs. 0.17%, p = 0.02). CONCLUSIONS: The presence of PAFC on preoperative computed tomography was found to be a risk factor for postoperative complications but not IA or NOM failure. It was also correlated with neoplasia as the etiology of appendicitis. Therefore, PAFC positivity is useful as an indication for IA.

DOI： 10.1186/s13017-022-00437-9

PubMed

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腹部造影CT検査にて術前診断が可能であった小腸アニサキス症の1例

中村優圭, 中田亮輔, 谷合信彦, 小林倫子, 許田典男, 松谷毅, 吉田寛

日本腹部救急医学会雑誌 42 ( 2 ) 297 - 297 2022.2

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Language：Japanese Publisher：(一社)日本腹部救急医学会

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腹部造影CT検査にて術前診断が可能であった小腸アニサキス症の1例

中村優圭, 中田亮輔, 谷合信彦, 小林倫子, 許田典男, 松谷毅, 吉田寛

日本腹部救急医学会雑誌 42 ( 2 ) 297 - 297 2022.2

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Language：Japanese Publisher：(一社)日本腹部救急医学会

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術後病理診断でIntraductal tubular adenoma(ITA)と診断された膵頭部嚢胞性腫瘍の一例

中村優圭, 水谷聡, 谷合信彦, 上田純志, 中田亮輔, 春名孝洋, 松谷毅, 許田典男, 吉田寛

日本消化器病学会関東支部例会プログラム・抄録集 362回 37 - 37 2020.12

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Language：Japanese Publisher：日本消化器病学会-関東支部

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Misc.

腹腔鏡下腹壁瘢痕ヘルニア手術の最前線eTEPかIPOMか腹壁瘢痕ヘルニアに対する腹直筋後鞘切開を加えたIPOM-plusの有用性

中村優圭, 千原直人, 谷合信彦, 松谷毅, 中田亮輔, 三島圭介, 吉田寛

日本内視鏡外科学会雑誌 26 ( 7 ) SY6 - 3 2021.12

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Language：Japanese Publisher：(一社)日本内視鏡外科学会

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その鏡視下手術、本当に必要ですか?-エキスパートが考える要件と適応の臨界点- Initial trocarはどこに挿入する? 腹部手術歴のある症例の検討

千原直人, 谷合信彦, 中村優圭, 三島圭介, 中田亮輔, 松谷毅, 吉田寛

日本内視鏡外科学会雑誌 26 ( 7 ) PD27 - 2 2021.12

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Language：Japanese Publisher：(一社)日本内視鏡外科学会

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