Nihon Geka Gakkai zasshi
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Nihon Geka Gakkai zasshi · Jan 2015
Review[Advantages and pitfalls of minimally invasive surgery for esophagogastric junction tumors].
Several studies of minimally invasive esophagectomy (MIE) for esophagogastric junction (EGJ) tumors have been reported from Western countries with high incidences of lower esophageal cancer. Less invasiveness and a better quality of life after MIE compared with open esophagectomy were found in a randomized controlled trial in Europe. On the other hand, as laparoscopic total gastrectomy for upper gastric cancer has gradually become more common, laparoscopic transhiatal resection and reconstruction to treat EGJ tumors have been reported in Japan. ⋯ Therefore, similar benefits are also expected for EGJ tumors, although there is no current evidence for this. It is difficult to determine which minimally invasive approach is better because the appropriate approach and extent of resection may differ depending on the location and size of each tumor. For the minimally invasive approach to the treatment of EGJ tumors to be accepted as an option, a safe reconstruction method with good long-term quality of life needs to be established.
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Nihon Geka Gakkai zasshi · Nov 2014
Case Reports[What we can learn from a case of medical malpractice-substantial awards affirmed in medical malpractice case for death after caesarean section from delayed detection of intraperitoneal hemorrhage; in contrast to damages awarded for a motor vehicle accident, damages for medical accidents was estimated to be higher in this case on the basis of a decision on liability in claimant's favor].
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In pediatric cardiac surgery, informed consent is often obtained from the patient's parents. The parents are commonly under great stress due to being in a situation where they have to make the important decision of whether their child will undergo cardiac surgery. ⋯ In pediatric cardiac surgery, it is important to obtain informed consent with adequate explanations, an understanding of the parents' stressful situation, and knowledge of the patient's background. In this article, we introduce two examples of obtaining informed consent for two common pediatric cardiac operations, atrial septal defect closure and ventricular septal defect closure.
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The number of female surgeon is continuously increasing, while the total number of surgeon is decreasing. The author has faced many difficulties while working as a pediatric surgeon and a mother of three children. ⋯ Suggestions include a change the relationship between a female surgeon and her partner, a supplement of surgeons so that hospitals could change the traditional system of surgery. The author proposed to increase female managers intentionally, so that the sense of sexual difference would be diminished and proper evolution of the society would be achieved.