1.Review of Post-Operative Cases of Stomach Cancer in Southern Fukushima Prefecture.
Nobuyuki KOBAYASHI ; Fusakuni KURODA ; Yoichi NARUSHIMA ; Shiro TAKASE ; Nobuhide SAKAMOTO ; Ryoichi ENDO
Journal of the Japanese Association of Rural Medicine 1992;41(1):25-28
Clinical research was carried out on stomach cancer cases treated in the surgery department of our hospital, which provides medical services to the populace in the southern part of Fukushima Prefecture.
During the 10-year period between Jan. 1981 and Dec. 1990, a total of 641 cases were referred to surgery. Of the total, 568 cases or 88.6% were operated on and 501 or 78.2% were radical gastrectomy cases.
When a careful check was made on these cases with respect of staging, histology, invasion degree and lymph node metastasis, it was found that the ratio of early stage stomach cancer cases was increasing steadfastly year after year.
Regarding the 5-year survival rate, 63.7% was scored by the operated cases and 73.2% by radical gastrectomy cases. These rates were up by 18.6% and 17.0% from five years ago. The above findings indicate that improvement in treatment results is due to technical progress in detection of gastric cancer at early stages.
2.Two Surgically Treated Cases of Aneurysm of the Innominate Artery after Surgey for Aortic Aneurysm.
Michio TOBE ; Akira SAKAMOTO ; Toshiyuki HAMADA ; Nobuhide KUBO ; Keiji UCHIDA ; Sunao SATO
Japanese Journal of Cardiovascular Surgery 1993;22(4):376-379
Two cases that were surgically treated with atherosclerotic aortic aneurysm, followed by innominate artery aneurysm are reported. The causes of these aneurysms were determined to be arteriosclerosis and idiopathic inflammation. Blood flow reconstruction surgery using grafts was performed on these two patients. In one case, we also employed an internal shunt technique to prevent brain ischemia. It was speculated that this type of aneurysm develops not only in cases of inflammation, but also in multifocal arteriosclerotic vascular diseases. This type of aneurysm will probably increase in the future.