Fumiaki Kawano

A case of separation surgery with drainage tube-less (DRESS) esophagostomy for advanced cancer with a respiratory fistula

Highlights • An esophagorespiratory fistula can cause severe pneumonia or a lung abscess.• Control of inflammation and initiation of chemoradiotherapy promptly.• Separation surgery provides good control of inflammation.• Separation surgery is less invasive and allows prompt initiation of chemoradiotherapy.• Drainage tube-less (DRESS) esophagostomy might improve patient’s quality of life.

Jejunogastric intussusception after distal gastrectomy with Roux-en-Y reconstruction: A case report

Highlights • We report a case of jejunogastric intussusception after distal gastrectomy.• Diagnosis and management of the condition are discussed with a literatures review.• The authors suggest ways to prevent jejunogastric intussusception after gastrectomy.

Accompanying role of hepato-biliary-pancreas surgeon in urological surgery

Highlights • Accompanying support by full use of procedure of general or cardiovascular surgeons for urological surgery in malignancies provide curability.• Cardiovascular intervention should be necessary to remove long extension of tumor thrombus into the vena cava or right atrium.• Hepatic or pancreatic mobilization or combined resection is required for invasive or metastatic urological malignancies.• Operative safety is also required by precise preoperative planning and arrangement of procedure during operation by the good combination in each.

Horizontal traumatic laceration of the pancreas head: A rare case report

Highlights • A woman involved in a car crash sustained blunt pancreatic head trauma that resulted in hemorrhagic shock.• A rare horizontal laceration and complete transection of pancreatic head was discovered during surgery.• The main pancreatic duct was not injured. The lower part of the pancreatic head including the uncus and attached duodenum was partially resected and the remnant duodenum was anastomosed with the Roux-en Y limb of the jejunum by functional side-to-side anastomosis.• The patient recovered without developing major complications.

Thyroid carcinoma with extensive tumor thrombus in the superior vena cava: A case report

Highlights • This is an uncommon surgical case report of thyroid carcinoma with extensive tumor thrombus in the superior vena cava.• Management criteria for thyroid carcinoma with venous tumor thrombus is considered for safe and effective operation.• Treatment and natural history for pulmonary infarction that occurred for drop off of the tumor thrombus are recognizable.