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- 저자 : Takayoshi Ishii (검색결과 4 건)
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Invasiveness Reduction of Recent Total En Bloc Spondylectomy: Assessment of the Learning Curve
Takayoshi Ishii,Hideki Murakami,Satoru Demura,Satoshi Kato,Katsuhito Yoshioka,Moriyuki Fujii,Takashi Igarashi,Hiroyuki Tsuchiya 대한척추외과학회 2016 Asian Spine Journal Vol.10 No.3
Study Design: Case-control study. Purpose: To evaluate the surgical magnitude and learning curve of “second-generation” total en bloc spondylectomy (TES). Overview of Literature: In June 2010, we developed second-generation TES combined with tumor-induced cryoimmunology, which does not require autograft harvesting. Methods: TES was performed in 63 patients between June 2010 and September 2013. Three groups of patients were evaluated: 20 undergoing surgery in the first year of development of second-generation TES (group I), 20 in the second year (group II), and 23 in the third year (group III). Patient backgrounds showed no remarkable differences. Operating time, intraoperative blood loss, blood transfusion, and postoperative C-reactive protein and creatine phosphokinase were compared among the groups. Results: Mean±standard deviation operating time was 486±130 minutes in group I, 441±85 minutes in group II, and 396±75 minutes in group III. The time was significantly shorter in group III than in group I (p <0.05). Intraoperative blood loss was 901±646 mL in group I, 433±177 mL in group II, and 411±167 mL in group III. Blood loss was significantly lower in groups II and III than in group I (p <0.01). Transfusion was not required in 20 of 23 patients in group III, and mean C-reactive protein levels on postoperative day 3 were significantly lower in this group than in group I (6.12 mg/L vs. 10.07 mg/L; p <0.05). Postoperative creatine phosphokinase levels did not differ among the groups. Conclusions: TES is associated with a significant learning curve. Thus, second-generation TES can no longer be considered highly invasive.
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제부라린이 생식세포분열 동안 동조 염색체 사이의 염색체 접합에 미치는 영향
조성우,Takayoshi Ishii,Hisashi Tsujimoto 한국작물학회 2021 한국작물학회지 Vol.66 No.4
The objective of this study was to identify the effect of zebularine, a DNA methylation inhibitor, on the chromosomal association between homoeologous chromosomes in the wheat genetic background. Zebularine at a final concentration of 10 µM was used to treat the spikes of the double monosomic wheat addition line (DMA) with one Leymus mollis chromosome and one Leymus racemosus chromosome, both of which were in a homoeologous relationship. In late prophase, zebularine led to chromosome breakage in the Leymus homoeologous chromosomes. Chromosome breakage caused an increase in the frequency of chromosomal associations between the Leymus homoeologous chromosomes. Ordinary DMA showed 65 cells (35.3%) with chromosomal associations and 119 cells (64.7%) with no association, whereas treated DMA showed 102 cells (60.0%) with chromosomal associations and 67 cells (39.4%) with no association. In diakinesis, the Leymus bivalent showed a chromosomal association in the whole euchromatic region. In metaphase, the Leymus bivalent showed association in the whole chromosomal region, unlike other Leymus bivalents with partial chromosomal association. Chromosomal association by chromosome breakage occurred not only between Leymus chromosomes but also between Leymus and wheat chromosomes. The frequency of other chromosomal association (such as fusion and insert) was increased. Chromosome breakage by zebularine treatment is a useful method at the chromosome level as the spores with others are hereditary stable, although the homologous index (h) was not significantly different between ordinary DMA and treated DMA. It is necessary to study how to control zebularine treatment with a more stable concentration for chromosome breakage during meiosis. 이 연구에서는 인공 염색체 절단의 유발원인 제부라린을두 종류의 Leymus 염색체가 첨가된 이중 일가 외래 염색체 첨가 밀 계통의 생식세포 분열기에 처리함으로써 인공염색체 절단이 상동성이 결여된 외래 염색체 사이의 염색체 조합에 미치는 영향을 확인하고자 수행하였다. 밀의 유전적 배경에서 두 외래 염색체의 행동은 genomic in situ hybridization을 이용하여 확인하였다. 결과적으로 생식세포분열 전기 초반에 인공 염색체 절단은 두 외래 염색체의 핵형 차이인 말단의 이질염색질을 제외한 전장에서 발생하였으며, 그로 인하여 염색체 융합이 이루어져 이가 외래 염색체의 형태가 형성되는 것을 확인하였다. 이처럼 제부라린처리에 의한 인공 염색체 절단이 체세포분열(mitosis) 염색체뿐만 아니라 생식세포분열 염색체에 염색체 접합과 유사한 현상을 유발시키는 것을 확인하였으며, 이를 통하여 상동성을 엄격하게 조절하는 Ph1 유전자를 가지고 있는 밀의유전적 배경에서 동조 또는 비상동 관계에 있는 염색체 사이에서 염색체 결합이 이룰 수 있는 것을 확인하였다. 반면, 인공 염색체 절단은 두 외래 염색체의 소실과 일반적인 이가 염색체의 형태가 아닌 비정상적인 형태의 외래 이가 염색체도 유발하는 것을 확인하였다. 이러한 현상은 보통 형태와 유사한 이가 외래 염색체가 형성되었음에도 불구하고생식세포 분열의 사분자의 포자에 자매염색분체의 분포 비율에 부정적인 영향을 미침으로써 염색체 조합의 빈도를나타내는 상동성 지수에 유의미한 차이를 나타내지 못했다. 따라서 인공 염색체 절단에 의한 염색체 결합의 빈도와 발생부위에 대한 조절을 작물학적 관점에서 이용하려면 앞으로 지속적인 염색체 연구를 바탕으로 좀 더 구체적이고 세밀한 제부라린의 투여량, 처리시간 및 처리방법에 대한 연구가 필요할 것으로 생각한다.
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Fujibayashi Shunsuke,Takemoto Mitsuru,Ishii Ken,Funao Haruki,Isogai Norihiro,Otsuki Bungo,Shimizu Takayoshi,Nakamura Takashi,Matsuda Shuichi 대한척추외과학회 2022 Asian Spine Journal Vol.16 No.6
Study Design: Prospective multicenter clinical study.Purpose: To evaluate the efficacy of bioactive surface treatment for porous titanium spacers without bone graft for lateral lumbar interbody fusion (LLIF) through clinical and radiological examinations.Overview of Literature: LLIF is a minimally invasive spinal fusion procedure. To achieve bony union, a substantial volume of grafted bone is typically packed into the cage; however, this is related to donor site morbidities—one of the disadvantages of LLIF.Methods: For this prospective multicenter study, 40 patients were followed up through radiologic and clinical examinations for at least 1 year postoperatively. All surgical procedures were either single- or double-level LLIF using bioactive porous titanium spacers without bone grafts.Results: Four patients were excluded from the study owing to aggravation from other comorbidities. Another 36 patients, including 26 and 10 with single- and double-level LLIFs, respectively, participated in the follow-up. The mean age at the time of surgery was 63.7 years. The mean operating time was 50.5 minutes per level. The mean estimated intraoperative blood loss was 11.6 mL per level. Clinical scores improved in all cases and were maintained throughout the follow-up period. The intervertebral bony union rates were 67.4% and 84.8% at 6 and 12 months, respectively. Endplate cyst signs were observed in 13.0% and 8.7% of patients at 6 and 12 months, respectively. Fused segmental angles were maintained throughout the follow-up period, indicating no cage subsidence.Conclusions: Single- and double-level LLIFs using bioactive porous titanium spacers without bone grafts were found to be minimally invasive, resulting in clinical and imaging results comparable with conventional procedures. Therefore, this type of implant may be an option for minimally invasive spinal fusion surgery.
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