scholarly journals Laparoscopic Surgery for Acute Diffuse Peritonitis Due to Gastrointestinal Perforation: A Nationwide Epidemiologic Study Using the National Clinical Database

2021 ◽  
Author(s):  
Nobuaki Hoshino ◽  
Hideki Endo ◽  
Koya Hida ◽  
Hiraku Kumamaru ◽  
Hiroshi Hasegawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Epidemiologic Study ◽  
Gastrointestinal Perforation ◽  
Diffuse Peritonitis ◽  
Clinical Database ◽  
National Clinical Database

scholarly journals Mortality, morbidity, and failure to rescue in hepatopancreatoduodenectomy: An analysis of patients registered in the National Clinical Database in Japan

2021 ◽  
Vol 28 (4) ◽  
pp. 305-316
Author(s):  
Itaru Endo ◽  
Norimichi Hirahara ◽  
Hiroaki Miyata ◽  
Hiroyuki Yamamoto ◽  
Ryusei Matsuyama ◽  
...  
Keyword(s):  
Failure To Rescue ◽  
Clinical Database ◽  
National Clinical Database

scholarly journals 2. National Clinical Database: Its Use and Data Quality Management Efforts

2016 ◽  
Vol 21 (1) ◽  
pp. 27-35
Author(s):  
Hiraku KUMAMARU ◽  
Arata TAKAHASHI ◽  
Eriko FUKUCHI ◽  
Naoaki ICHIHARA ◽  
Norimichi HIRAHARA ◽  
...  
Keyword(s):  
Quality Management ◽  
Data Quality ◽  
Clinical Database ◽  
Data Quality Management ◽  
National Clinical Database

Development of gastroenterological surgery over the last decade in Japan: analysis of the National Clinical Database

Surgery Today ◽  
2020 ◽  
Author(s):  
Yoshihiro Kakeji ◽  
Hiroyuki Yamamoto ◽  
Hideki Ueno ◽  
Susumu Eguchi ◽  
Itaru Endo ◽  
...  
Keyword(s):  
Clinical Database ◽  
National Clinical Database

scholarly journals Current status of surgery for clinical stage IA lung cancer in Japan: analysis of the national clinical database

Surgery Today ◽  
2020 ◽  
Vol 50 (12) ◽  
pp. 1644-1651
Author(s):  
Norihiko Ikeda ◽  
Shunsuke Endo ◽  
Eriko Fukuchi ◽  
Jun Nakajima ◽  
Kohei Yokoi ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Wedge Resection ◽  
Clinical Stage ◽  
Postoperative Mortality ◽  
Current Status ◽  
Clinical Database ◽  
National Clinical Database ◽  
Invasive Approach ◽  
Clinical Stage Ia ◽  
Stage Ia

Abstract Purpose As the number of cases of early lung cancer in Japan grows, an analysis of the present status of surgical treatments for clinical stage IA lung cancer using a nationwide database with web-based data entry is warranted. Methods The operative and perioperative data from 47,921 patients who underwent surgery for clinical stage IA lung cancer in 2014 and 2015 were obtained from the National Clinical Database (NCD) of Japan. Clinicopathological characteristics, surgical procedure, mortality, and morbidity were analyzed, and thoracotomy and video-assisted thoracic surgery (VATS) were compared. Results The patients comprised 27,208 men (56.8%) and 20,713 women (43.2%); mean age, 69.3 years. Lobectomy was performed in 64.8%, segmentectomy in 15.2%, and wedge resection in 19.8%. The surgical procedures were thoracotomy in 12,194 patients (25.4%) and a minimally invasive approach (MIA) in 35,727 patients (74.6%). MIA was divided into VATS + mini-thoracotomy (n = 13,422, 28.0%) and complete VATS (n = 22,305, 46.5%). The overall postoperative mortality rate was 0.4%, being significantly lower in the MIA group than in the thoracotomy group (0.3% vs 0.8%, P < 0.001). Conclusions Our analysis of data from the NCD indicates that MIA has become the new standard treatment for clinical stage IA lung cancer.

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