I Kurosaki

..Since 2005, we have used the left posterior approach for superior mesenteric vascular pedicle dissection, in which the superior mesenteric artery and the superior mesenteric vein are dissected first in a clockwise fashion...

..Understanding multiplicity and its histologic confirmation is an important step for successful surgical management...

..The purpose of this study is to analyze risk factors of liver metastasis and to evaluate outcome of hepatectomy for liver metastasis...

..We evaluated the feasibility and antitumor efficacy of LPC with 5-fluorouracil (5-FU) followed by gemcitabine treatment...

..VR is the most frequently used vascular procedure in this field, but an exact role of VR has not been compared according to the primary site of tumor...

..Here, we described the technique and the outcome of video-assisted donor hepatectomy (VADH) for adult-to-adult LRLT...

..The effects of gemcitabine on postoperative adjuvant chemotherapy were evaluated in patients with stage IV pancreatic cancer. The results were compared with those of our historical control patients treated with surgery alone...

..However, an understanding of a common definition of DGE is needed when discussing the outcome of the various interventions...

..The mode of hepatic recurrence seemed closely related to the portal segmentation: in the first case, intrahepatic metastases via portal tributaries; and in the second, the occult residual cancer spreading widely through bile ductules...

..Our studies demonstrate that the omental wrapping technique is one of the useful surgical options for preventing serious conditions following a pancreatic leakage...

..The results were compared with those of our historical control patients treated by surgery alone...

..The graft liver biopsy specimen showed severe chronic rejection. The present status of the patient, who is now more than 7 years after transplantation, is an absence of neurological findings with normal liver function...

..The elevation of PAI-1 in recipients on day 1 after transplantation may be a marker of injury from the shear stress from excessive portal hypertension after ALRPLT...

..Her blood glucose level was 80 to 150 mg/dL and HbA1c was 5.8% at 5 months after surgery. This type 2 diabetic living liver donor showed good control of the postoperative glucose level without exacerbation or diabetic complications...

..To our knowledge, this report is the youngest case of cholangiocarcinoma associated with CBD...

..The encephalopathy in congenital portosystemic shunt might result from chronic liver ischemia and atrophy. Moreover, the shunt resection may enlarge the functional liver volume by increasing the portal blood flow...

..Microscopically, the tumor was confirmed to be moderate-to-well-differentiated tubular adenocarcinoma. Thus, when the narrow segment is left untouched, careful long-term follow-up is important to detect new lesions at an early stage...

..He has been doing well, without recurrence, for 5 years after the hepatectomy. Hepatectomy for hepatic metastases from carcinoma of the papilla of Vater is thought to be a useful surgical treatment in selected patients...

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..To evaluate risk factors of biliary anastomotic complications (BACs) and outcomes according to type of biliary reconstruction...

..In this report, we have documented 5 patients with CA stenosis or occlusion who underwent pancreaticoduodenectomy, and we have discussed the surgical strategy for this condition...

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..These findings might suggest that cell-mediated immunity weigh heavier than the operation time of ischemia-reperfusion injury as a cause of liver injury after partial hepatectomy...

..CONCLUSIONS: Occurrence of DGE was strongly affected by reconstruction technique and major complication. Billroth II reconstruction with antecolic duodenojejunostomy seems to be a useful technique to minimize the occurrence of DGE...

..We evaluated the effectiveness of dynamic computed tomography (CT) imaging in differentiating malignant intraductal papillary mucinous tumor (IPMT) with a large mural nodule from invasive ductal adenocarcinoma (IDAC)...

..The surgery was completed with no residual macroscopic or microscopic tumors. The patient received 6 cycles of wPTX as adjuvant therapy,and remained well with no evidence of tumor recurrence 28 months after the initial treatment...

..Thus, patients with liver cirrhosis due to past chronic hepatitis B should be monitored carefully for the development of HCC even if HBV infection has been serologically resolved...

..The level of CA19-9 was normalized three months later, and metastatic tumors of the liver were calcified. She had received the combination chemotherapy for 15 months and is now alive...

..Gemcitabine is a promising agent for the treatment of resectable advanced pancreatic cancer, and a randomized control trial is warranted for gemcitabine-based chemotherapy...

..Pancreaticogastrostomy has less reliability in terms of the long-term patency in cases having non-dilated main pancreatic duct...