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Journal of Hepato-biliary-pancreatic Sciences

Marjolein van Reeven, Jacques Pirenne, Paolo Muiesan, Constantino Fondevila, Jan N M IJzermans, Wojciech G Polak
BACKGROUND: Liver transplantation (LT) using grafts from donation after circulatory death (DCD) is evolving to standard of care in many countries. Various transplant centers have developed a protocol for DCD-LT. The existence of numerous protocols may cause inconsistencies. Knowledge of these differences may help improve the outcome of DCD-LT. METHODS: An internet-based survey was sent to 119 transplant surgeons among four countries: Belgium (BE), the Netherlands (NL), Spain (ES) and the United Kingdom (UK)...
February 18, 2019: Journal of Hepato-biliary-pancreatic Sciences
Hung-Hsuan Yen, Te-Wei Ho, Chien-Hui Wu, Ting-Chun Kuo, Jin-Ming Wu, Ching-Yao Yang, Yu-Wen Tien
BACKGROUND: The pancreatoenteric anastomotic stricture (PEAS) is a common long-term complication after pancreaticoduodenectomy (PD), some of which present as acute pancreatitis requiring emergency care. This important topic has never been reported. In this study, we focus on the incidence, radiological features, clinical outcome, and risk factors of late-occurring acute pancreatitis (LAP) after PD. METHODS: We retrospectively reviewed a prospectively collected database of 539 patients who underwent PD at a single tertiary referral center between June 2005 and December 2014...
January 8, 2019: Journal of Hepato-biliary-pancreatic Sciences
Hiroaki Fukuzawa, Yoshinobu Akasaka, Kosaku Maeda
BACKGROUND: In congenital biliary dilatation, the protein plug is likely impacted, especially in a dilated common channel. However, nobody has discussed whether this dilatation of common channel remains after radical operation. The aim of this study was to investigate the situation of the dilated common channel after radical operation. METHODS: The status of the common channel was investigated at radical operation and follow-up. We then evaluated whether dilation of the common channel remained postoperatively...
January 7, 2019: Journal of Hepato-biliary-pancreatic Sciences
Christian M Kühlbrey, Steivan Kasper, Sophia Chikhladze, Gabriel Seifert, Ulrich T Hopt, Stefan Fichtner-Feigl, Uwe A Wittel
BACKGROUND: Bio-absorbable sealants are widely used to reduce the rate and severity of postoperative pancreatic fistulas after distal pancreatectomy. However, numerous clinical trials have failed to demonstrate their clinical benefit. We therefore investigated stability and bio-compatibility of absorbable sealants in vitro and in vivo. METHODS: In vitro, polymerized compounds were incubated in pancreatic juice before their stability was tested. In vivo, two compounds were used to seal the pancreatic stump after distal pancreatectomy in nine pigs...
December 27, 2018: Journal of Hepato-biliary-pancreatic Sciences
Terumi Kamisawa, Takahiro Nakazawa, Susumu Tazuma, Yoh Zen, Atsushi Tanaka, Hirotaka Ohara, Takashi Muraki, Kazuo Inui, Dai Inoue, Takayoshi Nishino, Itaru Naitoh, Takao Itoi, Kenji Notohara, Atsushi Kanno, Kensuke Kubota, Kenji Hirano, Hiroyuki Isayama, Kyoko Shimizu, Toshio Tsuyuguchi, Tooru Shimosegawa, Shigeyuki Kawa, Tsutomu Chiba, Kazuichi Okazaki, Hajime Takikawa, Wataru Kimura, Tosiaki Unno, Masahiro Yoshida
BACKGROUND: IgG4-related sclerosing cholangitis (IgG4-SC) is a distinct type of cholangitis frequently associated with autoimmune pancreatitis and currently recognized as a biliary manifestation of IgG4-related disease. Although clinical diagnostic criteria of IgG4-SC were established in 2012, differential diagnosis from primary sclerosing cholangitis and cholangiocarcinoma is sometimes difficult. Furthermore, no practical guidelines for IgG4-SC are available. METHODS: Because the evidence level of most articles retrieved through searching the PubMed, Cochrane Library, and Igaku Chuo Zasshi databases was below C based on the systemic review evaluation system of clinical practice guidelines MINDS 2014, we developed consensus guidelines using the modified Delphi approach...
December 21, 2018: Journal of Hepato-biliary-pancreatic Sciences
Itaru Endo
The 30th meeting of the JSHBPS is the first domestic meeting of our society to have been organized completely in English. In that sense, we have established the theme of the 30th meeting of the JSHBPS as "The Second Opening of Japan on the Way to a Bright Future". Last 30 years, several strategies have been undertaken to battle HPB malignancies, such as aggressive operative procedures, operative planning using state-of-the-art technologies, neoadjuvant therapy, conversion surgery for initially unresectable diseases, and immunomodulation...
December 21, 2018: Journal of Hepato-biliary-pancreatic Sciences
Yukio Iwashita, Masafumi Inomata
Determining the depth of invasion before surgery is one of the most important unsolved issues in the management of gallbladder cancer (GBC). We hypothesized that the assessment of irregular vessels on the gallbladder wall with use of narrow band imaging (NBI) may be useful for detecting subserosal infiltration. We present an initial report on the clinical usefulness of laparoscopic NBI for the intraoperative diagnosis of the depth of invasion in GBC. This article is protected by copyright. All rights reserved...
December 18, 2018: Journal of Hepato-biliary-pancreatic Sciences
Sachiyo Kawamura, Hisae Iinuma, Keita Wada, Kunihiko Takahashi, Shunryo Minezaki, Masahiko Kainuma, Makoto Shibuya, Fumihiko Miura, Keiji Sano
BACKGROUND: Pancreatic ductal adenocarcinoma (PDAC) is a lethal malignancy with poor prognosis. This is due to late diagnosis and lack of reliable prognostic biomarkers. In this study, we focused on exosomal microRNA (miRNA) in portal vein blood (PVB) as a potential biomarker to identify patients at high-risk for recurrence and poor postoperative outcome. METHODS: Exosomal miR-4525, miR-451a and miR-21 expressions were assessed using PVB and peripheral blood (PB) collected from 55 PDAC patients during curative pancreatectomy...
December 18, 2018: Journal of Hepato-biliary-pancreatic Sciences
Nadia Russolillo, Fabio Forchino, Simone Conci, Caterina Mele, Serena Langella, Andrea Ruzzenente, Iolanda Scoleri, Felice Giuliante, Alfredo Guglielmi, Alessandro Ferrero
BACKGROUND: The albumin-indocyanine green evaluation (ALICE) model based on serum albumin and indocyanine retention rate, has been shown to be an effective method for predicting postoperative outcomes in hepatocellular carcinoma patients. Aim of the study was to validate the ALICE model in a large Western cohort of patients by comparing the Albumin-Bilirubin (ALBI) score and Child-Turcotte-Pugh (CTP) score. METHODS: A total of 400 patients who underwent hepatic resection from 01/2005 to 06/2016 at 3 centers were enrolled...
December 8, 2018: Journal of Hepato-biliary-pancreatic Sciences
Naruhiko Murase, Akinari Hinoki, Chiyoe Shirota, Hirofumi Tomita, Naoki Shimojima, Hideyuki Sasaki, Masaki Nio, Kazunori Tahara, Yutaka Kanamori, Masato Shinkai, Hirotoshi Yamamoto, Yasuhiko Sugawara, Taizo Hibi, Tetsuya Ishimaru, Hiroshi Kawashima, Hiroyuki Koga, Atsuyuki Yamataka, Hiroo Uchida
PURPOSE: Multicenter study was undertaken to analyze the results of laparoscopic and open Kasai portoenterostomy. METHODS: Subjects were infants with type III biliary atresia who underwent open operation (n=106) or laparoscopic operation (n=21) between January 2012 and December 2015. Clinical data were compared between open and laparoscopic operations (2016-0534). Propensity score matching was performed to reduce the effect of treatment selection bias. Multivariate analyses were used to estimate the effect of the surgical approach on the jaundice clearance rate and the native liver survival rate...
November 29, 2018: Journal of Hepato-biliary-pancreatic Sciences
Hisae Iinuma, Kunihiko Takahashi
No abstract text is available yet for this article.
February 2019: Journal of Hepato-biliary-pancreatic Sciences
Soheil Madadi, Meysam Soleimani
No abstract text is available yet for this article.
February 2019: Journal of Hepato-biliary-pancreatic Sciences
Kohei Ogawa, Toshimi Kaido, Hideaki Okajima, Yasuhiro Fujimoto, Atsushi Yoshizawa, Shintaro Yagi, Tomohide Hori, Taku Iida, Yasutsugu Takada, Shinji Uemoto
BACKGROUND: The purpose of this study was to examine the impact of pretreatments on outcomes after living donor liver transplantation (LDLT) for hepatocellular carcinoma (HCC). METHODS: From February 1999 to March 2015, 223 patients underwent LDLT for HCC. Until December 2006, there was no restriction in patient selection criteria regarding the number and size of tumors, following which we implemented the Kyoto criteria (tumor number ≤10, maximal diameter ≤5 cm, and des-gamma-carboxy prothrombin ≤400 mAU/ml) since January 2007...
February 2019: Journal of Hepato-biliary-pancreatic Sciences
Hyeong Seok Kim, Jae Woo Park, Hongbeom Kim, Youngmin Han, Wooil Kwon, Sun-Whe Kim, Yoon Jin Hwang, Sang Geol Kim, Hyung Jun Kwon, Eduardo Vinuela, Nicolas Járufe, Juan Carlos Roa, In Woong Han, Jin Seok Heo, Seong-Ho Choi, Dong Wook Choi, Keun Soo Ahn, Koo Jeong Kang, Woohyung Lee, Chi-Young Jeong, Soon-Chan Hong, Andres Troncoso, Hector Losada, Sung-Sik Han, Sang-Jae Park, Hiroaki Yanagimoto, Itaru Endo, Keiichi Kubota, Toshifumi Wakai, Tetsuo Ajiki, Nazmi Volkan Adsay, Jin-Young Jang
BACKGROUND: There is no consensus on the optimal treatment of T1b gallbladder cancer (GBC) due to the lack of evidence and the difficulty of anatomy and pathological standardization. METHODS: A total of 272 patients with T1b GBC who underwent surgical resection at 14 centers with specialized hepatobiliary-pancreatic surgeons and pathologists in Korea, Japan, Chile, and the United States were studied. Clinical outcomes including disease-specific survival (DSS) rates according to the types of surgery were analyzed...
December 2018: Journal of Hepato-biliary-pancreatic Sciences
Shunsuke Onoe, Yukihiro Yokoyama, Tomoki Ebata, Tsuyoshi Igami, Takashi Mizuno, Junpei Yamaguchi, Nobuyuki Watanabe, Masato Nagino
BACKGROUND: It remains unclear whether preoperative blood donation is truly beneficial in liver surgery. The aim of this study was to compare surgical outcomes between patients receiving autologous and homologous transfusions during liver resection for biliary tract cancer (BTC). METHODS: Patients who underwent hepatectomy for BTC were retrospectively reviewed (2006-2017). Patients who deposited autologous blood and underwent resection without homologous blood transfusion intraoperatively (Autologous group) were compared with non-depositing patients who required homologous transfusion during hepatectomy (Homologous group)...
November 14, 2018: Journal of Hepato-biliary-pancreatic Sciences
Yusuke Kawamoto, Takahisa Fujikawa, Yusuke Sakamoto, Norio Emoto, Ryo Takahashi, Yuichiro Kawamura, Akira Tanaka
BACKGROUND: The risk of developing hemorrhagic complications during or after emergency cholecystectomy in patients with antithrombic therapy (ATT) remains uncertain. In this study, we evaluate outcomes in patients with ATT undergoing emergency cholecystectomy and assess the relevance between ATT and perioperative complications including bleeding complications. METHODS: We retrospectively evaluated 296 patients who were diagnosed as acute cholecystitis and underwent emergency cholecystectomy between 2005 and 2017...
November 2018: Journal of Hepato-biliary-pancreatic Sciences
Keiji Sano, Masakazu Yamamoto, Tetsushige Mimura, Itaru Endo, Shoji Nakamori, Masaru Konishi, Masaru Miyazaki, Toshifumi Wakai, Masato Nagino, Keiichi Kubota, Michiaki Unno, Naohiro Sata, Junji Yamamoto, Hiroki Yamaue, Tadahiro Takada
BACKGROUND: Whether non-colorectal non-neuroendocrine liver metastasis (NCNNLM) should be treated surgically remains unclear. METHODS: Data regarding 1,639 hepatectomies performed between 2001 and 2010 for 1,539 patients with NCNNLM were collected from 124 institutions. Patient characteristics, types of primary tumor, characteristics of liver metastases, and post-hepatectomy outcomes were analyzed. RESULTS: The five most frequent primary tumors were gastric carcinoma (540 patients [35%]), gastrointestinal stromal tumor (204 patients [13%]), biliary carcinoma (150 patients [10%]), ovarian cancer (107 patients [7%]), and pancreatic carcinoma (77 patients [5%])...
November 2018: Journal of Hepato-biliary-pancreatic Sciences
Kohei Nakata, Satoru Shikata, Takao Ohtsuka, Tomohiko Ukai, Yoshihiro Miyasaka, Yasuhisa Mori, Vittoria Vanessa D M Velasquez, Yoshitaka Gotoh, Daisuke Ban, Yoshiharu Nakamura, Yuichi Nagakawa, Minoru Tanabe, Yatsuka Sahara, Kyoichi Takaori, Goro Honda, Takeyuki Misawa, Manabu Kawai, Hiroki Yamaue, Takanori Morikawa, Tamotsu Kuroki, Yiping Mou, Woo-Jung Lee, Shailesh V Shrikhande, Chung Ngai Tang, Claudius Conrad, Ho-Seong Han, Palanivelu Chinnusamy, Horacio J Asbun, David A Kooby, Go Wakabayashi, Tadahiro Takada, Masakazu Yamamoto, Masafumi Nakamura
BACKGROUND: Minimally invasive distal pancreatectomy (MIDP) has gained in popularity recently. However, there is no consensus on whether to preserve the spleen or not. In this study, we compared MIDP outcomes between spleen-preserving distal pancreatectomy (SPDP) and distal pancreatectomy with splenectomy (DPS); as well as outcomes between splenic vessel preservation (SVP) and Warshaw's technique (WT). METHODS: A systematic search of PubMed (MEDLINE) and Cochrane Library was conducted and the reference lists of review articles were hand-searched...
November 2018: Journal of Hepato-biliary-pancreatic Sciences
Feng Yang, Chen Jin, Ji Li, Yang Di, Jing Zhang, Deliang Fu
BACKGROUND: The mechanism of infected postoperative pancreatic fistula (POPF) following pancreaticoduodenectomy (PD) is undefined. Drain amylase has been used to predict POPF, whereas little data are available about the value of drain fluid culture. The aim was to investigate the incidence, risk factors and association with surgical outcomes of positive drainage culture (PDC) after PD. METHODS: A single-center retrospective analysis was conducted of prospectively collected data from patients who underwent PD between January 2005 and December 2015...
October 16, 2018: Journal of Hepato-biliary-pancreatic Sciences
Naoto Urushihara, Koji Fukumoto, Masaya Yamoto, Hiromu Miyake, Toshiaki Takahashi, Akihide Nomura, Akinori Sekioka, Yutaka Yamada, Kengo Nakaya
PURPOSE: To investigate the characteristics, management, and outcomes of congenital biliary dilatation (CBD) in neonates and infants (< 1 year old) in a single institution over the past 20 years. METHODS: From 1997 to 2016, 21 patients < 1 year old underwent definitive surgery for CBD. Open surgery (OS) was performed between 1997 and 2008, and laparoscopic surgery (LS) has been performed since 2009. RESULTS: The bile duct showed cystic dilatation in all patients...
October 16, 2018: Journal of Hepato-biliary-pancreatic Sciences
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