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Perioperative management in clinical liver traus plantation

Research Project

Project/Area Number 04044098
Research Category

Grant-in-Aid for international Scientific Research

Allocation TypeSingle-year Grants
SectionJoint Research
Research InstitutionKyoto University Faculty of Medicine, The Secoud Department of Surgery

Principal Investigator

YAMAOKA Yoshio (1993)  Kyoto Univ., Faculty of Medicine, Professor, 医学部, 教授 (90089102)

小澤 和恵 (1992)  京都大学, 医学部, 教授 (00026858)

Co-Investigator(Kenkyū-buntansha) ピッケルマイヤー ルドル  ハノーファー医科大学, 教授
YAMABE Hirohiko  Kyoto Univ., Faculty of Medicine, Assistant Professor, 助教授 (00135592)
TANAKA Akira  Kyoto Univ., Faculty of Medicine, Assistant, 医学部, 助手 (00240820)
MORIMOTO Taisuke  Kyoto Univ., Faculty of Medicine, Assistant, 医学部, 助手 (60135910)
HONDA Kazuo  Kyoto Univ., Faculty of Medicine, Assistant, 医学部, 助手 (00209321)
SHIMAHARA Yasuyuki  Kyoto Univ., Faculty of Medicine, Assistant Professor, 医学部, 助手 (30196498)
MORI Keiichiro  Kyoto Univ., Faculty of Medicine, Assistant Professor, 医学部, 講師 (80159186)
INAMOTO Takashi  Kyoto Univ., Faculty of Medicine, Assistant Professor, 医学部, 講師 (10135577)
TANAKA Koichi  Kyoto Univ., Faculty of Medicine, Associate Professor, 医学部, 助教授 (20115877)
RUDOY Pichlmayr  Hanover School of Veterinary Medicine, Professor
ルドルフ ピッケルマイヤ  ハノーファー医科大学, 教授
山岡 義生  京都大学, 医学部, 助教授 (90089102)
Project Period (FY) 1992 – 1993
Project Status Completed (Fiscal Year 1993)
Budget Amount *help
¥24,000,000 (Direct Cost: ¥24,000,000)
Fiscal Year 1993: ¥11,000,000 (Direct Cost: ¥11,000,000)
Fiscal Year 1992: ¥13,000,000 (Direct Cost: ¥13,000,000)
KeywordsLiver Transplantation / Rejection / Lymphocyte MTT assay / Arterial Ketone Body Ratio (AKBR) / 血中ケトン体比 / リンパ球MTT活性 / 病理学的検討
Research Abstract

Perioperative management in clinical liver transplantation
Histological changes comparing with energy metabolic changes in the rejection state after liver transplantation have not ever studied. In this plan, we have tried the MTT assay of lymphocyte comparing with the changes in arterial ketone body ratio (AKBR) which reflects the energy state of the liver mitochondria after liver transplantation in Hannover Medical Center. The activity of MTT decreased not only in the rejection state but also in the infectious state after liver transplantation. Therefore, MTT assay can not be good indicator of the rejection. However, in the patient with critically decreased in AKBR the MTT activity also decreased.
As the collaboration study we have been evaluating measuring the saturation ratio of hemoglobin through the liver graft just after reperfusion using the MCPD method.

Report

(2 results)
  • 1993 Final Research Report Summary
  • 1992 Annual Research Report
  • Research Products

    (18 results)

All Other

All Publications (18 results)

  • [Publications] Y.Yamaoka: "Evaluation of the liver graft before procurement.Significance of arterial ketone body ratio in brain-dead patients" Transplant.Int.3. 78-81 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Y.Taki: "Significdnce of arterial ketone body ratio measurement in human liver transplantation" Transplantation. 49. 535-539 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] N.Ozaki: "Postoperative recovery of mitochondrial function of human liver graft procured and preserved with University of Wisconsin(UW)solution" Transplant.Int.3. 128-132 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] N.Ozaki: "Arterial blood ketone body ratio as an indicator for viability of donor livers" Transplant.Proc. 23. 2487-2489 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Y.Takada: "Receiver operating characteristic(ROC)qualysis of the ability of arterial ketone body ratio to predict graft outcome after liver transplantation: Its sensitivity and specifity" Transplant.Int.5. 23-26 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] N.Ozaki: "Changes in energy substrates in relation to arterial ketone body ratio after human orthotopic liver transplantation" Surgery. 113. 403-409 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Y.Yamooko: "Evalution of the liver graft before procurement. Significance of orterial ketone body ratio in brain-dead patients" Transplant.Int.3. 78-81 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Y.Taki: "Significance of arterial ketone body ratio measurement in human liver transplantation" Transplantation. 49. 535-539 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] N.Ozaki: "Postoperative recovery of mitochondria function of human liver graft procured and preserved with University of Wisconsin (UW) Solution" Transplant.Int. 3. 128-132 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] N.Ozaki: "Arterial blood ketone body ratio as an indicator for viability of donor livers" Transplant.Proc.23. 2487-2489 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Y.Takada: "Receiver operating characteristic (ROC) analysis of the ability of arterial ketone body ratio to predict groft outcome after liver transplantation : Its sensitivity and specifity" Transplant.Int.5. 23-26 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] N.Ozaki: "Changes in energy substraters in relation to arterial ketone body ratio after human orthotopic liver transplantation" Surgery. 113. 403-409 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] T.TOKUNAGA.: "Effects of transplantation and perfusion in situ on graft viabillity in partial liver transplantation." Surg.Res.Commun.,. 13. 1-11 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] M.KATAOKA: "Kinetic analysis of ATP-synthetase and ATP-ase in regenerating rabbit liver." Eur.Surg.Res.,.

    • Related Report
      1992 Annual Research Report
  • [Publications] Y.YAMAOKA: "Arterial ketone body ratio as a predicting facto donor liver viabillity in human liver transplantation." Transplantation,. 55. 92-95 (1993)

    • Related Report
      1992 Annual Research Report
  • [Publications] Y.TAKADA: "Decrease in arterial keotne body ratio indicating graft dysfunction after liver trasnplantation." Eru.J.Surg.,. 158. 317-319 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] K.OZAWA: "An apprasal of pediatric liver transplantation from living relatives;Initial clinical experiences in 20 pediatric liver transplantation from relatives as donors." Ann.Surg.,. 216. 547-553 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] Y.YAMAOKA: "Liver resection for hepatocellular carcinoma(HCC)with direct removal of tumor thrombi the main portal vein." World J.Surg.,. 16. 1172-1177 (1992)

    • Related Report
      1992 Annual Research Report

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Published: 1992-04-01   Modified: 2016-04-21  

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