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Studies on the predictive indexes of postoperative clinical courses after simultaneus resection of the liver and the pancreas in its simultaneus resection

Research Project

Project/Area Number 09671334
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionKITASATO UNIVERSITYH

Principal Investigator

YOSHIDA Muneki  Kitasato Univ. School of Medicine, Assistant Professor, 医学部, 講師 (50201017)

Co-Investigator(Kenkyū-buntansha) FURUTA Kazunori  Kitasato Univ. School of Medicine, Assistant Professor, 医学部, 講師 (40209177)
TAKAHASHI Tsuyoshi  Kitasato Univ. School of Medicine, Assistant Professor, 医学部, 講師 (70245405)
KAKITA Akira  Kitasato Univ. School of Medicine, Professor, 医学部, 教授 (90109439)
IINO Zen-ichiro  Kitasato Univ. School of Medicine, Research Associate, 医学部, 助手 (90222827)
IZUMIKA Hisanao  Kitasato Univ. School of Medicine, Research Associate, 医学部, 助手 (30193379)
北村 雅也  北里大学, 医学部, 助手 (60281325)
Project Period (FY) 1997 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 1999: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1998: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1997: ¥600,000 (Direct Cost: ¥600,000)
KeywordsSimulataeus resection of the liver and the pancreas / Liver regeneration / hepatectomy / TGF-α / PCNA-positive cells / Hyaluronic acid / α1-antitrypsin / Acute Phase Proteins / 肝膵臓器相関 / 膵ホルモン / 手術侵襲 / 進行胆のう癌 / HPD / 肝再発 / 耐術能 / 肝不全 / サイトカイン
Research Abstract

In this study, we performed hepatectomy and pancreatectomy to assess the physiological contribution of the pancreas, especially in terms of endocrine function to hepatic regeneration. Group I Wister rats underwent 70% hepatectomy and group 2 rats underwent 70% hepatectomy plus 50% pancreatectomy. The time course assessment of liver regeneration rates obtained by Fishback's formula demonstrated a difference in rates between the two groups as early as day 3 or day 7 after surgery. Since levels of both PCNA-positive cells and serum TGF- α were significantly higher in the hepatectomy only group, we could prove the difference of liver regeneration between the two groups.
We have concluded that pancreatectomy retards the liver regeneration initiation processes occurring from 24 hrs to 3 days after evisceration. Glucagon/insulin molar ratios most significantly differed between the two groups 3 days after evisceration in the present study. This result was due to increased glucagon level of group 2 at day 3 after evisceration. Our findings suggest that 50'% partial pancreatectomy inhibits the rate of hepatic regeneration, thereby altering the supply of pancreatic hormones, especially glucagon.

Report

(4 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • Research Products

    (17 results)

All Other

All Publications (17 results)

  • [Publications] Tarao T.: "Relationship between the recurrence of hepatocellular carcinoma (HCC) and serum a lanine aminotransferase levels in hepatomized patients with hepatitic C virus associated Cirrhosis and HCC"Cancer. 79. 688-694 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Ito Y.: "Effects of oxygenation during initial perfusion of the liver on hepatic metabolism and morphology of following simple hypothermic storage in brain dead rabbits"Transplant.Proc.. 29. 359-361 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Ito Y.: "Regeneration of the hepatic nerves following surgical denervation of the liver in dogs"Liver. 18. 20-26 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 柿田章: "進展様式からみた胆嚢癌に対する術式の選択"消化器外科. 22. 11-17 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Tarao T., Yoshida M., Kakita A.et. al.: "Relationship between the recurrence of hepat ocellular carcinom a (HCC) and serum alanine aminotransferase levels in hepat omized patients with hepatitis C virus-associated cirrhosis and HCC."Cancer. 79. 688-694 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Ito Y., Takahashi T., Sato K.et. al.: "Effects of oxygenation during initial perfusion of the liver on hepatic metabolism and morphology of following simple hypothermic storage in brain dead rabbits."Transplant. Proc.. 29. 359-361 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Ito Y., Takahashi T,. Tadokoro F.et. al.: "Regen eration of the hepatic nerves following surgical denervation of the liver in dogs."Liver. 18. 20-26 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kakita A., Yoshida M.: "The modes of spread and the surgical treat ment of gallbladder cancer."Gastroenterological Surgery. 22. 11-17 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 柿田 章: "進展様式からみた胆嚢癌に対する術式の選択"消化器外科. 22(1). 11-17 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 吉田 宗紀: "急性胆嚢炎に対する待期手術における腹腔鏡下胆嚢摘出術困難例の予測と対策"日本内視鏡外科学会雑誌. 4(1). 15-21 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kazunori Furuta: "Experimental study on liver regeneration after simultaneous partial hepatectomy pancreatectomy."Hepatology Research. (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] 吉田 宗紀: "胆嚢結右症に対する効率的腹腔鏡下胆膵摘出術"消化器科. 29(3). 342-349 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 吉田宗紀: "術後肝再発からみた進行胆嚢癌に対する初回肝手術手術の選択" 日本消化器外科学会雑誌. 32(2). 489 (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] 柿田章: "進展様式からみた胆嚢癌に対する術式の選択" 消化器外科. 22(1). 11 (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉田 一徳: "肝膵同時切除後の肝膵臓器相関に関する基礎的研究" 肝臓. 38(増2). 187- (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 島田 謙: "術後肝不全に対する血漿交換療法の治療成績" 日本外科系連合学会雑誌. 22(3). 546- (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 柿田 章: "膵腸密着吻合法の手技と有用性" 手術. 51(10). 1441-1445 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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