• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Analysis of liver regeneration mechanism of a novel two-stage hepatectomy; ALPPS/ALPTIPS

Research Project

Project/Area Number 16K19916
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Digestive surgery
Research InstitutionNational Center for Global Health and Medicine

Principal Investigator

INAGAKI FUYUKI  国立研究開発法人国立国際医療研究センター, その他部局等, 外科医師 (70529015)

Research Collaborator Toda Takeo  
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords肝再生 / 肝切除 / 外科
Outline of Final Research Achievements

Liver is known to be an organ with a high ability to regenerate. However, when massive liver resection is performed and the residual liver volume becomes too small, the risk of postoperative liver failure increases. Although ALPPS (Associating Liver Partition and Portal vein ligation for Staged hepatectomy) procedure has recently been developed to avoid postoperative liver failure, there are many unclear points regarding the mechanism of rapid liver regeneration. In this study, we have established a rat ALPPS model and identified genes that are characteristic of liver regeneration in ALPPS procedure through comparison with the conventional portal vein ligation model.

Academic Significance and Societal Importance of the Research Achievements

肝腫瘍に対する治療として、最も有効な治療法は手術による切除であり、手術のみが完治を期待できる唯一の方法である。残存肝容積が不十分になることが予想される多発肝腫瘍や巨大肝腫瘍に対しては、術後肝不全を予防するために近年ALPPS手技を先行させた上で切除をおこなっているが、高い合併症率が問題になっている。本研究ではALPPS手技の肝再生メカニズムの一端を明らかにしたが、将来的により安全なALPPS手技を可能にして患者予後の改善へとつながることが期待される。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (11 results)

All 2019 2018 2017 2016

All Journal Article (4 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 4 results,  Open Access: 1 results) Presentation (6 results) Book (1 results)

  • [Journal Article] Partial TIPE ALPPS による二期的肝切除2019

    • Author(s)
      宮田明典、有田淳一、赤松延久、稲垣冬樹、阪本良弘、長谷川潔
    • Journal Title

      手術

      Volume: 73 Pages: 523-529

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Activatable Near-Infrared Fluorescence Imaging Using PEGylated Bacteriochlorin-Based Chlorin and BODIPY-Dyads as Probes for Detecting Cancer.2019

    • Author(s)
      gata F, Nagaya T, Maruoka Y, Akhigbe J, Meares A, Lucero M, Satraitis A, Fujimura D, Okada R, Inagaki F, Choyke PL, Ptaszek M, Kobayashi H.
    • Journal Title

      Bioconjug Chem.

      Volume: 30(1) Issue: 1 Pages: 169-183

    • DOI

      10.1021/acs.bioconjchem.8b00820

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Pitfalls on sample preparation for ex vivo imaging of resected cancer tissue using enzyme-activatable fluorescent probes.2018

    • Author(s)
      Mochida A, Ogata F, Maruoka Y, Nagaya T, Okada R, Inagaki F, Fujimura D, Choyke PL, Kobayashi H.
    • Journal Title

      Oncotarget

      Volume: 9(89) Issue: 89 Pages: 36039-36047

    • DOI

      10.18632/oncotarget.26320

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Associating Liver Partial Partition and Transileocecal Portal Vein Embolization for Staged Hepatectomy.2016

    • Author(s)
      Sakamoto Y, Inagaki F, Omichi K, Ohkura N, Hasegawa K, Kokudo N.
    • Journal Title

      Annals of Surgery

      Volume: 264(6) Issue: 6 Pages: e21-e22

    • DOI

      10.1097/sla.0000000000001757

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] 右下肝静脈を温存することで切除可能となった肝細胞癌の一例2018

    • Author(s)
      稲垣冬樹、片岡温子、三原史規、黒川敏昭、竹村信行、山田和彦、矢野秀朗、國土典宏
    • Organizer
      日本消化器外科学会総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 上行結腸癌術後、腹膜播種再発に対して腹膜完全減量手術+腹腔内温熱化学療法を施行後の肝転移再発に対して、開腹肝切除を施行した1例2018

    • Author(s)
      伊藤橋司、稲垣冬樹、三原史規、黒川敏昭、竹村信行、合田良政、清松知充、多田敬一郎、徳原真、山田和彦、國土典宏
    • Organizer
      日本臨床外科学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] ラット肝部分切除術後癒着モデルを用いたアルギン酸(AL)/カルボキシメチルセルロース(CMC)ハイドロゲルによる癒着防止効果の検討2018

    • Author(s)
      大道清彦、伊藤大知、清水篤志、戚蟠、西山徹、中川慶之、穂積卓朗、中武真美、稲垣冬樹、太田誠一、山下俊、長谷川潔、國土典宏
    • Organizer
      日本外科学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Vp4の門脈侵襲を伴う癒着の高度な再々発肝細胞癌に対する3回目肝切除の工夫2018

    • Author(s)
      竹村信行、伊藤橋司、稲垣冬樹、三原史規、黒川敏昭、國土典宏
    • Organizer
      日本門脈圧亢進症学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] TIPEと部分的肝離断を組み合わせた新たな二期的肝切除ALPTIPSの導入2016

    • Author(s)
      阪本良弘、稲垣冬樹、新川寛二、大道清彦、赤松延久、有田淳一、金子順一、長谷川潔、國土典宏
    • Organizer
      第28回日本肝胆膵外科学会・学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2016-06-02
    • Related Report
      2016 Research-status Report
  • [Presentation] ALPPS手術の原理を応用した安全で効果的な二期的肝切除ALPTIPSの開発2016

    • Author(s)
      稲垣冬樹、阪本良弘、宮田明典、新川寛二、赤松延久、有田淳一、金子順一、長谷川潔、大倉直樹、國土典宏
    • Organizer
      第116回日本外科学会定期学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2016-04-14
    • Related Report
      2016 Research-status Report
  • [Book] 東京大学医学部肝胆膵外科,人工臓器・移植外科 手術の流儀2017

    • Author(s)
      編集:國土典宏、阪本良弘
    • Total Pages
      360
    • Publisher
      南江堂
    • ISBN
      9784524259816
    • Related Report
      2017 Research-status Report

URL: 

Published: 2016-04-21   Modified: 2020-03-30  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi