Adult-to-adult right-lobe living donor liver transplantation in recipients with hepatitis B virus-related benign liver disease and high model end-stage liver disease scores.


PURPOSE:We evaluated the safety and efficacy of adult-to-adult right-lobe living donor liver transplantation (ARL-LDLT) in HBV-related benign liver disease recipients with high model for end-stage liver disease (MELD) scores. METHODS:The subjects of this study were 70 adult patients who underwent ARL-LDLT and 191 who underwent DDLT, for HBV-related end-stage liver diseases, between May 2002 and December 2009. Short-term outcomes were assessed by 30-day mortality and graft loss, parameters indicating graft dysfunction, length of hospital stay, and postoperative complications within 3 months. Long-term transplant outcomes were measured by graft- and patient survival and HBV recurrence rates at 1, 3, and 5 years. RESULTS:There were no differences in donor outcomes or recipient short-term outcomes between the groups, although recipients with a high MELD score (Group H) had a higher incidence of pneumonia. High MELD score versus low MELD score recipients had similar 1-, 3-, and 5-year patient survival rates and post-transplant HBV recurrence rates. In the matched DDLT cases, a similar tendency was observed between group H and group L. CONCLUSIONS:ARL-LDLT can be performed safely and effectively in high-MELD score patients with HBV-related benign liver disease; thus, a high MELD score may not contraindicate ARL-LDLT.


Surg Today


Surgery today


Jiang L,Yan L,Tan Y,Li B,Wen T,Yang J,Zhao J




Has Abstract


2013-09-01 00:00:00












  • Development of a fistula between an internal mammary artery graft and the pulmonary vasculature following coronary artery bypass grafting: report of a case.

    abstract::We report herein the rare case of a 56-year-old man who gradually developed congestive cardiac failure 6 months after undergoing coronary artery bypass grafting and was found to have a fistula between the internal mammary artery and the pulmonary artery of the upper lobe diagnosed by selective left internal mammary ar...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Imawaki S,Arioka I,Nakai M,Tsuruno Y,Takama T,Maeta H,Inagawa T

    更新日期:1995-01-01 00:00:00

  • Endocrine neoplasms of the pancreas: a clinicopathologic study of 24 cases and immunohistochemical remarks.

    abstract::A total of 24 patients with endocrine neoplasms of the pancreas were clinicopathologically and immunohistochemically studied. They consisted of 18 patients with adenoma and 6 with carcinoma. Of the 24 patients, 13 developed attacks of hypoglycemia due to hyperinsulinemia, and 1 developed an uncontrollable duodenal ulc...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Yamaguchi K,Enjoji M

    更新日期:1992-01-01 00:00:00

  • Super-elderly patient-specific perioperative complications in breast cancer surgery.

    abstract:PURPOSE:Geriatric surgery poses specific challenges due to patient vulnerability in relation to aging. We analyzed perioperative challenges concerning super-elderly patients with breast cancer. METHODS:Between 2013 and 2018, 908 patients with breast cancer were treated surgically. Of these, two patient groups were com...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ogawa Y,Ikeda K,Watanabe C,Kamei Y,Goto W,Shiraishi C,Tokunaga S,Tsuboguchi Y

    更新日期:2019-10-01 00:00:00

  • Effects of hypertension on abdominal wall healing: experimental study in rats.

    abstract:PURPOSE:The aim of this study was to investigate the effects of untreated and treated hypertension on abdominal wall healing. METHODS:Thirty-two spontaneously hypertensive rats (SHR) were randomly allocated into two groups: H (n = 16), untreated and E (n = 16), treated with enalapril (40 mg/kg per day). Group C (n = 1...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Tostes JM,Watanabe AL,Watanabe LM

    更新日期:2007-01-01 00:00:00

  • Epidural administration of droperidol suppresses cisplatin-induced emesis: preliminary findings.

    abstract::To evaluate the antiemetic effect of the epidural administration of droperidol on cisplatin-induced emesis, nine adult gastric cancer patients receiving intraoperative cisplatin chemotherapy were studied. After removal of the stomach, 0.05 mg/kg droperidol with 5 ml saline was injected into the epidural space through ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Iwama H,Arai M

    更新日期:1998-01-01 00:00:00

  • Significance of prophylactic modified radical neck dissection for patients with low-risk papillary thyroid carcinoma measuring 1.1-3.0 cm: first report of a trial at Kuma Hospital.

    abstract:PURPOSE:Papillary thyroid carcinoma (PTC) frequently metastasizes to and recurs in regional lymph nodes. Of the two compartments, the central compartment can be dissected through the same wound as the thyroidectomy, and the central node dissection (CND) is routinely performed in most Japanese surgical departments. Howe...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ito Y,Tsushima Y,Masuoka H,Yabuta T,Fukushima M,Inoue H,Tomoda C,Kihara M,Higashiyama T,Takamura Y,Kobayashi K,Miya A,Miyauchi A

    更新日期:2011-11-01 00:00:00

  • Long-term outcomes of living donor liver transplantation after locoregional treatment for hepatocellular carcinoma: an experience from a single institute.

    abstract:PURPOSE:The precise role of downstaging or bridge therapy for cirrhotic patients with hepatocellular carcinoma (HCC) beyond or within the Milan criteria (MC) before living donor liver transplantation (LDLT) remains undefined. METHODS:We conducted a single-center, retrospective cohort study of 40 cirrhotic patients wit...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Inomata K,Yagi H,Hibi T,Shinoda M,Matsubara K,Abe Y,Kitago M,Obara H,Itano O,Kawachi S,Tanabe M,Wakabayashi G,Shimazu M,Kitagawa Y

    更新日期:2020-08-07 00:00:00

  • Glucagon responses in rabbits with obstructive jaundice and a low energy status in the liver.

    abstract::Glucagon has a choleretic effect and also stimulates energy-consuming reactions, such as gluconeogenesis and ureogenesis in the liver. The effect of glucagon on energy metabolism in the liver was analyzed in rabbits with obstructive jaundice that had severe liver damage, indicated by significantly lower hepatic energy...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Fujii H,Yamamoto M,Mogaki M,Miura K,Itakura J,Okuda J,Matsumoto Y

    更新日期:1994-01-01 00:00:00

  • Signet-ring cell carcinoma coexisting with adenocarcinoma arising in a choledochal cyst: report of a case.

    abstract::Signet-ring cell carcinoma (SRCC) is rare in the biliary system. We report a case of SRCC coexisting with adenocarcinoma, arising in a choledochal cyst of the extrahepatic bile duct. The patient was a 52-year-old man, hospitalized for the investigation of jaundice and pruritus. Abdominal computed tomography and magnet...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Hua R,Zhang JF,Liu W,Huo YM,Sun YW

    更新日期:2015-08-01 00:00:00

  • Annular dynamics after mitral valve repair with different prosthetic rings: A real-time three-dimensional transesophageal echocardiography study.

    abstract:PURPOSE:We assessed the effects of different types of prosthetic rings on mitral annular dynamics using real-time three-dimensional echocardiography (RT3DE). METHODS:RT3DE was performed in 44 patients, including patients undergoing mitral annuloplasty using the Cosgrove-Edwards flexible band (Group A, n = 10), the sem...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Nishi H,Toda K,Miyagawa S,Yoshikawa Y,Fukushima S,Kawamura M,Yoshioka D,Saito T,Ueno T,Kuratani T,Sawa Y

    更新日期:2016-09-01 00:00:00

  • Right common iliac arterio-intestinal fistula caused by tubercular peritonitis: report of a case.

    abstract::A 59-year-old female was admitted with massive hematemesis and melena. A hematological examination revealed that the red blood cell count was 1.31 x 10(6)/mm3, Hb 3.4 g/dl, and Hct 12%. No source of bleeding was found by an emergency endoscopic examination of the esophagus, stomach and duodenum, or by superior mesente...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Iwamoto I,Takechi Y,Tomoe H,Shimayama T,Edagawa M,Karashima S,Koga Y

    更新日期:1993-01-01 00:00:00

  • Rupture of an abdominal aortic aneurysm in a patient with a situs inversus totalis: report of a case.

    abstract::An 80-year-old woman was admitted to our hospital complaining of severe abdominal and back pain. Computed tomography (CT) showed an 8.5 x 7.0-cm infrarenal abdominal aortic aneurysm (AAA) with a large contained retroperitoneal hematoma. Known situs inversus totalis was reconfirmed by CT. Just after the CT examination,...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Kimura N,Kawahito K,Ito S

    更新日期:2008-01-01 00:00:00

  • Usefulness of staging laparoscopy for advanced gastric cancer.

    abstract:PURPOSE:The aim of this study was to clarify the usefulness of staging laparoscopy for planning the treatment strategy in patients with advanced gastric cancer. METHODS:This was a retrospective study of patients with gastric cancer who underwent staging laparoscopy. The patients were divided into three groups accordin...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Shimizu H,Imamura H,Ohta K,Miyazaki Y,Kishimoto T,Fukunaga M,Ohzato H,Tatsuta M,Furukawa H

    更新日期:2010-01-01 00:00:00

  • Gastric emptying after pancreatoduodenectomy with total stomach preservation and selective proximal vagotomy.

    abstract::This study evaluates postoperative gastric emptying following a new method of pancreatoduodenectomy with total stomach preservation and selective proximal vagotomy performed on 10 patients with diseases affecting the head of the pancreas, 7 being malignant and 3 benign. Reconstruction was carried out using the Billrot...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Watanabe Y,Tsumura H,Sakurai H,Haba T,Ono S,Aonuma H

    更新日期:1992-01-01 00:00:00

  • Surgical repair of a concealed aortocaval fistula associated with an abdominal aortic aneurysm: report of two cases.

    abstract::Two cases of a concealed aortocaval fistula (ACF) associated with an abdominal aortic aneurysm (AAA) are presented herein. ACF is a rare complication of AAA and only a few cases have so far shown the triad of symptoms, including congestive heart failure, a continuous abdominal bruit, and a pulsating abdominal mass. So...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Takazawa A,Sakahashi H,Toyama A

    更新日期:2001-01-01 00:00:00

  • Receiver-operating characteristic analysis of leukocyte counts and serum C-reactive protein levels in children with advanced appendicitis.

    abstract:PURPOSE:To assess the diagnostic value of the white blood cell count (WBC) and serum C-reactive protein (CRP) level in children with advanced appendicitis. METHODS:We reviewed 289 children ranging in age from 3 to 15 years old, who underwent appendectomy in our hospital between 1993 and 2003. The advanced appendicitis...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Okamoto T,Sano K,Ogasahara K

    更新日期:2006-01-01 00:00:00

  • Serum levels of interleukin-12 in Graves' disease and their dynamic changes after surgery.

    abstract:PURPOSE:To investigate the role of interleukin-12 (IL-12) in Graves' disease, we measured the pre- and postoperative levels of serum IL-12 in patients undergoing surgery for Graves' disease. METHODS:The subjects of this study were 73 patients with Graves' disease, admitted for surgical treatment after taking antithyro...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Murakami S,Okubo K,Tsuji Y,Sakata H,Kikuchi M,Takahashi T,Kato T,Hirayama R

    更新日期:2005-01-01 00:00:00

  • Laparoscopic lymph node dissection around the inferior mesenteric artery for left-sided colon and rectal cancer.

    abstract::Lymph node dissection is a critical part of surgery for colorectal cancer. Japanese D3 and complete mesocolic excision are two unique principles for lymph node dissection in colorectal cancer. Laparoscopic surgery magnifies the targets and provides insight about the micro-anatomy through high-quality, high-definition ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Takahashi H,Haraguchi N,Nishimura J,Hata T,Matsuda C,Yamamoto H,Mizushima T,Doki Y,Mori M

    更新日期:2018-03-01 00:00:00

  • Enhanced hepatic portal blood flow induced by prostaglandin E1 following liver transplantation in pigs.

    abstract::Portal venous blood flow (PVF), hepatic arterial blood flow (HAF), and systemic arterial pressure (SAP) were examined after prostaglandin E1 (PGE1) was injected into the vena cava superior (VCS) of liver-transplanted pigs. The injection of PGE1 at 0.2 micrograms/kg/min for 2 min on the day of transplantation and 3 day...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Tsukada K,Sakaguchi T,Tomiyama T,Uchida K,Sato Y,Tsubono T,Ohtake M,Koyama S,Aono T,Hatakeyama K

    更新日期:1994-01-01 00:00:00

  • Primary hepatic neuroendocrine carcinoma coexisting with hepatocellular carcinoma in hepatitis C liver cirrhosis: report of a case.

    abstract::Primary hepatic neuroendocrine carcinoma is an extremely rare tumor of the liver. We herein describe a case of primary hepatic neuroendocrine carcinoma with lymph node metastases, coexisting with hepatocellular carcinoma, on a background of hepatitis C cirrrhosis, in a 72-year-old man. Abdominal ultrasonography and co...

    journal_title:Surgery today

    pub_type: 杂志文章,评审


    authors: Ishida M,Seki K,Tatsuzawa A,Katayama K,Hirose K,Azuma T,Imamura Y,Abraham A,Yamaguchi A

    更新日期:2003-01-01 00:00:00

  • Laparoscopic management of small bowel incarceration caused by a broad ligament defect: report of a case.

    abstract::We report the case of a 94-year-old woman who presented with signs of a small bowel obstruction many years after an appendectomy. Abdominal computed tomography (CT) scan showed discontinuity of the small bowel at a point next to the uterus. We made a provisional diagnosis of an internal hernia through a defect in the ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Takayama S,Hirokawa T,Sakamoto M,Takahashi H,Yamamoto M,Sato M,Manabe T

    更新日期:2007-01-01 00:00:00

  • Implications of peritoneal lavage cytology in resectable left-sided pancreatic cancer.

    abstract:PURPOSE:The aim of this study was to determine the utility of the peritoneal lavage cytology findings in predicting the clinical outcomes of resectable left-sided pancreatic cancer. METHODS:Peritoneal lavage samples were collected from 39 consecutive patients who underwent surgery for left-sided pancreatic cancer betw...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Iwagami Y,Eguchi H,Wada H,Tomimaru Y,Hama N,Kawamoto K,Kobayashi S,Mori M,Doki Y,Nagano H

    更新日期:2015-04-01 00:00:00

  • Clinical manifestations of acute appendicitis in hemodialysis patients.

    abstract:PURPOSE:Acute appendicitis has been suggested to be more aggravated in hemodialysis (HD) patients in comparison to non-HD patients but only scanty evidence demonstrates the conditions. METHODS:A retrospective cohort study was done for HD and non-HD patients with a discharge diagnosis of acute appendicitis in a single ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Wu HC,Yan MT,Lu KC,Chu P,Lin SH,Yu JC,Wu CC

    更新日期:2013-09-01 00:00:00

  • Comparison of the risk of surgical site infection and feasibility of surgery between sennoside versus polyethylene glycol as a mechanical bowel preparation of elective colon cancer surgery: a randomized controlled trial.

    abstract:PURPOSE:To validate the usefulness of sennoside as a substitute for polyethylene glycol (PEG) as a mechanical bowel preparation (MBP) for elective colon cancer surgery. METHODS:We performed a prospective randomized non-inferiority trial comparing the use of sennoside and PEG in MBP for elective colon cancer surgery, i...

    journal_title:Surgery today

    pub_type: 杂志文章,随机对照试验


    authors: Tajima Y,Ishida H,Yamamoto A,Chika N,Onozawa H,Matsuzawa T,Kumamoto K,Ishibashi K,Mochiki E

    更新日期:2016-06-01 00:00:00

  • The efficacy of active drainage for preventing postoperative organ/space surgical site infections in patients with Crohn's disease.

    abstract:PURPOSE:Patients with Crohn's disease (CD) show a higher incidence of surgical site infections (SSIs) after bowel resection in comparison to other patient populations because CD patients commonly suffer from anemia, malnutrition, and immunosuppression. In comparison to conventional passive drainage, active drainage usi...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ikeshima R,Mizushima T,Takahashi H,Haraguchi N,Nishimura J,Hata T,Matsuda C,Ikenaga M,Nakajima K,Yamamoto H,Murata K,Doki Y,Mori M

    更新日期:2018-01-01 00:00:00

  • Upper extremity deep vein thrombosis treated by a filter in the superior vena cava placed intraoperatively to allow safe esophageal surgery: report of a case.

    abstract::Upper extremity deep vein thrombosis (UEDVT) is an infrequent but dangerous vascular event, especially for patients undergoing thoracic surgery. However, there is no standard perioperative management to reduce the risk of pulmonary thromboembolism in such patients. We describe how we performed successful esophagectomy...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Kanzaki R,Yano M,Takami H,Motoori M,Kishi K,Miyashiro I,Ishikawa O,Imaoka S

    更新日期:2010-03-01 00:00:00

  • Multiple gastric ruptures caused by blunt abdominal trauma: report of a case.

    abstract::We report a rare case of four separate gastric ruptures resulting from blunt abdominal trauma that were successfully repaired by primary closure. A 22-year-old man injured in a motorcycle accident was admitted to our hospital where physical and radiological examinations confirmed the need for abdominal exploration. La...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ishikawa K,Ueda Y,Sonoda K,Yamamoto A,Hisadome T

    更新日期:2002-01-01 00:00:00

  • Formation of a fatal arterioportal fistula following needle liver biopsy in a child with a living-related liver transplant: report of a case.

    abstract::A 2 1/2-year-old girl underwent a living-related liver transplantation for biliary atresia, following which four percutaneous liver biopsies were performed uneventfully during her hospital stay for the evaluation of recurrent rejection. Her condition improved without any complications, and she was discharged from hosp...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Otobe Y,Hashimoto T,Shimizu Y,Nakamura T,Yamamori N,Hayashi S,Kurono K,Manabe T

    更新日期:1995-01-01 00:00:00

  • Efficacy of transumbilical laparoscopic-assisted appendectomy for appendicitis: a four-year experience at a single center.

    abstract:PURPOSE:To compare the surgical outcomes after transumbilical laparoscopic-assisted appendectomy (TULAA) and open appendectomy (OA) at a single institution. METHODS:We compared the surgical outcomes for 94 consecutive patients who underwent TULAA between April 2010 and March 2014 to those for 91 consecutive patients w...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Koizumi N,Kobayashi H,Nakase Y,Takagi T,Fukumoto K

    更新日期:2015-10-01 00:00:00

  • Distant lymph node metastasis of early gastric cancer.

    abstract::Among 601 patients with early gastric cancer (EGC), the clinicopathological findings of 5 patients (invasion of the mucosal layer in 2 and of the submucosal layer in 3) with distant lymph node metastasis according to TNM classification (third- or fourth-tier lymph node metastasis according to the Japanese classificati...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Isozaki H,Okajima K,Ichinona T,Fujii K,Nomura E,Izumi N,Ohyama T

    更新日期:1997-01-01 00:00:00