Publications by authors named "Junya Kawasoe"

Liver ischemia and reperfusion injury (IRI) is one of the obstacles in liver surgery such as liver resection and transplantation. In this study, we investigated the preventive effect on mouse liver IRI by feeding mice with inulin, which is a heterogeneous blend of indigestible fructose polymer. Mice were fed either a control ordinary diet (CD) or an inulin diet (ID) containing 5% inulin in the CD, for 14 days before the ischemia and reperfusion (IR) maneuver.

View Article and Find Full Text PDF

Background & Aims: Acute liver failure (ALF) is a life-threatening condition with limited treatment alternatives. ALF pathogenesis seemingly involves the complement system. However, no complement-targeted intervention has been clinically applied.

View Article and Find Full Text PDF

Ischemia and reperfusion injury (IRI) can occur in any tissue or organ. With respect to liver transplantation, the liver grafts from donors by definition experience transient ischemia and subsequent blood reflow. IRI is a problem not only in organ transplantation but also in cases of thrombosis or circulatory disorders such as mesenteric ischemia, myocardial, or cerebral infarction.

View Article and Find Full Text PDF

Liver ischemia and reperfusion injury (IRI) is a major challenge in liver surgery. Diet restriction reduces liver damage by increasing stress resistance; however, the underlying molecular mechanisms remain unclear. We investigated the preventive effect of 12-h fasting on mouse liver IRI.

View Article and Find Full Text PDF

Background: Liver ischemia and reperfusion injury (IRI) is a major problem associated with liver surgery. This study is aimed to compare the preventive effect of an antioxidative nutrient-rich enteral diet (Ao diet) with an ordinal enteral diet (control diet) against liver IRI.

Methods: The Ao diet was an ordinary diet comprising polyphenols (catechin and proanthocyanidin) and enhanced levels of vitamins C and E.

View Article and Find Full Text PDF
Article Synopsis
  • The study discusses the application of laparoscopic radical antegrade modular pancreatosplenectomy (L-RAMPS) using an artery-first approach for patients with left-sided pancreatic ductal adenocarcinoma (PDAC), addressing its technical challenges.
  • It presents a case series of 3 patients who underwent this innovative surgical technique, emphasizing its effectiveness and safety.
  • The new 3D dissection technique used during L-RAMPS allowed for better visualization and preservation of venous drainage, leading to successful outcomes with no intraoperative complications.
View Article and Find Full Text PDF
Article Synopsis
  • Surgeons often overlook the replaced left hepatic artery (rLHA) during gastric cancer surgeries, especially compared to the replaced right hepatic artery (rRHA), which is crucial for preventing complications.
  • Two cases of postoperative liver necrosis following rLHA resection during pancreaticoduodenectomy (PD) were reported, highlighting the risks of this approach.
  • The findings suggest that preserving the rLHA during PD is important to avoid serious liver complications, emphasizing the need for surgeons to be aware of its significance.
View Article and Find Full Text PDF
Article Synopsis
  • The study explores the effectiveness of transureteroureterostomy (TUU), a surgical procedure used when cancer affects one ureter during pelvic surgery.
  • A review of 11 patients over nine years showed that while some early complications occurred, most were manageable and did not lead to severe issues.
  • Overall, patients maintained their renal function post-surgery, indicating TUU is a viable option for ureteral reconstruction in cases of pelvic malignancies.
View Article and Find Full Text PDF

A solitary fibrous tumor is a ubiquitous mesenchymal fibroblastic tumor that was previously considered limited to the pleural cavity. Here, we report a rare case of a large solitary fibrous tumor of the mesorectum, which was successfully resected laparoscopically. A 56-year-old woman was referred to our hospital for a giant pelvic mass.

View Article and Find Full Text PDF

Background: This study sought to clarify the clinical benefits of liver resection after downsizing systemic chemotherapy for initially unresectable colorectal liver metastases (CLM).

Methods: Survival and clinical characteristics of CLM patients who underwent resection between January 2001 and December 2013 were retrospectively assessed. The study cohort of 88 patients with limited liver disease who underwent curative liver resection comprised 34 with initially resectable synchronous disease (synchronous group), 38 with initially resectable metachronous disease (metachronous group), and 16 with initially unresectable converted disease (conversion group).

View Article and Find Full Text PDF

A 77-year-old man with history of distal gastrectomy with Billroth II reconstruction for peptic ulcer disease performed 55 years ago was admitted to our hospital for diarrhea and abdominal pain. Abdominal computed tomography revealed a dilatation of the afferent loop and the duodenum, and a low density mass located in the body of the pancreas, which invaded the gastro-jejunal anastomosis site as well as the celiac axis and the superior mesenteric artery. Judging from these findings, we diagnosed this case as acute afferent loop obstruction due to an unresectable pancreatic cancer.

View Article and Find Full Text PDF