研究者詳細 - 内田　広夫

Present status of pancreas transplantation in Japan-donation predominantly from marginal donors and modified surgical technique: Report of Japan pancreas transplantation registry 査読有り

Ishibashi M., Ito T., Sugitani A., Furukawa H., Sekiguchi S., Gotoh M., Teraoka S., Sato Y., Matsuno N., Kenmochi S., Uchida H., Yoshimura N., Nakajima Y., Kuroda Y., Odan H., Idezuki Y., Kanazawa Y.

TRANSPLANTATION PROCEEDINGS 40 巻 ( 2 ) 頁： 486 - 490 2008年3月

Present status of pancreas transplantation in Japan-donation predominantly from marginal donors and modified surgical technique: Report of Japan pancreas transplantation registry 査読有り

M. Ishibashi, T. Ito, A. Sugitani, H. Furukawa, S. Sekiguchi, M. Gotoh, S. Teraoka, Y. Sato, N. Matsuno, S. Kenmochi, H. Uchida, N. Yoshimura, Y. Nakajima, Y. Kuroda, H. Odan, Y. Idezuki, Y. Kanazawa

TRANSPLANTATION PROCEEDINGS 40 巻 ( 2 ) 頁： 486 - 490 2008年3月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：ELSEVIER SCIENCE INC

In Japan, organ donation has been still limited because of the strict donor criteria. The aim of this study was to show the effectiveness of pancreas transplantation (PTx) by analyzing the outcomes even under poor donor conditions. Thirty-six cases of PTx (32 simultaneous pancreas and kidney transplantations [SPK], 4 pancreas after kidney transplantations) performed during the last 8 years were examined especially for donor characteristics. Mean donor age of 41.4 +/- 11.9 years was considerably older compared with that in the United States and Europe; donors aged over 40 years comprised 67% of the total. According to the criteria described by Kapur, 29 cases (81%) in our series would be considered marginal. Thus, to increase blood supply into the pancreatic head, the gastroduodenal artery (GDA) was anastomosed using donor artery to common hepatic artery or iliac Y graft. These procedures were performed in 16 of the 24 cases in which there was liver procurement. Eventually, 34 cases (94%) preserved GDA continuity. Mean total cold ischemic time of pancreatic grafts was 12 hours 1.5 minutes. Of 214 registrants, 17 patients on the waiting list for SPK died of diabetic complications. To date, patient survival remains 100% with a mean follow-up period of 33 months. Pancreas graft survivals at 1, 3, and 5 years posttransplantation were 92%, 80%, and 80%, respectively. In contrast, kidney survivals were 91%, 91%, and 91%, respectively. The integrity of the pancreas head and duodenum by preservation of the GDA continuity might have decreased the risk associated with the marginal donors.

DOI： 10.1016/j.transproceed.2008.01-047

Web of Science

Scopus

その他リンク： http://orcid.org/0000-0002-1818-6697

VS-005 技術認定へ向けて : 腹腔鏡下噴門形成術における我々の手術法(技術認定の基準案の説明,特別企画ビデオシンポジウム-日本内視鏡外科学会技術認定審査に向けて:腹腔鏡下噴門形成術-私の標準術式,Better Life for Sick Children, Better Future for Pediatric Surgery,第45回日本小児外科学会学術集会) 査読有り

川嶋寛, 岩中督, 金森豊, 杉山正彦, 古村眞, 中原さおり, 菊池弥寿子, 北野良博, 内田広夫

日本小児外科学会雑誌 44 巻 ( 3 ) 頁： 386 - 386 2008年