Current Affiliation Organization 【 display / non-display 】

Current Affiliation Organization 【 display / non-display 】

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External Career 【 display / non-display 】

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Published Papers 【 display / non-display 】

• Hepatocellular Carcinoma in a Patient With Crohn's Disease.

  Hokama A, Arakaki S, Ishino S, Nakagawa Y, Tabata S, Agarie D, Kuwae S, Zukeyama R, Maeshiro T, Tsuruta Y, Matsuzaki A, Wada N, Takatsuki M, Fujita J

  Cureus   13 ( 7 ) e16570   2021.07 [ Peer Review Accepted ]

  Type of publication: Research paper (scientific journal)

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• Two-stage Hepato-pancreatoduodenectomy for Carcinoid Tumor of the Papilla of Vater with Liver Metastasis

  Ishino Shinichiro, Shiraishi Masayuki, Oshita Akehiro, Tsutsumi Ayano, Nishimaki Tadashi

  The Japanese Journal of Gastroenterological Surgery ( The Japanese Society of Gastroenterological Surgery )  48 ( 4 ) 306 - 313   2015 [ Peer Review Accepted ]

  Type of publication: Research paper (scientific journal)

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  Carcinoid tumor of the duodenum is currently only curable by radical resection. Liver metastases should also be treated surgically if complete removal is possible. We performed a two-stage hepato-pancreatoduodenectomy in a patient with duodenal carcinoid and multiple liver metastases, and achieved long-term progression-free survival. The patient was a 61-year-old man with a previous idiopathic tumor in the liver, which had enlarged. A duodenal tumor was identified on gastrointestinal endoscopy and biopsy revealed carcinoid tumor. CT showed multiple metastases in both lobes of the liver, therefore a two-stage surgery was planned. The first stage involved partial resection of the left lobe of the liver and ligation of the right hepatic portal vein for enlargement of the left lobe of the liver. Right hepatectomy and pancreatoduodenectomy were then performed in the second stage. Postoperatively, the patient has remained free from recurrence for 8 years.

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• Removal of Tumor Emboli from Hepatocellular Carcinoma in the Right Atrium without Cardiotomy by Liver Resection-preceding Total Hepatic Vascular Exclusion

  Ishino Shinichiro, Shiraishi Masayuki, Tsutsumi Shingo, Nishimaki Tadashi

  The Japanese Journal of Gastroenterological Surgery ( The Japanese Society of Gastroenterological Surgery )  48 ( 2 ) 111 - 117   2015 [ Peer Review Accepted ]

  Type of publication: Research paper (scientific journal)

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  Tumor emboli from hepatocellular carcinoma in the right atrium are a high-risk factor for multiple lung metastasis and pulmonary embolism, that can only be cured surgically. Such surgery sometimes requires cardiotomy with cardiopulmonary bypass, which is a very invasive procedure for the patient. We achieved radical resection in a patient with hepatocellular carcinoma and tumor emboli in the right atrium using liver resection-preceding total hepatic vascular exclusion (THVE) without cardiotomy. The patient was a 69-year-old man showing irregularities on chest radiography during a routine check-up. CT revealed hepatocellular carcinoma with tumor emboli in the right atrium, and he was referred to our hospital for surgery. At surgery, resection of the right lobe was performed without transection of the right liver vein. Removal of tumor emboli in the right atrium into the right liver vein was then possible by pulling the right liver to the caudal side. The patient has remained recurrence-free for 2 years.

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