Yasuhiro Shoji

Publications (2)1.8 Total impact

• Article: Recent role of Hassab's operation for cirrhotic patients: combination with endoscopic procedure for varices.

  Hironori Hayashi, Hiroyuki Takamura, Yukari Yamaguchi, Yasuhiro Shoji, Hisatoshi Nakagawara, Hidehiro Tajima, Ichiro Onishi, Hirohisa Kitagawa, Takashi Tani, Masato Kayahara, Tetsuo Ohta
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  ABSTRACT: Recently, endoscopic and radiological procedures for various symptoms related to cirrhosis have improved. Thus, the role of Hassab's operation (gastroesophageal decongestion and splenectomy) has changed for cirrhotic patients. Hassab's operation was performed on patients who had gastroesophageal varices that were difficult to control with balloon occluded retrograde transvenous obliteration or an endoscopic procedure, or had hypersplenism. Thirteen consecutive patients underwent this operation, and the outcomes of all patients were reviewed retrospectively. There was no operative morbidity or rebleeding varices. In the preoperative endoscopic injection sclerotherapy treated group (n=6), only one patient (16.7%) developed recurrent varices. Mean platelet counts were significantly higher 6 months after surgery (201 ± 65 × 10(3)/mm(3)) than preoperatively (64 ± 54 × 10(3)/mm(3)). In patients with hepatocellular carcinoma, percutaneous therapies, such as radio frequency ablation, were safely performed with adequate therapeutic effect. Interferon therapy was given to patients with hepatitis C virus (HCV)-related cirrhosis without interruption. Hassab's operation is a satisfactory approach to controlling varices, especially when combined with preoperative endoscopic treatment. Platelet counts were significantly higher after surgery. This therapy was important for cirrhotic patients contraindicated for liver transplantation in that they could continue their therapy for hepatocellular carcinoma (HCC) and HCV as needed.
  Asian Journal of Surgery 04/2012; 35(2):57-61. · 0.57 Impact Factor
• Article: Small intestinal metastasis from intrahepatic cholangiocarcinoma: report of a case.

  Hironori Hayashi, Takashi Tani, Hidehiro Tajima, Yasuhiro Shoji, Shiro Terai, Ichiro Onishi, Hiroyuki Takamura, Hirohisa Kitagawa, Masato Kayahara, Tetsuo Ohta
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  ABSTRACT: Metastasis of the small intestine that derives from a primary hepatic neoplasm is rare. We encountered a case of intrahepatic cholangiocarcinoma (ICC) with jejunal metastasis after resection of a primary lesion. A 61-year-old male patient was referred to us with a diagnosis of liver tumors. Partial hepatectomy was performed, and the pathological diagnosis was ICC. Seventeen months after surgery, the patient was found to have a mass in the jejunum and lymph node swelling by positron emission tomography-computed tomography. The jejunal tumor was preoperatively diagnosed as a metastasis of ICC from a biopsy specimen obtained by double balloon endoscopy, and the tumor was resected. The patient received systemic chemotherapy but succumbed with ICC recurrence 46 months after the primary surgery. To the best of our knowledge, this case is the first report of jejunal recurrence of ICC. In addition, this report suggests the usefulness of double balloon endoscopy to make the correct diagnosis of the jejunal tumor.
  Surgery Today 06/2011; 41(6):859-64. · 1.22 Impact Factor