Kyushu University Academic Staff Educational and Research Activities Database
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ikegami Toru Last modified date:2019.08.08

Lecturer / Graduate school of medical science
Liver Surgery
Kyushu University Hospital


Administration Post
Other


Phone
092-642-5466
Fax
092-642-5482
Academic Degree
PhD thesis
Field of Specialization
transplant surgery
Outline Activities
Clinical and research activities in living donor liver transplantation and laparoscopic hepatic resection for malignancies
Research
Research Interests
  • Navigated laparoscopic hepatic resection for S8/S7 area
    keyword : Laparoscopic hepatic resection
    2018.07~2024.05.
  • Improvements in surgical techniques in living donor liver surgereries
    keyword : living donor liver transplantation
    2016.06~2020.06.
  • Treatment strategy for recurrent hepatitis C after LDLT using newly developed agents
    keyword : hepatitis C
    2012.10~2020.03.
  • ABO incompatible LDLT
    keyword : ABOi LDLT
    2007.01.
Current and Past Project
  • IL28B-SNP is evaluated for forecasting the effectiveness of IFN treatment for recurrent Hepatitis C after liver transplantation
Academic Activities
Reports
1. Ikegami T, Shimada M, Imura S, Nakamura T, Kawahito S, Morine Y, Kanemura H, Hanaoka J. , Argon gas embolism in the application of laparoscopic microwave coagulation therapy. , J Hepatobiliary Pancreat Surg, 16(3):394-398, 2009.01.
2. Ikegami T, Soejima Y, Nagata S, Taketomi A, Maehara Y., The use of autologous vena cava patch graft for reconstructing multiple outflow orifices in right hemiliver living donor graft., Transplant Int, 22(8):853-855, 2009.01.
3. Ikegami T, Soejima Y, Taketomi A, Kayashima H, Sanefuji K, Yoshizumi T, Harada N, Yamashita Y, Maehara Y. , Extracorporeal hepatic resection for unresectable giant hepatic hemangiomas. , Liver Transpl, 14:115-117, 2008.01.
4. Ikegami T, Soejima Y, Taketomi A, Kayashima H, Maehara Y. , Meso-systemic shunt for middle hepatic vein reconstruction in right lobe living donor liver transplantation., Transplant Int, 21:94-95, 2008.01.
5. Ikegami T, Shimada M, Imura S, Morine Y, Kanemura H, Mori H, Arakawa Y, Hanaoka J. , The beneficial use of round ligament as a patch graft for vena cava reconstruction., J Hepatobiliary Pancreat Surg, 15:581-584, 2008.01.
6. Ikegami T, Soejima Y, Taketomi A, Sanefuji K, Harada N, Yamashita Y, Maehara Y. , Living donor liver transplantation with extra-small graft; inflow modulation using splenectomy and temporary portocaval shunt. , Hepatogastroenterology, 55:674-676, 2008.01.
7. Ikegami T, Soejima Y, Taketomi A, Harada N, Uehara H, Yamashita Y, Maehara Y., Small intestinal volvulus around the superior mesenteric artery; the first report of an unusual complication after percutaneous liver biopsy., Surg Today, 38:576-577, 2008.01.
8. Ikegami T, Taketomi A, Soejima Y, Iguchi T, Sanefuji K, Kayashima H, Harada N, Yamashita Y, Maehara Y. , Successful ABO incompatible living donor liver transplantation in a patient with high isoagglutinin titer, using high-dose intravenous immunoglobulin. , Transplant Proc, 39:3491-3494, 2007.01.
9. Ikegami T, Kameyama T, Ezaki T, Sasaki Y. , Retractile mesenteritis. , Surg Today, 34:547-549, 2004.01.
10. Ikegami T, Kido A, Shimokawa H, Ishida T. , Gas gangrene of the pancreas., Surg Today, 34:80-81, 2004.01.
11. Ikegami T, Ezaki T, Ishida T, Kohno H, Fujiwara M, Mori M., Neurilemmoma of the diaphragm mimicking a liver tumor: case report., Abdominal Imaging, 29:85-86, 2004.01.
12. Ikegami T, Nishizaki, Yanaga K, Nomoto K, Ohta R, Kawamoto K, Masuda K, Sugimachi K. , Application of liver transplantation for familial amyloid polyneuropathy combined with Crohn's disease. , Hepatogastroenterology, 48:844-846, 2001.01.
13. Ikegami T, Nishizaki T, Yanaga K, Hashimoto K, Hiroshige S, Sugimachi K. , Effects of liver transplantation for biliary atresia on physical development and intellectual performance: case report of a twin. , Surg Today, 30:841-843, 2000.01.
14. Ikegami T, Nishizaki T, Yanaga K, Kakizoe S, Nomoto K, Ohta R, Minagawa R, Sugimachi K. , Living-related auxiliary partial orthotopic liver transplantation for primary sclerosing cholangitis - subsequent removal of the native liver., Hepatogastroenterology, 46:2951-2954, 1999.01.
15. Ikegami T, Shirabe K, Soejima Y, Taketoi A, Maehara Y., The feasibility of ABO incompatible living donor liver transplantation in the Rituximab era., Liver Transpl, 16(11):1332-1333, 2010.01.
16. Ikegami T, Soejima Y, Taketomi A, Yoshizumi T, Uchiyama H, Maehara Y. , Potential risk in using hepatic veins of a native liver for reconstructing accessory veins in right lobe living donor graft., Transplantation, 15;88(1):143-144, 2009.07.
17. Ikegami T, Taketomi A, Soejima Y, Maehara Y. , Feasibility of adult-to-adult living donor liver transplantation for acute liver failure., Liver Transpl., 15:117-118, 2009.01.
18. Ikegami T, Taketomi A, Soejima Y, Yoshizumi T, Maehara Y. , Living donor liver transplantation for acute liver failure using left lobe grafts., Transplantation, 85:160-161, 2011.05.
19. Ikegami T, Imura S, Arakawa Y, Shimada M. , Transient portocaval shunt for a small-for-size graft in living donor liver transplantation. , Liver Transpl, 14:262, 2008.01.
20. Ikegami T. , JACS CME-a featured article, Living donor liver transplantation for acute liver failure: A 10-year experience in a single center., J Am Coll Surg, 206:601-603, 2008.01.
21. Ikegami T, Shimada M, Imura S. , Recent role of splenectomy in chronic hepatic disorders. , Hepatol Res., 38: 1159–1171, 2008.01.
22. Ikegami T, Soejima Y, Taketomi A, Shimada M, Maehara Y. , Characteristics of biliary reconstruction, using a T-tube, as compared with other methods, in left-lobe adult living-donor liver transplantation., J Hepatobiliary Pancreat Surg, 15:346-347, 2008.01.
23. Ikegami T, Shimada M, Nii A, Imura S, Morine Y, Kanemura H., Current concept of small-for-size graft in living donor liver transplantation., Surgery Today, 38:971-982, 2008.01.
24. Ikegami T, Soejima Y, Taketomi A, Maehara Y., One orifice vein reconstruction in left liver plus caudate lobe grafts, Transplantation, 84:1065, 2007.01.
25. Ikegami T, Nishizaki T, Shimada M. , Left liver plus caudate lobe graft with complete revascularization., Surgery, 132:905-906, 2002.01.
26. Ikegami T, Shiotani S, Ninomiya M, Nishizaki T, Shimada M, Sugimachi K., Auxiliary partial orthotopic liver transplantation from living donors. , Surgery, 131:S205-210, 2002.01.
27. Ikegami T, Nishizaki T, Shimada M. , Temporary auxiliary liver transplantation form living donor to an adult recipient with familial amyloid polyneuropathy., Transplantation, 74:1356, 2002.01.
28. Ikegami T, Shimada M, Imura S. , Application of splenectomy in hepatic disorders., 2008.07.
Papers
1. 池上 徹, 吉住 朋晴, Bacterial Sepsis after Living Donor Liver Transplantation: The Impact of Early Enteral Nutrition, Journal fo the American collage of surgeons, 2012.10, Background: Bacterial sepsis is a significant problem that must be addressed after living donor liver transplantation (LDLT).
Study Design: A retrospective analysis of 346 adult-to-adult LDLT patients was performed.
Results: Forty-six patients (13.3%) experienced bacterial sepsis, with primary and secondary origins in 23.9% and 76.1%, respectively. Gram-negative bacteria accounted for 71.7% of the bacteria isolated. The 2-year cumulative graft survival rate in patients with bacterial sepsis was 45.7%. Patients with bacterial sepsis secondary to pneumonia (n=12) had poorer 2-year graft survival rate (16.7%) than did those with primary or other types of secondary sepsis (p=0.004). Multivariate analysis showed that intraoperative massive blood loss >10L (p<0.001) and no enteral feeding started within 48 hours after transplantation (p=0.005) were the significant risk factors for bacterial sepsis. Among patients who received enteral nutrition, the incidence of bacterial sepsis in patients who received enteral nutrition within 48 hours (n=135) or later than 48 hours (n=57) was 5.9% and 21.0%, respectively (p=0.002). The incidence of early graft loss was 8-fold higher in recipients with massive intraoperative blood loss without early enteral nutrition (p<0.001).
Conclusions: Early enteral nutrition was associated with significantly reduced risk of developing bacterial sepsis after LDLT..
2. Ikegami T, Maeda T, Kayashima H, Oki E, Yoshizumi T, Sakaguchi Y, Toh Y, Shirabe K, Maehara Y., Soft coagulation, polyglycolic acid felt and fibrin glue for preventing pancreatic fistula after distal pancreatectomy., Surg Today, in press, 2011.05.
3. Ikegami T, Maeda T, Oki E, Kayashima H, Ohgaki K, Sakaguchi Y, Shirabe K, Maehara Y. , Antegrade en bloc Distal Pancreatectomy with Plexus Hanging Maneuver, J Gastrointest Surg, 15, 4, 690-693, 2011.04.
4. Ikegami T, Shirabe K, Soejima Y, Taketomi A, Yoshizumi T, Uchiyama H, Harada N, Maehara Y., The impact of renal replacement therapy before or after living donor liver transplantation, Clin Transpl, Epub ahead of print, 2011.03.
5. Ikegami T, Soejima Y, Shirabe K, Taketomi A, Yoshizumi T, Uchiyama H, Fukuhara T, Ikeda T, Maehara Y., Evolving Strategies to Prevent Biliary Strictures after Living Donor Liver Transplantation, Transplant Proc, 42, 9, 3624-3629, 2010.01.
6. Ikegami T, Taketomi A, Soejima Y, Yoshizumi T, Uchiyama H, Harada N, Iguchi T, Hashimoto N, Maehara Y., Rituximab, IVIG, and plasma exchange without graft local infusion treatment: a new protocol in ABO incompatible living donor liver transplantation., Transplantation, 88, 3, 303-307, 2009.08.
7. Ikegami T, Shimada M, Imura S, Soejima Y, Yoshizumi T, Hanaoka J, Morine Y, Maehara Y. , The changes of the medial right lobe, transplanted with left lobe liver graft from living donors., Transplantation, 87, 5, 698-703, 2009.03.
8. Ikegami T, Soejima Y, Taketomi A, Kawanaka H, Yoshizumi T, Shimada M, Maehara Y. , Persistent hypersplenism after living donor liver transplantation., Hepatogastroenterology, 56, 91-92, 778-782, 2009.01.
9. Ikegami T, Taketomi A, Soejima Y, Yoshizumi T, Fukuhara T, Kotoh K, Shimoda S, Kato M, Maehara Y. , The benefits of interferon treatment in patients without sustained viral response after living donor liver transplantation for hepatitis C., Transplant Proc, 41, 10, 4246-4252, 2009.01.
10. Ikegami T, Toshima T, Takeishi K, Soejima Y, Kawanaka H, Yoshizumi T, Taketomi A, Maehara Y., Bloodless splenectomy during liver transplantation for terminal liver diseases with portal hypertension., J Am Coll Surg, 208, 2, e1-4, 2009.01.
11. Ikegami T, Taketomi A, Ohta R, Soejima Y, Yoshizumi T, Harada N, Shimada M, Maehara Y. , The risks of HBV infection after liver transplantation from HBc antibody positive donor to HBs antibody positive recipient. , Hepatogastroenterology, 55, 88, 2162-2165, 2008.10.
12. Ikegami T, Shimada M, Yoshizumi T, Imura S, Arakawa Y, Tokunaga T, Morine Y, Kanemura H., The timing of salvage liver transplantation after primary hepatectomy for hepatocellular carcinoma; a special reference to recurrence pattern and Milan criteria., Transplantation, 86, 5, 641-646, 2008.09.
13. Ikegami T, Soejima Y, Ohta R, Taketomi A, Yoshizumi T, Harada N, Kayashima H, Maehara Y. , Living donor liver transplantation for hepatitis B associated liver diseases: A 10-year experience in a single center, Hepatogastroenterology, 55, 85, 1445-1449, 2008.07.
14. Ikegami T, Taketomi A, Soejima Y, Yoshizumi T, Maehara Y. , Living donor liver transplantation for fulminant hepatic failure from ABO-incompatible donors., Transplant Int, 21, 3, 284-285, 2008.03.
15. Ikegami T, Soejima Y, Taketomi A, Yoshizumi T, Harada N, Kayashima H, Itoh S, Yamashita Y, Maehara Y., Hilar anatomical variations in living donor liver transplantation using right lobe grafts., Dig Surg, 25, 2, 117-123, 2008.01.
16. Ikegami T, Taketomi A, Ohta R, Soejima Y, Yoshizumi T, Shimada M, Maehara Y., Donor age in living donor liver transplantation., Transplant Proc, 40, 1471-1475, 2008.01.
17. Ikegami T, Sanchez EQ, Uemura T, Narasimhan G, Masannat O, Chinnakotla S, McKenna GJ, Randall HB, Levy MF, Goldstein RM, Klintmalm GB. , Liver transplantation for cystic fibrosis in adults., Surg Today, 38, 1, 26-29, 2008.01.
18. Ikegami T, Soejima Y, Taketomi A, Yoshizumi T, Kayashima H, Uchiyama H, Shimada M, Maehara Y. , Explanted portal vein for middle hepatic vein tributaries in right lobe living donor liver transplantation. , Transplantation, 84, 7, 836-841, 2007.10.
19. Ikegami T, Ezaki T, Ishida T, Aimitsu S, Fujihara M, Mori M. , Limited hepatic resection for hepatocellular carcinoma in the caudate lobe. , World J Surg, 28, 7, 697-701, 2004.07.
20. kegami T, Nishizaki T, Ohta R, Kishikawa K, Yoshizumi T, Uchiyama H, Sugimachi K., Biliary reconstruction with dye injection leakage test and without stent use in living donor liver transplantation. , Hepatogastroenterology, 48, 42, 1582-1584, 2001.10.
21. Ikegami T, Nishizaki T, Yanaga K, Shimada M, Kakizoe S, Nomoto K, Hiroshige S, Sugimachi K., Changes of caudate lobe, transplanted with extended left lobe liver graft from living donors., Surgery, 129, 1, 76-85, 2001.01.
22. Ikegami T, Nishizaki T, Yanaga K, Hiroshige S, Ohta R, Sugimachi K. , Experimental study of type 3 phosphodiesterase inhibitor on liver graft function. , Br J Surg, 88, 1, 59-64, 2001.01.
23. Ikegami T, Nishizaki, Yanaga K, Shimada M, Kishikawa K, Nomoto K, Uchiyama H, Sugimachi K., The impact of donor age on living donor liver transplantation., Transplantation, 10.1097/00007890-200012270-00007, 70, 12, 1703-1707, 2000.12.
24. Ikegami T, Nishizaki T, Uchiyama H, Hashimoto K, Yanaga K, Sugimachi K., Doubly armed short sutures are useful for microsurgical hepatic artery reconstruction in living related liver transplantation. , Hepatogastroenterology, 47, 34, 1103-1104, 2000.07.
25. Ikegami T, Nishizaki T, Yanaga K, Ohta R, Hiroshige S, Sugimachi K., A novel auxiliary partial orthotopic liver transplantation model in rats. , Eur Surg Res, 10.1159/000008774, 32, 5, 267-273, 2000.01.
26. Ikegami T, Nishizaki T, Uchiyama H, Hashimoto K, Yanaga K, Sugimachi K., Experimental study of the deletion variant of hepatocyte growth factor on hepatic ischemia-reperfusion injury. , Br J Surg, 87, 1, 59-64, 2000.01.
27. Ikegami T, Nishizaki T, Uchiyama H, Kakizoe S, Yanaga K, Sugimachi K., Deletion variant of hepatocyte growth factor prolongs allograft survival after liver transplantation in rats., Surgery, 10.1067/msy.1999.98234, 125, 6, 602-607, 1999.06.
Membership in Academic Society
  • International LDLT study group
  • japanese society of gastrointestinal surgery
Awards
  • High MELD status with positive hepatitis C is a significant poor prognostic factor in living donor liver transplantation
Educational
Other Educational Activities
  • 2015.05.