J.Jpn. Surg. Soc.. 91(9): 1129-1132, 1990

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Report on the annual meeting

RECENT ADVANCES IN BILIARY-PANCREATIC SURGERY

Results of clinical and experimental studies on biliary-pancreatic surgery, obtained during past 13 years in our department, were briefly reported, as follows.
I. Benign diseases in biliary-pancreatic surgery.
1. Pathophysiology on severe acute pancreatitis, with special interest to pancreatic phospholipase A₂, multiple organ failure and infection.
2. Pathophysiology in anomalous arrangement of pancreatic and bile ducts, with special interest to activation of pancreatic enzyme in the biliary tract.
3. Pathogenesis of acute acalculous cholecystitis, activation of membrane phospholipase A₂ and lipid peroxidation.
4. Composition of gallstone and its diagnosis by computed tomography, and pathogenesis of black stone, especially occurred after artificial heart valve replacement.
II. Carcinoma of the biliary tract and pancreas.
1. Mode of extension in carcinoma of the biliary tract and extended radical operation, especially with caudate lobectomy, for bile duct carcinoma in the hepatic hilum, and simultaneous resection of the liver and pancreatic head for carcinoma of the gallbladder.
2. Mode of extension in carcinoma of the pancreas and long survivor after curative resection, especially in Stages III and IV.
3. Pathophysiology after extended pancreatectomy, with special interest to postoperative late complications such as diabetes, fatty liver, bone and mineral disturbances.

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