Hokkaido University · Medicine
Professor Takehiro Noji's research lab specializes in hepatobiliary and pancreatic surgery, with a focus on surgical management and prognostic factors in biliary tract and gastrointestinal cancers. The lab investigates preoperative imaging modalities—particularly CT—for accurate diagnosis and surgical planning in complex hepatopancreatobiliary conditions such as hilar cholangiocarcinoma, pancreaticobiliary malignancies, and vascular involvement. Key research directions include identifying resectable candidates, evaluating the impact of extramural lymph node involvement, and assessing the feasibility and outcomes of surgery for late-onset colorectal recurrence after gastric cancer. The lab emphasizes evidence-based surgical decision-making to improve patient survival and quality of life.
Figures are computed from collected data and may differ slightly.
CT is not useful for predicting regional lymph nodal metastases in biliary carcinoma.
An accurate diagnosis of pPV based on morphological features determined by preoperative CT is difficult. However, preoperative CT appears useful for selecting patients with PHC who could be candidates for pancreaticoduodenectomy with or without PV resection.
Surgery appears feasible for RExBC and offers longer survival for selected patients.
Noji, Takehiro MD; Nakamura, Toru MD; Ambo, Yoshiyasu MD; Suzuki, On MD; Nakamura, Fumitaka MD; Kishida, Akihiro MD; Hirano, Satoshi MD; Kondo, Satoshi MD; Kashimura, Nobuichi MD Author Information
ExCLNI was present in only 22% of the LNM (7% of overall patients) in patients with surgical treated ExHBDCs. And ExCLNI would have no impact on the survival of patients with surgically-treated ExHBDCs.
Resection of late-onset colorectal recurrence from gastric cancer appears worthwhile for selected patients.
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