Document Detail


Two successful curative operations using stomach-preserving distal pancreatectomy with celiac axis resection for the treatment of locally advanced pancreatic body cancer.
MedLine Citation:
PMID:  19224117     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Large vessel invasion is a serious factor determining whether an operation for pancreatic body cancer is feasible. The Appleby operation is a radical operation for the treatment of pancreatic body cancer that has infiltrated the celiac axis. Since this procedure includes a total gastrectomy, the operation is associated with a high morbidity, mortality, and deteriorating postoperative quality of life (QOL). We experienced two cases in which radical operations consisting of a stomach-preserving distal pancreatectomy with en bloc resection of the celiac, common hepatic, and left gastric artery were performed. The use of adjuvant chemotherapy in these cases led to a good postoperative QOL.
Authors:
Satoshi Mizutani; Takeshi Shioya; Kentaro Maejima; Osamu Komine; Masanori Yoshino; Arichika Hoshino; Masao Ogata; Masanori Watanabe; Kunio Yanagimoto; Tetsuo Shibuya; Akira Tokunaga; Takashi Tajiri
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-02-18
Journal Detail:
Title:  Journal of hepato-biliary-pancreatic surgery     Volume:  16     ISSN:  1436-0691     ISO Abbreviation:  J Hepatobiliary Pancreat Surg     Publication Date:  2009  
Date Detail:
Created Date:  2009-03-24     Completed Date:  2009-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431940     Medline TA:  J Hepatobiliary Pancreat Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  229-33     Citation Subset:  IM    
Affiliation:
Institute of Gastroentorology, Nippon Medical School Musashikosugi Hospital, Nakahara, Kawasaki, Japan. mizutani@nms.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Celiac Artery / pathology,  surgery*
Cholangiopancreatography, Endoscopic Retrograde
Cholangiopancreatography, Magnetic Resonance
Female
Humans
Male
Pancreatectomy / methods*
Pancreatic Neoplasms / diagnosis,  pathology,  surgery*
Stomach / surgery
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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