J.Jpn. Surg. Soc.. 80(11): 988-992, 1979

---

Report on the annual meeting

STUDIES ON INDICATION OF TOTAL PANCREATECTOMY FOR CANCER OF THE PANCREAS

1. Survival of 16 cancers of the head of the pancreas which were treated by total pancreatectomy was compared with that of 13 cancers treated by the Whipple procedure. In those without tumor growth outside the capsule of the pancreas, total pancreatectomy yielded better results.
2. Of 9 recurrent periampullary cancers which had previously been treated by the curative Whipple procedure, 4 showed recurrence from the pancreatic remnant, in which the stagnation of pancreatic juice had been shown at the time of the operation.
3. Histologic observations of the entire pancreas were made in 11 resected specimens with cancer of the head of the pancreas. In three specimens, noncontinuous and interspersed tumor foci were demonstrated within the caudal pancreatic tissues distal to the main head tumor.
These data suggest that total pancreatectomy could be indicated as a radical curative surgery for cancer of the head of the pancreas, when it is applied to those without macroscopic cancerous invasion to the capsule of the pancreas, those with stagnation of pancreatic juice in the distal pancreas, and those in which all the extra pancreatic as well as intrapancreatic lesions appeared to be radically removed by means of resecting procedure.

---

---

To read the PDF file you will need Adobe Reader installed on your computer.