J.Jpn. Surg. Soc.. 81(9): 957-960, 1980
Report on the annual meeting
SURGICAL TREATMENT OF CHRONIC PANCREATITIS
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Institute of Gastroenterology, Tokyo Women's Medical College Fujio Hanyu, Mitsuji Nakamura, Toshiaki Hara, Yasuhiko Fukushima, Toshiaki Imaizumi, Seiho Kanayama, Yuichi Sato, Takeshi Takasaki, Tadahiro Takada |
Direct procedure is divided into two, i.e., resection of the pancreas and ‘decompression’ operation. The former consists of total pancreatectomy in 2, pancreaticoduodenectomy in 20 and distal resection in 22. The latter comprises latero lateral pancreaticojejunostomy in 17, anastomosis between the cyst and the digestive tracts in 7, papilloplasty including plasty of the pancreatic duct in 4.
Decompression operation on the bile ducts or gallbladder was added to direct procedure in 15 cases.
We classified 44 cases who underwent direct procedures into 5 types, based on their pancreatograms and histology. The relation between types and histology is discussed.
In cases of chronic pancreatitis, ‘tubular’ and ‘bending’ bile ducts were seen in 22 cases out of 59, constituting 47.5%.
With regard to prognosis, pain disappeared completely in 34 of 53 cases, constituting 64.2% and was reduced in 12 cases, constituting 22.6%.
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