J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 4235KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 83(1): 122-131, 1982

Original article

EXTENDED SURGERY FOR CARCINOMA OF THE PANCREAS

The Institute of Gastroenterology, Tokyo Women's Medical College

Tadahiro Takada, Fujio Hanyu, Mitsuji Nakamura, Yasuhiko Fukushima, Toshihide Imaizumi, Tatsuya Yoshikawa, Hideki Yasuda, Seiho Kanayama, Masaki Ohashi, Katsuhiro Uchiyama, Mamoru Suzuki

In this paper, extended surgical techniques employed of Tokyo Women's Medical College to improve resectability and curability and its results are evaluated. The therapeutic results of the cases underwent extended surgery, employed since 1978, are compared with that of cases which were treated before 1977. Operative techniques employed are pancreatoduodenectomy for 32, distal pancreatectomy for 10 and extended surgery for 22 cases. In 13 patients of 4 cases of total pancreatectomy and 9 cases of pancreatodudenectomy, partial resection of portal vein and superior mesenteric artery were carried out at the same time. Total pancreatectomy had been performed in 8 cases including 4 cases who had partial resection of blood vesseles mentioned above. One patient had pancreatoduodenectomy with right hemicolectomy. Distal pancreatectomy associated with total gastrectomy and left adrenalectomy had been carried out in this series. Distal pancreatectomy associated with Appleby's operation have been performed in remaining 3 cases. The rate of curable resection of pancreatodudenectomy, distal pancreatectomy and extended surgery are 26%, 30%, and 64%, respectively. one case who had extended surgery has been leading a normal social life for last 2 years and 11 months without any symptoms suggesting recurrence.

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