J.Jpn. Surg. Soc.. 83(9): 1043-1046, 1982

---

Report on the annual meeting

IMPORTANCE OF COMBINED RESECTION OF VESSELS IN SURGERY FOR CANCER OF THE PANCREAS

Since 1971, 97 cases of pancreatic cancer, the head, 75 patients and the body and tail, 22 patients have been treated. After 1976 January, combined resection of vessels was indicated to cases in whom adhesion between pancreas tissue and vessels without any distant metastasis was recognized. Resectability of cancer of the head of the pancreas was remarkably improved to 71.4% (40/56) from 31.6% (6/19) in previous series. Twenty-eight cases of vascular reconstruction were performed after resection of portal vein and hepatic artery with mean ischemic time of 17 minutes. Mortality rate was 2.2% (1/46 ). During vascular reconstruction, changes in hemodynamic status and pressure of sup. mesenteric vein were monitored by Swan-Ganz catheter and the directly inserted catheter to mesenteric vem.
Comparing prognosis of conventional resection group and vascular resection group at 50% survival rate, almost same results were obtained with 14 mos. in curative cases and 7.2 mos. in non-curative cases respectively. On the other hand, non-resectable cases showed the poorest results in 4.2 mos. of the mean survival period.
Six cases, two cases of cancer of the head of the pancreas and four cases of the body, were treated by mixed beam of and four cases of the body, were treated by mixed beam of Fast Neutron and Linac with 61-113 TDF. Two pancreatico-duodenectomized patients, one was curative and another was noncurative, and four nonrescetable patient were evaluated. Although effect of Fast Neutron to pancreatic cancer is still difficult to evaluate from small number of patients, one nonresectable patient of cancer of the body was alive one year with elimination of back pain and one curative cases is surviving 14 months after surgery.

---

---

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