J.Jpn. Surg. Soc.. 83(9): 1047-1050, 1982

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Report on the annual meeting

SURGICAL REMOVAL OF THE CARCINOMA OF THE PANCREAS
－Problems and Results－

Surgical removal of the carcinoma of the pancreas was carried out in 198 cases including 111 of the pancreas head lesion, 73 of the body and tail lesion and 14 of the combined lesion in our institute, but resectability rate was very poor, that is, 13.5% in the head, 13.7% in the body and tail and 0% in the combined lesion. Operative survival rate in the head lesion was 45% at the 1st year, 18% at the 2nd and only one surviving at the 5th year. Survival rate in the body and tail lesion was 13% at the 1st year and 0% at the 2nd year.
Pancreaticoduodenectomy was performed for the head lesion in 13 patients (5 in Stage II, 8 in Stage III), and two Patients in Stage II (T₂, N₀, S₁, Rp₀, v₀) are alive 13 years and 3 years 8 months after surgery, which indicate pancreaticoduodenectomy would be curative operation for stage I or II of the head lesion.
Distal pancreatectomy was performed for the body and tail lesion in 7 patients (Stage III, and IV). The longest survivor is alive 1 year 5 months but the rest died within 1 year after surgery.
The surviving patient happened to have tiny but infiltrating lesion to the portal vein, and the distal pancreatectomy with resection of portal vein was done, suggesting the possibility of distal pancreatectomy with R₂ lymphnode resection as a curative operation in the Stage I or II. When the carcinoma is located in the body of pancreas, the resection of portal vein is necessary by all mean.

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