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

[Abstract] [Full Text PDF] （in Japanese / 2373KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 83(9): 1055-1058, 1982

Report on the annual meeting

SURGICAL PROBLEMS FOR CARCINOMA OF THE HEAD OF THE PANCREAS

First Department of Surgery, Nagoya University School of Medicine, Nagoya, Japan

Yuji Nimura, Takehiko Suzuki, Naokazu Hayakawa, Takatoshi Matsumoto, Hidenori Inukai, Masao Matsuda, Kanji Miyata, Kazuhito Nakagami, Kenzo Yasui, Shunpei Yokoi, Hiroshi Hasegawa, Kohjiro Ohtsuka, Junichi Kamiya, Shoji Maeda, Yohtaro Iyomasa

Seventy-five cases of pancreatic carcinoma were treated in our department in these 7 years. Main lesion was localized in the head of the pancreas in 26 out of 34 cases of ductal cell carcinoma.
Pathohistologically, the body and tail of the pancreas was also involved in carcinoma of the head of the pancreas in 4 cases out of 20 total pancreatectomies. Double cancer was found in the body of the pancreas in 2 cases. Perineural invasion in celiac plexus and/or superior mesentric plexus was observed in 2 cases of total pancreatectomy which had no or only one lymphnode metastasis. Therefore, it is suspected that perineural invasion is different from lymphnode metastasis.
Mean survival time is 12.7 months in TP group and 13.7 in PD. The longest survival time is 6 years and a month after TP, 3 years and 8 months after PD and 2 years and 4 months after bypass operation. But many patients died of liver metastasis within 1 year.

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