Published in:
01-03-2009 | Case report of interest
Two successful curative operations using stomach-preserving distal pancreatectomy with celiac axis resection for the treatment of locally advanced pancreatic body cancer
Authors:
Satoshi Mizutani, Takeshi Shioya, Kentaro Maejima, Osamu Komine, Masanori Yoshino, Arichika Hoshino, Masao Ogata, Masanori Watanabe, Kunio Yanagimoto, Tetsuo Shibuya, Akira Tokunaga, Takashi Tajiri
Published in:
Journal of Hepato-Biliary-Pancreatic Sciences
|
Issue 2/2009
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Abstract
Large vessel invasion is a serious factor determining whether an operation for pancreatic body cancer is feasible. The Appleby operation is a radical operation for the treatment of pancreatic body cancer that has infiltrated the celiac axis. Since this procedure includes a total gastrectomy, the operation is associated with a high morbidity, mortality, and deteriorating postoperative quality of life (QOL). We experienced two cases in which radical operations consisting of a stomach-preserving distal pancreatectomy with en bloc resection of the celiac, common hepatic, and left gastric artery were performed. The use of adjuvant chemotherapy in these cases led to a good postoperative QOL.