[A report on pancreas-preserving operation and complications relating pancreatorrhea in total gastrectomy].
During the period from 1986 to 1993, a total gastrectomy was performed in 174 patients with gastric malignancy in Uwajima City Hospital. Among these patients, 160 patients required lymph node dissection around the splenic artery, 109 (68.1%) of whom received pancreas-preserving operation and 51 distal pancreatectomy. Although in the former group only 3 patients (2.8%) had complications relating to pancreatorrhea, 14 patients (27.5%) suffered this complication in the latter group. On the other hand, only about 11.5% were histologically proved to have metastatic involvement in the lymph nodes around the splenic artery. These findings suggest that pancreas-preserving operation should be positively evaluated in lymph node dissection around the splenic artery.
Honda
G
G
Department of Surgery, Uwajima City Hospital, Ehime, Japan.
Yamasaki
N
N
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery*; D010185:Pancreatic Fistula / Q000209:etiology* / Q000517:prevention & control; D013157:Splenic Artery; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery