Two successful curative operations using stomach-preserving distal pancreatectomy with celiac axis resection for the treatment of locally advanced pancreatic body cancer.
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.
Mizutani
Satoshi
S
Institute of Gastroentorology, Nippon Medical School Musashikosugi Hospital, Nakahara, Kawasaki, Japan. mizutani@nms.ac.jp
Shioya
Takeshi
T
Maejima
Kentaro
K
Komine
Osamu
O
Yoshino
Masanori
M
Hoshino
Arichika
A
Ogata
Masao
M
Watanabe
Masanori
M
Yanagimoto
Kunio
K
Shibuya
Tetsuo
T
Tokunaga
Akira
A
Tajiri
Takashi
T
D000368:Aged; D002445:Celiac Artery / Q000473:pathology / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D049448:Cholangiopancreatography, Magnetic Resonance; D005260:Female; D006801:Humans; D008297:Male; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D013270:Stomach / Q000601:surgery; D014057:Tomography, X-Ray Computed