title: Middle segment-preserving pancreatectomy for recurrent metastasis of renal cell carcinoma after pancreatoduodenectomy: a case report.
abstract: Many cases of surgical resection of metastatic pancreatic tumors originating from renal cell carcinoma have been reported; however, cases of reresection of recurrent pancreatic metastasis of renal cell carcinoma in the remnant pancreas are rare. We performed a second resection for recurrent pancreatic metastasis of renal cell carcinoma six years after pancreatoduodenectomy with pancreaticogastrostomy reconstruction. By performing middle segment-preserving pancreatectomy, we were able to successfully spare the exocrine and endocrine pancreatic function compared to that observed after total pancreatectomy, with no signs of recurrence for two years after the surgery.
authors: Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo 060-8638, Japan ; Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Aiyama
authors: A
authors: Takeshi
authors: Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Inagaki
authors: I
authors: Mitsuhiro
authors: Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Akabane
authors: A
authors: Hiromitsu
authors: Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Yanagida
authors: Y
authors: Naoyuki
authors: Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Shibaki
authors: S
authors: Taiichiro
authors: Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Shomura
authors: S
authors: Hiroki
authors: Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Kudo
authors: K
authors: Takeaki
authors: Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Shonaka
authors: S
authors: Tatsuya
authors: Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Oikawa
authors: O
authors: Futoshi
authors: Department of Pathology, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Sakurai
authors: S
authors: Hiroharu
authors: Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan.
authors: Nakano
authors: N
authors: Shiro