Abstract
An aggressive pancreatectomy was performed on a 53 year old Japanese man with advanced cancer of the pancreas. The tumor originated from the body of the pancreas and invaded the stomach, duodenum, left kidney, transverse colon and common hepatic artery. An unexpected cancer was also found in the head of the pancreas during the operation. Therefore, total pancreatectomy, total gastrectomy, left adrenonephrectomy, resection of the left transverse colon and dissection of the regional lymph nodes were performed. Resection of the common hepatic artery was also performed, followed by an end-to-end anastomosis between the common hepatic artery and celiac trunk. The postoperative course was uneventful and the patient was doing well until nine months after the operation when multiple metastatic lesions were noted in the liver. He died 391 days after the operation from hepatic failure.
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References
Kalser MH, Smith FP, Schein PS, Zeppa R (1985) Exocrine tumors of the pancreas. Berk JE, ed. Gastroenterology. Fourth Edition. Vol 6. Philadelphia: WB Saunders pp 4095–4121
Cello JP (1989) Carcinoma of the pancread. Sleisenger MH, Fordtran JS, eds. Gastronintestinal disease. Fourth edition. Philadelphia: WB Saunders pp 1872–1883
Annual Registry Reports of Cancer of the Pancreas (1988). (in Japanese) Registry Committee of Japan Pancreas Society. (1989)
Tajiri H, Yoshimori M, Nakamura K, Taylor WF, Go VW (1987) Clinicopathological study on carcinoma of the pancreas operated on at the Mayo clinic and the National Cancer Center Hospital. (in Japanese with an English Abst.) Nihon Ganchiryo Gakukai Zasshi (J Jpn Soc Cancer Ther) 23:566–572
Kuno N, Tanehira K, Kurimoto K, Kano T, Yasue M (1988) Combined modality therapy for advanced pancreatic cancer. Shokakigeka (in Japanese) (Gastroenterological Surgery) 11:1491–1495
Miyata M, Nakao K, Takao T, Kuwata K, Nakashima N, Dousei T, Hayashi K, Kawashima Y (1990) An appraisal of pancreatectomy for advanced cancer of the pancreas based on survival rate and postoperative physical performance. J Surg Oncology 45:33–39
Japan Pancreas Society (1986) General rules for cancer of the pancreas The 3rd edition, Tokyo: Kanehara (in Japanese)
ReMine WH, Priestly JT, Judd ES, Jhon NK (1970) Total pancreatectomy. Ann Surg 172:595–604
Fortner JG, Kim DK, Cubilla A, Turnbull A, Pahnke LD, Shils ME (1977) Regional pancreatectomy: En bloc pancreatic, portal vein and lymph node resection. Ann Surg 186:42–50
Ihse J, Liliya P, Arnesjo B. (1977) Total pancreatectomy for cancer. An appraisal of 65 cases. Ann Surg 186:675–685
Suzuki S, Manabe T, Tani T, Uchida K, Tobe R (1981) Rationale for total pancreatectomy for cancer of the pancreas. (in Japanese) Tan To Sui (J Biliary Tract and Pancreas) 2:327–333
Moosa AR (1982) Pancreatic cancer. Approach to diagnosis, selection for surgery and choice of operation. Cancer 50:2689–2698
Nagakawa T, Kurachi M, Konishi K, Miyazaki I (1982) Translateral retroperitoneal approach in radical surgery for pancreatic carcinoma. Jpn J Surg 12:229–233
Imaizumi T, Hannyu F, Yoshikawa T, Nakasako T, Matsuyama H, Hasegawa M (1983) Relative non-curative resection of pancreatic cancer. (in Japanese) Rinshogeka (J Clinical Surgery) 43:1349–1356
Nagakawa T, Miyazaki I, (1989) Extended pancreaticoduodenectomy for advanced pancreatic cancer. (in Japanese) Tan To Sui (J Biliary Tract and Pancreas) 10:151–158
Connolly MM, Dawson PJ, Michelassi F, Moosa AR, Lowenstein F (1989) Survival in 1001 patients with carcinoma of the pancreas. Ann Surg 206:366–377
van Heerden JA, McIlrath DC, Ilstruo DM, Weiland LH (1989) Total pancreatectomy for ductal adenocarcinoma of the pancreas: An update. World J Surg 12:658–662
Fortner JG (1981) Surgical principles for pancreatic cancer: Regional total and subtotal pancreatectomy. Cancer 47:1712–1718
Fortner JG (1984) Regional pancreatectomy for cancer of the pancreas, ampulla, and other related sites. Ann Surg 199:418–425
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Sunada, S., Miyata, M., Tanaka, Y. et al. Aggressive resection for advanced pancreatic carcinoma. Surg Today 22, 74–77 (1992). https://doi.org/10.1007/BF00326130
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DOI: https://doi.org/10.1007/BF00326130