Two successful curative operations using stomach‐preserving distal pancreatectomy with celiac axis resection for the treatment of locally advanced pancreatic body cancer | Zendy

Mizutani Satoshi | Zendy; Shioya Takeshi | Zendy; Maejima Kentaro | Zendy; Komine Osamu | Zendy; Yoshino Masanori | Zendy; Hoshino Arichika | Zendy; Ogata Masao | Zendy; Watanabe Masanori | Zendy; Yanagimoto Kunio | Zendy; Shibuya Tetsuo | Zendy; Tokunaga Akira | Zendy; Tajiri Takashi | Zendy

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Two successful curative operations using stomach‐preserving distal pancreatectomy with celiac axis resection for the treatment of locally advanced pancreatic body cancer

Author(s) -

Mizutani Satoshi,

Shioya Takeshi,

Maejima Kentaro,

Komine Osamu,

Yoshino Masanori,

Hoshino Arichika,

Ogata Masao,

Watanabe Masanori,

Yanagimoto Kunio,

Shibuya Tetsuo,

Tokunaga Akira,

Tajiri Takashi

Publication year - 2009

Publication title -

journal of hepato‐biliary‐pancreatic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.63

H-Index - 60

eISSN - 1868-6982

pISSN - 0944-1166

DOI - 10.1007/s00534-008-0028-8

Subject(s) - medicine , pancreatectomy , pancreatic cancer , stomach , gastrectomy , cancer , surgery , left gastric artery , distal pancreatectomy , celiac artery , resection , artery , general surgery

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.

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