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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.