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A long‐term surviving patient with cancer of papilla of Vater after local resection
Author(s) -
Hamada Nobuo,
Tanaka Koki,
Ishizaki Naoki,
Komokata Teruo,
Nakamura Noboru,
Shibuya Hiroshi,
Kadono Jun,
Murata Ryuji,
Ohi Yasuyo,
Yoshida Aichi,
Taira Akira
Publication year - 1998
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/s005340050073
Subject(s) - major duodenal papilla , term (time) , resection , cancer , medicine , general surgery , surgery , physics , quantum mechanics
We report successful local resection for cancer of papilla of Vater in an 86‐year‐old woman. She was referred to our hospital because of right hypochondralgia. Abdominal ultrasonography and computed tomography showed marked dilatation of the common bile duct (CBD). Endoscopic retrograde cholangiography disclosed a small shadow defect in the terminal of the dilated CBD. Biopsy of the papilla revealed well‐to‐moderately differentiated adenocarcinoma. Considering her extreme old age and keeping in mind her quality of life after the operation, and the finding that the tumor was localized within the papilla and highly differentiated, we performed local resection. In addition, the intrapancreatic portion of the CBD and part of the main pancreatic duct (MPD) were further resected to secure a negative margin, confirmed by frozen section. The MPD was reapproximated to the duodenal mucosa and a choledocho‐duodenostomy was performed for CBD reconstruction. Histopathological examination showed the tumor was papillary adenocarcinoma, 10 × 15 mm in size; there was no invasion beyond the sphincter of Oddi, it had partly infiltrated the CBD, but had not invaded to the pancreas or duodenum. The patient's postoperative course was not eventful and she has had good quality of life for the past 6 years since the operation, without any evidence of recurrence. Although radical pancreaticoduodenectomy is now the standard procedure in patients with malignant tumor of the papilla of Vater, local resection is a reasonable alternative for high‐risk patients with highly differentiated, apparently localized carcinomas.