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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

  • Case report of interest
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Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

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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Authors and Affiliations

  1. Institute of Gastroentorology, Nippon Medical School Musashikosugi Hospital, 1-396 Kosugicho, Nakahara, Kawasaki, 211-8533, Japan

    Satoshi Mizutani, Takeshi Shioya, Kentaro Maejima, Osamu Komine, Masanori Yoshino, Arichika Hoshino, Masao Ogata, Masanori Watanabe & Akira Tokunaga

  2. Department of Pathology, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan

    Kunio Yanagimoto

  3. Department of Surgery, Omiya Medical Association Hospital, Saitama, Japan

    Tetsuo Shibuya

  4. Department of Surgery, Nippon Medical School Main Hospital, Tokyo, Japan

    Takashi Tajiri

Authors
  1. Satoshi Mizutani
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  2. Takeshi Shioya
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  3. Kentaro Maejima
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  4. Osamu Komine
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  5. Masanori Yoshino
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  6. Arichika Hoshino
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  7. Masao Ogata
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  8. Masanori Watanabe
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  9. Kunio Yanagimoto
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  10. Tetsuo Shibuya
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  11. Akira Tokunaga
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  12. Takashi Tajiri
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Corresponding author

Correspondence to Satoshi Mizutani.

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Mizutani, S., Shioya, T., Maejima, K. et al. Two successful curative operations using stomach-preserving distal pancreatectomy with celiac axis resection for the treatment of locally advanced pancreatic body cancer. J Hepatobiliary Pancreat Surg 16, 229–233 (2009). https://doi.org/10.1007/s00534-008-0028-8

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  • DOI: https://doi.org/10.1007/s00534-008-0028-8

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