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Extended Radical Pancreatoduodenectomy for Carcinoma of the Head of the Pancreas

  • Conference paper
Pancreatoduodenectomy

Summary

Since 1973, we have utilized a unique method of extended radical pancreatectomy, using the translateral retroperitoneal approach (TRA) to facilitate combined portal resection. The advantages of this operation for patients with carcinoma of the head of the pancreas are described here. In addition, the problems associated with this operation are discussed. Survival was calculated on the basis of the type of resection, degree of invasion of the retroperitoneal tissues, degree of lymph node involvement, and cancer stage. Extensive surgery has been performed for pancreatic carcinoma in 229 patients. Of these, 155 had carcinoma of the head of the pancreas. Of 63 patients who underwent macroscopically curative resections, only 44 were microscopically curative; 10 patients who underwent microscopically curative resections survived for 5 years (25.1%). There were no statistically significant differences in survival based on tumor size. However, there was a significant difference in survival based on extent of invasion of the anterior capsule of the pancreas, extent of invasion of the retroperitoneal tissue, extent of lymph node involvement, cancer stage, and extent of invasion at the surgical margin of resection. The results suggest that extended radical pancreatectomy may be indicated for the treatment of cancer of the head of the pancreas.

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Author information

Authors and Affiliations

  1. Second Department of Surgery (Department of Health Science), School of Medicine, Kanazawa University, Kanazawa, Ishikawa 920, Japan

    Takukazu Nagakawa, Tetsuo Ohta & Masato Kayahara

Authors
  1. Takukazu Nagakawa
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  2. Tetsuo Ohta
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  3. Masato Kayahara
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Editors and Affiliations

  1. Tokyo Women’s Medical College, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162, Japan

    Fujio Hanyu M.D., Ph.D. (Professor Emeritus) (Professor Emeritus)

  2. Department of Surgery Institute of Gastroenterology, Tokyo Women’s Medical College, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162, Japan

    Ken Takasaki M.D., Ph.D. (Professor and Chairman) (Professor and Chairman)

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© 1997 Springer-Verlag Tokyo

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Nagakawa, T., Ohta, T., Kayahara, M. (1997). Extended Radical Pancreatoduodenectomy for Carcinoma of the Head of the Pancreas. In: Hanyu, F., Takasaki, K. (eds) Pancreatoduodenectomy. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68541-8_17

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  • DOI: https://doi.org/10.1007/978-4-431-68541-8_17

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68543-2

  • Online ISBN: 978-4-431-68541-8

  • eBook Packages: Springer Book Archive

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