Abstract
A case is reported here in which segmental autotransplantation of the pancreas was performed after total pancreatectomy for advanced periampullary carcinoma in an attempt to preserve pancreatic endocrine function. The postoperative course was uneventful. The requirement of insulin decreased after the operation and the daily profile examination, done 5 months following surgery, showed a permissive fluctuation of blood sugar levels without insulin injection. Thus, segmental autotransplantation of the pancreas offers a method of preserving pancreatic endocrine function after total pancreatectomy for periampullary carcinoma in selected patients.
Similar content being viewed by others
References
Pliam MB, ReMine WH. Further evaluation of total pancreatectomy. Arch Surg 1975; 110: 506–512.
Ihse I, Lilja P, Arnesjo B, Bengmark S. Total pancreatectomy for cancer. Ann Surg 1977; 186: 675–680.
Moossa AR. Current status of surgical treatment of pancreatic cancer. Current Surgery 1982, Sep.–Oct. 297–298.
Fortner JG. Regional pancreatectomy for cancer of the pancreas, ampulla and other related sites. Jpn J Surg 1983; 13: 385–394.
Hogle HH, Reemtsma K. Pancreatic autotransplantation following resection. Surgery 1978; 83: 359–360.
Tosatti E, Valente U, Campisi C, Barabino C, Pozzati A. Segmental pancreas autotransplantation in man following total or near total pancreatectomy for serious recurrent chronic pancreatitis. Transplant Proc 1980; 12 (Suppl. 2): 15–18.
Du J, Wang X, Ma Y. Autotransplantation of pancreatic tail tissue to prevent carbohydrate metabolic disorder following total pancreatectomy. Chinese Med J 1982; 95: 481–482.
McDonald JC, Rohr MS, Tucker WY. Recent experiences with autotransplantation of the kidney, jejunum, and pancreas. Ann Surg 1983; 197: 678–687.
Tersigni R, Toledo-Pereyra LH, Fallucca F, Cavallini M, Capece G, Giagrand L, Capua G, Stipa S. Transplantation of irradiated heterotopic segmental human pancreas. Am Surg 1983; 49: 502–505.
Rossi RL, Braasch JW, O’Brayan EM, Watkins E Jr. Segmental pancreatic autotransplantation for chronic pancreatitis. Gastroenterology 1983; 84: 621–626.
Fallucca F, Tersigni R, Giangrande L, del Balzo P, Zicari D, Marinelli M, Pimpinella G, Ghirlanda G, Stipa S. Insulin, C-peptide, glucagon, and somatostatin secretion in segmental pancreatic autotransplantation. Transplant Proc 1984; 16: 741–744.
Miwa K, Isobe Y, Fujisawa K, Nimoto S, Kinoshita H, Kojima Y, Shimada H, Nakagawa G, Yoshimura M. A case of heterotopic autotransplantation of residual distal pancreas following pancreatoduodenectomy. Jap J Gastro Surg 1984; 17: 1891–1895. (in Japanese)
Rossi RL, Heiss FW, Watkins E Jr, Soeldner JS, Shea JA, Silverman ML, Braasch JW, Nugent FW, Bolton J. Segmental pancreatic autotransplantation with pancreatic ductal occlusion after near total or total pancreatic resection for chronic pancreatitis. Ann Surg 1986; 203: 626–636.
Tamura K, Kin S, Ono K, Tarumi T, Nakagawa M, Nakase A. A clinical report of vascularized segmental pancreatic autotransplantation for chronic pancreatitis. J Jap Surg Soc 1986; 87: 111–117. (in Japanese)
Miyata M, Nakao K, Izukura M, Nakamura M, Hamaji M, Hirose H, Kawashima Y. Segmental autotransplantation of the pancreas. Jap J Surg 1987; 17: 41–46.
Merkel FK, Kelly WD, Goetz FC, Maney J. Irradiated heterotopic segmental canine pancreatic allografts. Surgery 1968; 63: 291–297.
Nghiem DD, Pitzen RH, Corry RJ. Evaluation of techniques of controlling exocrine drainage after segmental pancreatectomy in dogs. Arch Surg 1985; 120: 1132–1133.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Mitsuno, M., Miyata, M., Okuda, A. et al. Segmental autotransplantation of the pancreas after total pancreatectomy for advanced periampullary carcinoma —A case report—. The Japanese Journal of Surgery 18, 363–368 (1988). https://doi.org/10.1007/BF02471457
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02471457