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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
Authors:Satoshi Mizutani  Takeshi Shioya  Kentaro Maejima  Osamu Komine  Masanori Yoshino  Arichika Hoshino  Masao Ogata  Masanori Watanabe  Kunio Yanagimoto  Tetsuo Shibuya  Akira Tokunaga  Takashi Tajiri
Institution:1. Institute of Gastroentorology, Nippon Medical School Musashikosugi Hospital, 1-396 Kosugicho, Nakahara, Kawasaki, 211-8533, Japan
2. Department of Pathology, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan
3. Department of Surgery, Omiya Medical Association Hospital, Saitama, Japan
4. Department of Surgery, Nippon Medical School Main Hospital, Tokyo, Japan
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.
Keywords:pancreatic cancer  modified appleby operation
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