Two successful curative operations using stomach-preserving distal pancreatectomy with celiac axis resection for the treatment of locally advanced pancreatic body cancer |
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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 |
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Affiliation: | 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
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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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Keywords: | pancreatic cancer modified appleby operation |
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