Reasonable treatment for pancreatic cancer with respect to its prognosis and quality of life of the patients

Takashi Kenmochi, T. Asano, T. Nakagori, O. Kainuma, M. Hasegawa, K. Jingu, S. Kobayashi, H. Nakaichi, T. Ochiai

Research output: Contribution to journalArticle

Abstract

In our Department, extended operations including extended lymph node dissection with portal vein resection, has been performed for advanced pancreatic cancer. In this study, we examined the reasonable treatment for pancreatic cancer with respect to prognosis and quality of life of the patients. Ninety-nine patients who underwent resection of pancreatic cancer in our department from 1967 to 1997 were analyzed. We found that extended lymph node dissection contributed to the prolongation of patient survival. Also, local recurrence rate decreased when combined with resection of the portal vein. However, liver metastasis was not inhibited by our isolation method. Pylorus preserving pancreaticoduodenectomy was recommended for pancreatic head cancer because of its superior outcome with respect to post- operative nutrition and pancreatic function. Extended operation is indicated only for pancreatic cancer at surgical stages I, II, III, and IVa.

Original languageEnglish
Pages (from-to)1103-1106
Number of pages4
JournalJapanese Journal of Gastroenterological Surgery
Volume32
Issue number4
DOIs
Publication statusPublished - 01-01-1999
Externally publishedYes

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Pancreatic Neoplasms
Quality of Life
Portal Vein
Lymph Node Excision
Therapeutics
Pancreaticoduodenectomy
Pylorus
Head and Neck Neoplasms
Neoplasm Metastasis
Recurrence
Survival
Liver

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

Cite this

Kenmochi, Takashi ; Asano, T. ; Nakagori, T. ; Kainuma, O. ; Hasegawa, M. ; Jingu, K. ; Kobayashi, S. ; Nakaichi, H. ; Ochiai, T. / Reasonable treatment for pancreatic cancer with respect to its prognosis and quality of life of the patients. In: Japanese Journal of Gastroenterological Surgery. 1999 ; Vol. 32, No. 4. pp. 1103-1106.
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Kenmochi, T, Asano, T, Nakagori, T, Kainuma, O, Hasegawa, M, Jingu, K, Kobayashi, S, Nakaichi, H & Ochiai, T 1999, 'Reasonable treatment for pancreatic cancer with respect to its prognosis and quality of life of the patients', Japanese Journal of Gastroenterological Surgery, vol. 32, no. 4, pp. 1103-1106. https://doi.org/10.5833/jjgs.32.1103

Reasonable treatment for pancreatic cancer with respect to its prognosis and quality of life of the patients. / Kenmochi, Takashi; Asano, T.; Nakagori, T.; Kainuma, O.; Hasegawa, M.; Jingu, K.; Kobayashi, S.; Nakaichi, H.; Ochiai, T.

In: Japanese Journal of Gastroenterological Surgery, Vol. 32, No. 4, 01.01.1999, p. 1103-1106.

Research output: Contribution to journalArticle

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AU - Asano, T.

AU - Nakagori, T.

AU - Kainuma, O.

AU - Hasegawa, M.

AU - Jingu, K.

AU - Kobayashi, S.

AU - Nakaichi, H.

AU - Ochiai, T.

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AB - In our Department, extended operations including extended lymph node dissection with portal vein resection, has been performed for advanced pancreatic cancer. In this study, we examined the reasonable treatment for pancreatic cancer with respect to prognosis and quality of life of the patients. Ninety-nine patients who underwent resection of pancreatic cancer in our department from 1967 to 1997 were analyzed. We found that extended lymph node dissection contributed to the prolongation of patient survival. Also, local recurrence rate decreased when combined with resection of the portal vein. However, liver metastasis was not inhibited by our isolation method. Pylorus preserving pancreaticoduodenectomy was recommended for pancreatic head cancer because of its superior outcome with respect to post- operative nutrition and pancreatic function. Extended operation is indicated only for pancreatic cancer at surgical stages I, II, III, and IVa.

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