Pancreaticoduodenectomy with resection of the splenic artery and splenectomy for pancreatic double cancers after total gastrectomy. Preservation of the pancreatic function via the blood supply from the posterior epiploic artery: Report of a case

Shugo Mizuno, Shuji Isaji, Ichiro Ohsawa, Masashi Kishiwada, Takashi Hamada, Masanobu Usui, Hiroyuki Sakurai, Masami Tabata

研究成果: Article査読

11 被引用数 (Scopus)

抄録

The patient was a 56-year-old man who had previously undergone a total gastrectomy without splenectomy, and was diagnosed with pancreatic head and body cancers and primary solitary lung cancer. The pancreas body tumor invaded the origin of the splenic artery, and if the origin of the splenic artery were resected there would be no blood flow to the pancreas tail, resulting in a need for total pancreatectomy. However, we focused on the posterior epiploic artery (PEA), which is a less well known blood supply from the mesocolon to pancreatic body and tail, and planned to preserve the pancreatic tail as long as the resected margin of the pancreas was not malignant, considering his limited life expectancy. We performed a pancreaticoduodenectomy with resection of the origin of the splenic artery and splenectomy, preserving the pancreatic tail and PEA. The patient has been free from insulin therapy for blood sugar control, and has been well for 10 months after the surgery.

本文言語English
ページ(範囲)482-488
ページ数7
ジャーナルSurgery Today
42
5
DOI
出版ステータスPublished - 01-05-2012
外部発表はい

All Science Journal Classification (ASJC) codes

  • Surgery

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