A pylorus-retaining pancreatic head-duodenectomy for cancers of the duodenal papilla and the lower bile duct
| Autor: | Kazuo Shirouzu, Shinji Kawabata, Motoichi Iwamoto, Kenji Yasumoto, Teruhiko Fujii, Kenichiro Imamura, Hiroko Sasahara, Minoru Morimatsu, Kosuke Takagi, Masaru Hoshiko |
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| Rok vydání: | 1996 |
| Předmět: |
Male
medicine.medical_specialty Ampulla of Vater medicine.medical_treatment Common Bile Duct Neoplasms Anastomosis Pancreaticoduodenectomy Jejunum Duodenectomy medicine Pyloric Antrum Humans Aged Bile duct business.industry digestive oral and skin physiology General Medicine Middle Aged Pylorus Surgery Major duodenal papilla medicine.anatomical_structure Bile Duct Neoplasms Duodenum Female business |
| Zdroj: | The Kurume medical journal. 43(4) |
| ISSN: | 0023-5679 |
| Popis: | With the development of diagnostic technology, the surgical methods of cancer therapy have been expanded, and operations have been performed using a procedure corresponding to the stage of cancer to improve the postoperative QOL. A 79-year-old man with cancer of the duodenal papilla and obstructive jaundice, and a 63-year-old woman with cholangiocarcinoma in the lower region complicated by cholangitis caused by Candida underwent resections of the pancreatic head and duodenum, and pancreaticogastrostomies retaining the pylorus. Satisfactory results were obtained in both cases. The merits of the procedure were that there were few complaints, sufficient food could be ingested and the QCL was maintained. The benefits of pancreaticogastrostomy are that the anastomosis procedure is simple, the gastric wall is thicker than the jejunum and blood flow is plentiful. The dorsal gastric wall is located close to the pancreatic cut-end, therefore tension is not created, and the pancreatic enzymes are not activated because the anastomosis site does not contact the intestinal fluid. These characteristics should decrease the rate of anastomosis failure which can be a fetal complication. A safer operation is desirable, particularly for elderly patients or patients who have complications. |
| Databáze: | OpenAIRE |
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