A Pylorus-Retaining Pancreatic Head Duodenectomy for Cancers of the Duodenal Papilla and the Lower Bile Duct.
スポンサーリンク
概要
- 論文の詳細を見る
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 duodena' 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 QOL 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 fatal complication. A safer operation is desirable, particularly for elderly patients or patients who have complications.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
-
Morimatsu Minoru
Department Of Neurosurgery And Pathology Kurume University School Of Medicine
-
Fujii Teruhiko
Department Of Pathology Kurume University School Of Medicine
-
Shirouzu Kazuo
Department Of Surgery Kurume University
-
Kawabata Shinji
Department Of Mechanical And Control Engineering Kyushu Institute Of Technology
-
Sasahara Hiroko
Department Of Surgery Kurume University School Of Medicine
-
Imamura Kenichiro
Department Of Chemistry Graduate School Of Science Tohoku University
-
YASUMOTO KENJI
Department of Surgery, Kurume University School of Medicine
-
YASUMOTO KENJI
Departments of Surgery Fukuoka Prefectural Yanagawa Hospital
-
HOSHIKO MASARU
Departments of Surgery Fukuoka Prefectural Yanagawa Hospital
-
SASAHARA HIROKO
Departments of Surgery Fukuoka Prefectural Yanagawa Hospital
-
FUJII TERUHIKO
Departments of Pathology Kurume University School of Medicine
-
IWAMOTO MOTOICHI
Departments of Surgery Fukuoka Prefectural Yanagawa Hospital
-
TAKAGI KOSUKE
Departments of Internal Medicine Fukuoka Prefectural Yanagawa Hospital
-
KAWABATA SHINJI
Departments of Surgery Fukuoka Prefectural Yanagawa Hospital
-
SHIROUZU KAZUO
Department of Gastroenterology and Surgery, Kurume University School of Medicine
関連論文
- Surgery and Clinicopathological Features of Gastric Adenocarcinoma Involving the Esophago-Gastric Junction
- Long-Term Survival Following Treatment with Antineoplastons for Colon Cancer with Unresectable Multiple Liver Metastases : Report of a Case
- Axillary Lymph Node Recurrence of Papillary Thyroid Microcarcinoma : Report of a Case
- Immunological evaluation of CTL precursor-oriented vaccines for advanced lung cancer patients
- A case of benign bile duct stricture causing difficulty in differential diagnosis from bile duct carcinoma
- Nonparasitic solitary huge liver cysts causing intracystic hemorrhage or obstructive jaundice
- Epithelial differentiation in medulloblastoma : Comparison with other embryonal tumors of neuroectodermal origin
- Astroblastoma with unusual signet-ring-like cell components: A case report and literature review
- Acute focal demyelinating disease simulating brain tumors: Histopathologic guidelines for an accurate diagnosis
- Clinicopathological study of pleomorphic xanthoastrocytoma : Correlation between histological features and prognosis
- Pineal malignant rhabdoid tumor with chondroid formation in an adult
- Angiomatous variant of pleomorphic xanthoastrocytoma in a patient with a 20-year history of epilepsy
- Primary amebic meningoencephalitis due to Naegleria fowleri : An autopsy case in Japan
- Radiation-induced Osteosarcoma of the Calvaria : Case Report
- Multiple Brain Tumors of Different Cell Types with an Unruptured Cerebral Aneurysm : Case Report
- Central Neurocytoma : Case Report
- Prognostic Factors after Potentially Curative Resection in Stage II or III Colon Cancer
- Preclinical studies of molecular-targeting diagnostic and therapeutic strategies against breast cancer
- Imaging Corner
- Imaging Corner
- Adenomyoepithelioma of the Breast Diagnosed by a Mammotome Biopsy : Report of a Case
- Changes in A-type Natriuretic Peptide and Its Receptors Induced by a Neutral Endopeptidase Inhibitor in a Rat Model of Sepsis
- Vasoactive Peptides in a Pulmonary Embolism Model
- An Experimental Study of Atrial Natriuretic Peptide Levels and the Effect of Inhaled Nitric Oxide After Pneumonectomy
- Natriuretic Peptides in the Lung Modulated by Pneumonectomy
- Intraoperative ultrasonography is useful for diagnosing pancreatic duct injury and adjacent tissue damage in a patient with penetrating pancreas trauma
- Cronkhite-Canada Syndrome Associated with Advanced Rectal Cancer Treated by a Subtotal Colectomy : Report of a Case
- Overexpression of p21Waf1 Induces Apoptosis in Immortalized Human Vascular Smooth Muscle Cells
- A clinical overview of familial adenomatous polyposis derived from the database of the Polyposis Registry of Japan
- The Influence of Pylorus-Preserving Partial Gastrectomy on Carcinogenesis of Residual Gastric Mucosa in the Rat
- Thoracoscopic Resection of a Giant Leiomyoma of the Esophagus with a Mediastinal Outgrowth
- Primary Hemangiopericytoma of the Superior Mediastinum : A Case Report
- Resection of Malignant Fibrous Histiocytoma Invading the Thoracic Aorta
- Amyloid Tumor in the Anterior Mediastinum : Report of a Case
- Incidental Partial Anomalous Pulmonary Venous Connection in Left Lung Cancer
- The UPAO Test in Preoperative Evaluation for Major Pulmonary Resection : An Operative Case with Markedly Improved Ventilatory Function after Radical Pulmonary Resection for Lung Cancer Associated with Pulmonary Emphysema
- Improved detection of breast cancer on FDG-PET cancer screening using breast positioning device
- Outcome for Malignant Tracheobronchial Stenoses in Esophageal Cancer
- Physiological Study of Anal Sphincteric Resection in an Experimental Porcine Model
- Inhibition of Liver Metastasis from Orthotopically Implanted Colon Cancer in Nude Mice by Transfection of the TIMP-1 Gene into KM12SM Cells
- Long-term Survival after Three-field Lymphadenectomy for an Adenocarcinoma in Barrett's Esophagus with Metastasis to Virchow's Node
- Evaluation of an Aortic Stent Graft for Use in Surgery on Esophageal Cancer Involving the Thoracic Aorta : Experimental Study
- Spontaneous Regression in Small Cell Esophageal Carcinoma
- Locoregional adoptive immunotherapy resulted in regression in distant metastases of a recurrent esophageal cancer
- Three-field Dissection for Squamous Cell Carcinoma in the Thoracic Esophagus
- The singnificance of telomerase activity in cancer lesions and the noncancerous epithelium of the esophagus
- Relationship between cancer cell proliferation and thallium-201 uptake in lung cancer
- Clinicopathological study of invasive ductal carcinoma with large central acellular zone : Special reference to magnetic resonance imaging findings
- Retrospective investigation of pulmonary resection in patients with high total pulmonary vascular resistance during preoperative unilateral pulmonary artery occlusion
- Selection of Pulmonary Resection Procedures to Avoid Postoperative Complications
- Expired Gas Analysis During Exercise Testing Pre-pneumonectomy
- Preoperative Spirometry Versus Expired Gas Analysis During Exercise Testing as Predictors of Cardiopulmonary Complications After Lung Resection
- Cyclin-Dependent Kinase Inhibitor, p21Waf1, Regulates Vascular Smooth Muscle Cell Hypertrophy
- Relationship Between Microvessel Density and Thermographic Hot Areas in Breast Cancer
- Biological features of sporadic colorectal carcinoma with high-frequency microsatellite instability : special reference to tumor proliferation and apoptosis
- Expression of vascular endothelial growth factor and its receptor KDR (kinase domain-containing receptor)/Flk-1 (fetal liver kinase-1) as prognostic factors in human colorectal cancer
- Ki-1 Positive B-cell Lymphoma with Bizarre Giant Cells : An Electron Microscopic Study
- Cervico-Thoraco-Abdominal (3-Field) Lymph Node Dissection for Carcinoma in the Thoracic Esophagus
- Laparoscopic Intraperitoneal Repair of Postoperative Ventral Incisional Hernia Using ComposixTM Mesh
- Development and validation of a modified fecal incontinence quality of life scale for Japanese patients after intersphincteric resection for very low rectal cancer
- The TIMP-1 gene transferred through adenovirus mediation shows a suppressive effect on peritoneal metastases from gastric cancer
- Malignant Fibrous Histiocytoma of the Heart : Case Report and Review of 46 Cases in the Literature
- A Multicenter Phase II Clinical Study of Oxaliplatin, Folinic Acid, and 5-Fluorouracil Combination Chemotherapy as Second-Line Treatment for Advanced Colorectal Cancer : A Japanese Experience
- Clinicopathologic Study of Perineural Invasion in Rectal Cancer
- Changes in the Pleural Cavity by Pleurodesis Using Talc or OK-432 : An Experimental Study
- Inhibition of Acute Rejection After Skin or Cardiac Transplantation by Administration of Donor Antigens in the Rat
- Nonmalignant pericardial effusion associated with thymic cancer
- The Benefit of Post-Operative Adjuvant Chemotherapy Using Oral Fluoropyrimidines in Rectal Cancer
- Suppressive Effect of Bevacizumab on Peritoneal Dissemination from Gastric Cancer in a Peritoneal Metastasis Model
- Characteristics of recurrence after curative resection for T1 colorectal cancer : Japanese multicenter study
- Selection of Pulmonary Resection Procedures to Reduce Postoperative Complications in 200 Patients
- Esophagectomy for Thoracic Esophageal Cancer with a Double Aortic Arch : Report of a Case
- A Case of Gallbladder Cancer Associated with Pancreaticobiliary Maljunction
- Factors Related to an Early Restoration of Exercise Capacity After Major Lung Resection
- A Study on Polyethylene Glycol Electrolyte Lavage Solution and Sodium Picosulf ate Combined Pretreatment Method for Colonoscopy
- A Case of Pulmonary Embolism after Abdominal Angiography
- Comparison between the Gastric Cancer Cell Line MKN-45 and the High-Potential Peritoneal Dissemination Gastric Cancer Cell Line MKN-45P
- Giant Liposarcoma Occupying Most of The Hemi-Thorax and Resected in the Supine Position: Report of a Rare Case
- The Expression of p53, p21 and TGF .BETA.1 in Gastric Carcinoma
- .ALPHA.-Fetoprotein-Producing Early Gastric Cancer: Report of Two Cases
- Two Cases of Early Gastric Carcinoma with Synchronous Liver Metastasis
- Giant Malignant Phyllodes Tumor: A Case Report
- A Case of Hilar Bile Duct Cancer with Intestinal Behcet's Disease
- Circular Stapling Procedure for Mucosal Prolapse of the Rectum Associated with Outlet Obstruction.
- The Usefulness of Restorative Laparoscopic-Assisted Total Colectomy for Ulcerative Colitis.
- Neuroblastomas of the Central Nervous System. Clinicopathological Features of a Cerebellar Neuroblastoma in Comparison with a Metastatic Cerebral Neuroblastoma.:Clinicopathological Features of a Cerebellar Neuroblastoma in Comparison with a Metastatic Cer
- The Fungal DMA Examination Is Useful as a Sensitive Parameter for the Initiation and the Quit of Antifungal Therapy in Immunocompromised Pediatric Patients after Surgery
- Clinicopathological Characteristics of Colorectal Submucosal Carcinoma with Lymph Node Metastasis.
- Thymolipoma: Clinical and Pathological Features. Report of Three Cases and Review of Literature.:Report of Three Cases and Review of Literature
- Rapid-growth Lung Cancer Associated with a Pulmonary Giant Bulla: A Case Report
- Bilateral Pleural Effusion following Cervical Abscess Drainage. A Case Report.
- Improvement of Dysgeusia after Thymectomy with Thymoma.
- Two Cases of Cancer in the Remnant Stomach Derived from Gastritis Cystica Polyposa.
- Sertoli-stromal Cell Tumor Containing Metastatic Lung Cancer Tissue.
- Immunohistochemical Localization of Vascular Endothelial Growth Factor in Esophageal Cancer.
- Colitis cystica profunda. Report of a surgical case.:Report of a Surgical Case
- Clear-cell chondrosarcoma. A case report suggesting a malignant variation of chondroblastoma.:A Case Report Suggesting a Malignant Variation of Chondroblastoma
- Rupture of a submucosal artery of the small intestine Two case reports.:Two Case Reports
- The Cystic Growth of a Subependymal Giant-Cell Astrocytoma with Tuberous Sclerosis.
- A Pylorus-Retaining Pancreatic Head Duodenectomy for Cancers of the Duodenal Papilla and the Lower Bile Duct.