THREE CASES OF PANCREATICOGASTROINTESTINAL ANASTOMOSIS RECONSTRUCTION AFTER PANCREA TICODUODENECTOMY
スポンサーリンク
概要
- 論文の詳細を見る
We recrently experienced three cases of pancreaticogastrointestinal anastomosis reconstruction after pancreaticoduodenectomy. Case 1: A 48-year-old roan underwent PPPD-IV C for gastrinoma of the duodenum. After the operation, he had repeated pancreatitis. Therefore a resection of pancreatogastomy and reconstruction anastomosis of pancreatojejunostomy were performed. The patency of the main pancreatic duct was confirmed at the second operation. We think that the cause of repeated pancreatitis might lie in the resected portion of the pancreas and anastomosed location at pancreatogastomy in the stomach. Case 2: A 74-year-old woman underwent PPPD-II for a lower bile duct cancer. And then hemorrhage occurred due to the leakage of pancreatojejunostomy. The second operation was done, when a resection of the pancreatojejunostomy and reconstruction of pancreatogastomy were carried out. Case 3: A 49-year-old man underwent PPPD-II for mucin producing tumor (MPD) of the pancreas before ten years. After the operation, gradually progressed stenosis of pancreatojejunostomy and recurrence of MPT around superior mesentri aretery (SMA) occurred. A resection of the tumor around SMA and reconstruction anastomosis in choledocojejunostomy and pancreatojejunostomy were performed. Todays, either benign or malignant tumors at the pancreas are indicated pancreatoduodenostomy. We suggest that any acute and chronic complications of pancreatogastrointestinal anastomosis can be recovered by positive operation reconstructing anastomosis.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
- REFORT OF TWO CASES OF NON-PARASITIC CYSTS OF THE LIVER:ADVANTAGES OF PERCUTANEOUS TRANSHEPATIC DRAINAGE OF LIVER CYST
- SHALLOW DEPRESSED LESION OF THE STOMACH WITH MASSIVE HEMORRHAGE:5 case reports with a study of Exulceratio simplex (Dieulafoy)
- A case of chronic hepatitis C developing from hepatocellular carcinoma 6 years after elimination of serum HCV RNA by interferon therapy.
- SYNCHRONOUSLY OCCURRED ESOPHAGEAL CANCER AND MULTIPLE GASTRIC CANCERS -A CASE REPORT-
- A CASE OF THE SPLENIC ARTERY ANEURYSM RECONSTRUCTED BY DIRECT ANASTOMOSIS