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language
eng
Attribute
original article
Author
Nishi, Takeshi
Yuji, 99639615
田島 義証 タジマ
Description
Pancreaticoduodenectomy (PD) is the only curative treatment for periampullary carcinomas, including the ampulla of Vater, the distal common bile duct, and the pancreas. Because positive resection margin and insufficient lymph node dissection around the superior mesenteric artery (SMA) result in a dismal outcome, we devised a new surgical technique called “total meso-pancreatoduodenum excision (tMPDe)” when
performing a PD. Between June 2009 and July 2011, 24 consecutive patients with periampullary carcinoma underwent PD with tMPDe and the surgical outcomes were evaluated. Cancer-free resection was achieved in all patients, except for one with R1 in the retropancreatic tissue. Lymph node metastasis around the SMA was found in 5 patients (21%), while no locoregional recurrence was recognized during a median follow-up period of 18.2 months. From the results, it was found that PD performed with tMPDe is the most effective surgical-oncological treatment for patients with periampullary carcinoma.
Subject
Pancreaticoduodenectomy
Pancreas cancer
Periampullary carcinoma
Meso-pancreatoduodenum
R0 resection
Journal Title
Shimane journal of medical science
Volume
30
Issue
2
Start Page
69
End Page
76
ISSN
03865959
ISSN(Online)
24332410
Published Date
2014-01-01
NCID
AA00841586
Publisher
Shimane University Faculty of Medicine
NII Type
Departmental Bulletin Paper
Format
PDF
Text Version
出版社版
Gyoseki ID
e22283
OAI-PMH Set
Faculty of Medicine
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