HETEROTOPIC AUTOTRANSPLANTATION OF THE DISTAL PANCREAS SEGMENT AFTER TOTAL PANCREATECTOMY FOR CANCER OF THE HEAD OF THE PANCREAS

被引：4

作者：

TAMURA, K

KIN, S

NAGAMI, H

YANO, S

NAITOH, A

NAKAGAWA, M

NAKASE, A

机构：

[1] First Department of Surgery, Shimane Medical University, Izumo

来源：

PANCREAS | 1992年 / 7卷 / 06期

关键词：

CANCER OF THE HEAD OF THE PANCREAS; EXTENDED TOTAL PANCREATECTOMY; HETEROTOPIC AUTOTRANSPLANTATION OF DISTAL PANCREAS SEGMENT; MODIFIED SUBTOTAL PANCREATICODUODENECTOMY; NORMOGLYCEMIA; QUALITY OF LIFE;

D O I：

10.1097/00006676-199211000-00007

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Autotransplantation of the distal pancreas segment with pancreaticojejunostomy was performed in four patients with cancer of the head of the pancreas to preserve endocrine pancreatic function after extended total pancreatectomy. All patients had tumor involvement of both the celiac axis and the portal vein. The pancreatic graft was determined to be cancer-free by frozen section histologic and pancreatic juice cytologic examinations. The distal pancreas segment was autotransplanted to the iliac vessels heterotopically and placed in the extraperitoneal pocket to avoid untoward effects of any local recurrence or pancreatic leakage. This procedure, in the form of reconstruction, might be called modified subtotal pancreatoduodenectomy. Postoperatively, all patients remained normoglycemic without exogenous insulin administration, and their quality of life was considered satisfactory.

引用

页码：664 / 671

页数：8

共 13 条

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