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  • Title: Two successful curative operations using stomach-preserving distal pancreatectomy with celiac axis resection for the treatment of locally advanced pancreatic body cancer.
    Author: Mizutani S, Shioya T, Maejima K, Komine O, Yoshino M, Hoshino A, Ogata M, Watanabe M, Yanagimoto K, Shibuya T, Tokunaga A, Tajiri T.
    Journal: J Hepatobiliary Pancreat Surg; 2009; 16(2):229-33. PubMed ID: 19224117.
    Abstract:
    Large vessel invasion is a serious factor determining whether an operation for pancreatic body cancer is feasible. The Appleby operation is a radical operation for the treatment of pancreatic body cancer that has infiltrated the celiac axis. Since this procedure includes a total gastrectomy, the operation is associated with a high morbidity, mortality, and deteriorating postoperative quality of life (QOL). We experienced two cases in which radical operations consisting of a stomach-preserving distal pancreatectomy with en bloc resection of the celiac, common hepatic, and left gastric artery were performed. The use of adjuvant chemotherapy in these cases led to a good postoperative QOL.
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