Segmental Resection of the Duodenum for Early Cancer of Papilla of Vater

• ISHII Masanori

  Department of Gastroenterological Surgery, Tokai University School of Medicine

• IMAIZUMI Toshihide

  Department of Gastroenterological Surgery, Tokai University School of Medicine

• KASHIWAGI Hiroyuki

  Department of Gastroenterological Surgery, Tokai University School of Medicine

• DOUWAKI Shouichi

  Department of Gastroenterological Surgery, Tokai University School of Medicine

• SUGIO Yoshinori

  Department of Gastroenterological Surgery, Tokai University School of Medicine

• TOBITA Kousuke

  Department of Gastroenterological Surgery, Tokai University School of Medicine

• OTANI Yasuo

  Department of Gastroenterological Surgery, Tokai University School of Medicine

• OGOSHI Kyoji

  Department of Gastroenterological Surgery, Tokai University School of Medicine

• MAKUUCHI Hiroyasu

  Department of Gastroenterological Surgery, Tokai University School of Medicine

• MACHIMURA Takao

  Department of Surgery, Ikegami General Hospital

Bibliographic Information

Other Title

• 十二指腸乳頭部早期癌に対する膵温存十二指腸下行脚分節切除術2例の経験

Abstract

Segmental resection of the duodenum has been reported in only several facilities in Japan. We report two cases of adenocarcinoma of the ampulla of vater, which were treated safely by segmental resection of the duodenum sparing the pancreas. In recent years there are four different procedures in the surgical management for ampullary tumors, Endscopic ampullectomy, transduodenal ampullectomy, segmental resection of the duodemum, and pancreaticoduodenectomy. We determined that segmental resection of the duodenum was an appropriate operation for focal cancer of ampulla, because the first two procedures result in high recurrence and complication rates, and pancreaticoduodenectomy is too invasive. Indications for the procedure have been reported as duodenal polyps, duodenal lyomyosarcoma, Crohn' disease, lypomas, gastrointestinal tumors, ampullary adenomas and adenocarcinomas invading only the mucosa. In both our cases, the adenomas were still in the early stage and the resection was considered to be complete microscopically, with no lymph nodes metastasis present around the pancreas head. No major complications were encountered except delayed gastric emptying for two weeks, and two months after the operation the patients' weight returned to the preoperative status.

Journal

• The Japanese journal of gastroenterological surgery

  The Japanese journal of gastroenterological surgery 39 (2), 196-202, 2006-02-01

  The Japanese Society of Gastroenterological Surgery

Keywords

• segmental resection of the duodenum
• adenocarcimoma of papilla of Vater
• pancreas-sparing

Details

• CRID: 1573668926783430912
• NII Article ID: 110004027217
• NII Book ID: AN00192066
• ISSN: 03869768
• Web Site: https://search.jamas.or.jp/link/ui/2006086477
• Text Lang: ja
• Data Source:
  • CiNii Articles