Tianjin Medical Journal ›› 2018, Vol. 46 ›› Issue (7): 728-732.doi: 10.11958/20180332

Previous Articles     Next Articles

Clinical research of operation in the treatment for potentially resectable cancer of pancreatic body-tail

LI Hong-xia1, SHANG Hai-tao2, ZHANG Xi-bo2, BAO Jian-heng2, HAO Cheng-fei2, LIU Jun-jian2, LI Zhong-lian2△   

  1. 1 Graduate School of Tianjin Medical University, Tianjin 300070, China; 2 Department of the Second Hepatobiliary and Pancreatic Surgery, Tianjin Nankai Hospital △Corresponding Author E-mail: nkyylzl@163.com
  • Received:2018-03-06 Revised:2018-04-23 Published:2018-07-15 Online:2018-07-15

Abstract: Objective To discuss the clinical effect and technical method of the surgical treatment for potentially resectable cancer of pancreatic body-tail. Methods Eleven patients with potentially resectable cancer of pancreatic body-tail or adjacent organ metastasis, who underwent wide excision and postoperative chemotherapy in our department were retrospectively analyzed. Results In eleven patients, 10 patients with adjacent organ metastasis were performed involved organs resection, 3 patients were given resection of the celiac axis (CA) and common hepatic artery (CHA) and 2 patients were given total gastrectomy and jejunal interposition pouch reconstruction. One patient had prolonged hospital stay due to incision infection, but no serious complications occurred in other patients. Except for 2 patients, the other patients underwent postoperative chemotherapy of gemcitabine. All of the patients achieved relief through operation. The median survival time was 28 (14, 36) months. One and 3-year survival rates were 90.9% and 36.3%. Conclusion The resection rate of potentially resectable carcinoma of pancreatic body and tail operation is lower, and patients have long been plagued by abdominal pain. The treatment of extensive resection operation and recessive resection and postoperative adjuvant chemotherapy can improve the quality of life and prolong the survival rate of patients

Key words: pancreatic neoplasms, surgical procedures, operative, potentially resectable, pancreatic body-tail carcinoma, radical resection