Abstract
Investigations of the lymphatic routes using dye during operations and histological studies on the resected specimen of the pancreas and autopsied cases with pancreatic carcinoma have led to the conclusion that the surgery should be performed more extensively to improve the results and should consist of a complete lymphatic excision surrounding the celiac axis and the trunk of the superior mesentric artery including dissection of the nerve plexus and wide retroperitoneal dissection surrounding the pancreas, upwards to the level of adrenal glands, and downwards to the level of iliac bifurcation. A translateral retroperitoneal approach was found to be the most useful and safe method for such extended resection in patients with pancreatic carcinoma. Our radical procedure for pancreatic carcinoma is described herein.
Similar content being viewed by others
References
Miyazaki, I. and Takashima, S.: Diagnosis and treatment of cancer of the pancreas. Geka Chiryo 38: 71–78, 1978. (in Japanese)
Nagakawa, T., Yonemura, Y., Minai, S., Asano, E., Izumi, R., Yamazaki, G., Takashima, S., Takeshita, Y., Konishi, K., Kurachi, M., Sasaki, M., Miwa, K., Nishida, Y. and Miyazaki, I.: Problems in surgical treatment of pancreatic cancer, Shujutsu 31: 61–66, 1977. (in Japanese)
Honjo, I. and Nakase, A.: Surgical treatment of pancreatic cancer in Japan. Nihon Ganchiryo Gakukai Zasshi 10: 82–88, 1975. (in Japanese with an English Abst).
Nagakawa, T., Yonemura, Y., Kurachi, M., Sasaki, M., Miwa, K., Kinami, Y. and Miyazaki, I.: The surgical treatment of pancreatic cancer. Nihon Shokakigeka Gakukai Zasshi 12: 611–617, 1979. (in Japanese)
Sato, T., Saito, Y., Noto, T. and Matsui, M.: Pancreatoduodenectomy for the carcinoma of pancreas head region. Geka 39: 1–10, 1977. (in Japanese)
Monge, J.J., Judd, E.S. and Gage, R.P.: Radical pancreatoduodenectomy. A 22 years experience with the complication, mortality and survival rate. Ann. Surg. 160: 711–722, 1964.
Warren, K.W., Choe, D.S., Plaza, J. and Relihan, M.: Results of radical resection for periampullary cancer. Ann. Surg. 181: 534–540, 1975.
Fortner, J.G., Kim, D.K., Cubilia, A., Turnbull, A., Pahin, L. and Shils, M.: Regional Pancreatectomy. Ann. Surg. 186: 42–50, 1977.
Kutsuna, S.: Anatomy of lymphatic system in Japanese. Kanehara Publishing. Co., 1968, Tokyo, (in Japanese).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nagakawa, T., Kurachi, M., Konishi, K. et al. Translateral retroperitoneal approach in radical surgery for pancreatic caricinoma. The Japanese Journal of Surgery 12, 229–233 (1982). https://doi.org/10.1007/BF02469594
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02469594