(Journal Article): Radical Distal Pancreatectomy with En Bloc Resection of the Celiac Artery, Plexus, and Ganglions for Advanced Cancer of the Pancreatic Body: A Preliminary Report on Perfect Pain Relief
 
Kondo S, Katoh H, Omi M, Hirano S, Ambo Y, Tanaka E, Okushiba S, Morikawa T, Kanai M, Yano T (Department of Surgery II, Hokkaido University School of Medicine. Sapporo, Japan. Department of Surgery, Kasugai Municipal Hospital. Kasugai, Aichi, Japan, kondows@med.hokudai.ac.jp )
 
IN: JOP. J Pancreas (Online) 2001; 02(3):93-97

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ABSTRACT: OUTCOME MEASURES: Surgical magnitude, postoperative pain control, postoperative outcome, and histopathologic findings were studied. RESULTS: Arterial reconstruction, gastrointestinal reconstruction, and blood transfusions were unnecessary. The organ deficit was limited to the distal pancreas, spleen and left adrenal gland. There was no postoperative mortality. Postoperative complications occurred in four patients, who were successfully managed with medical treatment. This led to prolonged hospital stays. The intractable preoperative abdominal and/or back pain was completely relieved immediately after surgery in all patients. Perfect pain control has been maintained from surgery to the last follow-up. Histopathologic examination of the surgical specimens revealed cancer invasion of the celiac plexus in all patients. CONCLUSIONS: This operation offers not only disease radicality but also perfect pain relief. The survival benefit has not yet been fully defined.

TYPE OF PUBLICATION: Original Article