scholarly journals Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC)

2015 ◽  
Vol 47 (4) ◽  
pp. 1512-1516 ◽  
Author(s):  
CHEN LIU ◽  
RUFU CHEN ◽  
YINGTAI CHEN ◽  
DELIANG FU ◽  
DEFEI HONG ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Lymph Nodes ◽  
Consensus Statement ◽  
Pancreatic Head ◽  
Study Group ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Chinese Study

scholarly journals Lethal Bleeding from a Duodenal Cancerous Ulcer Communicating with the Superior Mesenteric Artery in a Patient with Pancreatic Head Cancer

2018 ◽  
Vol 12 (2) ◽  
pp. 479-486
Author(s):  
Yoshifumi Morita ◽  
Takanori Sakaguchi ◽  
Ryo Kitajima ◽  
Satoru Furuhashi ◽  
Ryota Kiuchi ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Pancreatic Head ◽  
Severe Bleeding ◽  
Main Trunk ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Aortic Balloon Occlusion ◽  
Duodenal Bleeding

Pancreatic cancer often invades the duodenum and causes obstruction, but rarely causes massive duodenal bleeding. A 68-year-old male was admitted to our hospital because of vomiting. Enhanced abdominal CT showed a hypovascular tumor with air bubbles in the uncinate process of the pancreas. The tumor invaded the duodenum and metastasized to the liver and peritoneum. The main trunk of the superior mesenteric artery (SMA) was circumferentially involved. After admission, he had hematemesis and melena. Emergency gastroduodenoscopy revealed pulsating vessels in the third portion of the duodenum and he eventually experienced hemorrhagic shock. Severe bleeding occurred from his mouth and anus like a catastrophic flood. It was difficult to sustain blood pressure even with massive blood transfusion with pumping. After insertion of an intra-aortic balloon occlusion catheter, the massive bleeding was eventually stopped. Although we attempted interventional radiography, aortography revealed direct communication between the main SMA trunk and the duodenal lumen. The tumor was considered anatomically and oncologically unresectable. Thus, we did not perform further intervention. The patient died 2 h after angiography. Herein, we report the case of pancreatic head cancer causing lethal bleeding associated with tumor-involved SMA. Duodenal bleeding associated with pancreatic cancer invasion should be considered as an oncogenic emergency.

Prognostic Role of Log Odds of Lymph Nodes After Resection of Pancreatic Head Cancer

2016 ◽  
Vol 20 (10) ◽  
pp. 1707-1715 ◽  
Author(s):  
Hartwig Riediger ◽  
Birte Kulemann ◽  
Uwe Wittel ◽  
Ulrich Adam ◽  
Olivia Sick ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Pancreatic Head ◽  
Prognostic Role ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Log Odds

Significance of lymphangiogenesis in primary tumor and draining lymph nodes during lymphatic metastasis of pancreatic head cancer

2010 ◽  
Vol 102 (7) ◽  
pp. 809-815 ◽  
Author(s):  
Hiroshi Kurahara ◽  
Sonshin Takao ◽  
Hiroyuki Shinchi ◽  
Kousei Maemura ◽  
Yuko Mataki ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Lymphatic Metastasis ◽  
Primary Tumor ◽  
Pancreatic Head ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Draining Lymph Nodes

scholarly journals Inappropriate Secretion of Antidiuretic Hormone after Pancreatoduodenectomy for Pancreatic Head Cancer: A Case Report and Literature Review

2021 ◽  
pp. 134-140
Author(s):  
Nozomi Karakuchi ◽  
Ichiro Ohmori ◽  
Masashi Inoue ◽  
Kazuhiro Toyota ◽  
Tadateru Takahashi
Keyword(s):  
Pancreatic Cancer ◽  
Antidiuretic Hormone ◽  
Malignant Tumors ◽  
Early Stage ◽  
Gastrointestinal Surgery ◽  
Gastrointestinal Symptoms ◽  
Pancreatic Head ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Inappropriate Secretion

Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a disease that leads to dilute hyponatremia through excessive secretion of antidiuretic hormone. SIADH has various causes, including ectopic ADH-producing tumors, drug properties, and can be idiopathic. But there have been very few reports of cases in which SIADH has developed after surgery for malignant tumors. In addition, few cases have been reported where this disease has developed after surgery for pancreatic cancer, because the symptoms of hyponatremia are non-specific. These symptoms are particularly gastrointestinal symptoms; therefore, it is difficult to differentiate them, even if SIADH has developed after gastrointestinal surgery. The patient in our case was an 80-year-old woman. She had persistent epigastralgia and left back pain. Imaging studies revealed a tumor in the head of the pancreas, which was diagnosed as pancreatic head cancer. We performed subtotal stomach-preserving pancreatoduodenectomy. After the operation, she complained of appetite loss and general fatigue. Her serum sodium levels decreased to 109 mEq/L on postoperative day 11. She was diagnosed with SIADH using the SIADH diagnostic criteria listed by the Japanese Ministry of Health, Labor and Welfare. We treated the patient with sodium supplementation for hyponatremia, and her symptoms ameliorated. After the event, she did not relapse with hyponatremia. This case is significant in that we performed differential diagnosis after major gastrointestinal surgery for pancreatic cancer and diagnosed SIADH at an early stage.

scholarly journals Prognostic role of pancreatic head cancer metastatic paraaortic lymph nodes detected intraoperatively

HPB ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. 935-936
Author(s):  
Maurizio Zizzo ◽  
Carolina Castro Ruiz ◽  
Valerio Annessi ◽  
Magda Zanelli
Keyword(s):  
Lymph Nodes ◽  
Pancreatic Head ◽  
Prognostic Role ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Paraaortic Lymph Nodes

Practical grouping of positive lymph nodes in pancreatic head cancer treated by an extended pancreatectomy

Surgery ◽  
1997 ◽  
Vol 121 (3) ◽  
pp. 244-249 ◽  
Author(s):  
Osamu Ishikawa ◽  
Hiroaki Ohigashi ◽  
Yo Sasaki ◽  
Toshiyuki Kabuto ◽  
Hiroshi Furukawa ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Pancreatic Head ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Positive Lymph Nodes

scholarly journals Current approaches to surgical treatment of pancreatic head cancer

2021 ◽  
Vol 12 (4) ◽  
pp. 5-13
Author(s):  
Maxim Yu. Kabanov ◽  
Nikolay I. Glushkov ◽  
Konstantin V. Sementsov ◽  
Anatoliy V. Skorodumov ◽  
Valentin V. Alekseev ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Surgical Intervention ◽  
Malignant Tumors ◽  
Pancreatic Head ◽  
Malignant Neoplasms ◽  
Extensive Experience ◽  
Head Cancer ◽  
Main Method ◽  
Pancreatic Head Cancer ◽  
The Past

Pancreatic cancer accounts for 810% of all cases of malignant tumors of the digestive organs and 5060% of pancreaticoduodenal malignant neoplasms. Over the past 30 years the incidence of pancreatic cancer in Russia has increased by 30%. The main method of treatment this category of patients requires surgical intervention. Extensive experience has been gained in using various types of surgical therapy. The review analyzes the results of modern studies on the efficacy and safety of the most common of them.

Sign in / Sign up

Export Citation Format

Share Document