Fujino Yasuhiro, Suzuki Yasuyuki, Ajiki Tetsuo, Kakinoki Keitaro, Yoshikawa Takuro, Kuroda Yoshikazu
Department of Gastroenterological Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Hepatogastroenterology. 2007 Jul-Aug;54(77):1589-90.
We report herein two patients with acquired fatty replacement of the distal pancreas, who underwent pancreaticoduodenectomy (PD) without reconstruction of remnant pancreas. Slow-growing tumors resulted in obstructive pancreatitis of the distal pancreas and insufficient focal blood flow, resulting in marked atrophy of the pancreas and fatty replacement. Suspected disappearance and fatty replacement of the body and tail of the pancreas were noted. In this situation, the PD procedure can be achieved without the reconstruction of remnant pancreas. Interestingly, the patients did not require insulin support postoperatively.
我们在此报告两例获得性胰腺远端脂肪替代患者，他们接受了胰十二指肠切除术（PD），未进行残余胰腺重建。生长缓慢的肿瘤导致胰腺远端梗阻性胰腺炎和局部血流不足，进而导致胰腺明显萎缩和脂肪替代。术中发现胰腺体尾部疑似消失及脂肪替代。在这种情况下，可不进行残余胰腺重建而完成PD手术。有趣的是，这两名患者术后均无需胰岛素支持。
