Kuroki Tamotsu, Tajima Yoshitsugu, Tsuneoka Noritsugu, Adachi Tomohiko, Kanematsu Takashi
Department of Surgery, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
Hepatogastroenterology. 2008 Sep-Oct;55(86-87):1830-3.
When a branch-type IPMN of the uncinate process is concomitant with ductal carcinoma of the body of the pancreas, total pancreatectomy may be recommended. However, a decrease in quality of life becomes a serious problem after total pancreatectomy because of the abolition of endocrine and exocrine pancreatic function. We proposed the combined resection, which consists of resection of the uncinate process of the pancreas with distal pancreatectomy. This surgical procedure of combined resection is most suitable for preservation of the pancreatic functions. In addition, we recommend the pancreatic duct-navigation surgery to enable us to prevent injury to the main pancreatic duct, and to dissect at the optimal cutting point of the pancreatic branch duct.
当钩突部的分支型胰管内乳头状黏液性肿瘤（IPMN）合并胰体部导管癌时，可能建议行全胰切除术。然而，由于胰腺内分泌和外分泌功能丧失，全胰切除术后生活质量下降成为一个严重问题。我们提出了联合切除术，即胰腺钩突部切除联合胰体尾切除术。这种联合切除的手术方式最适合保留胰腺功能。此外，我们推荐胰管导航手术，以便预防主胰管损伤，并在胰腺分支导管的最佳切点进行解剖。
