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全胰切除术后胰腺节段自体移植治疗晚期壶腹周围癌——一例报告

Segmental autotransplantation of the pancreas after total pancreatectomy for advanced periampullary carcinoma--a case report.

作者信息

Mitsuno M, Miyata M, Okuda A, Nakashima N, Sasako Y, Yamaguchi T, Takako T

机构信息

Department of Surgery, Kinan General Hospital, Wakayama, Japan.

出版信息

Jpn J Surg. 1988 May;18(3):363-8. doi: 10.1007/BF02471457.

DOI:10.1007/BF02471457
PMID:3043072
Abstract

A case is reported here in which segmental autotransplantation of the pancreas was performed after total pancreatectomy for advanced periampullary carcinoma in an attempt to preserve pancreatic endocrine function. The postoperative course was uneventful. The requirement of insulin decreased after the operation and the daily profile examination, done 5 months following surgery, showed a permissive fluctuation of blood sugar levels without insulin injection. Thus, segmental autotransplantation of the pancreas offers a method of preserving pancreatic endocrine function after total pancreatectomy for periampullary carcinoma in selected patients.

摘要

本文报告了一例壶腹周围癌晚期患者在全胰切除术后进行胰腺节段自体移植以保留胰腺内分泌功能的病例。术后过程顺利。术后胰岛素需求减少,术后5个月进行的每日血糖监测显示,无需注射胰岛素,血糖水平有允许的波动。因此,胰腺节段自体移植为部分壶腹周围癌患者在全胰切除术后保留胰腺内分泌功能提供了一种方法。

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引用本文的文献

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本文引用的文献

1
Current status of surgical treatment of pancreatic cancer.
Curr Surg. 1982 Sep-Oct;39(5):297-8.
2
Autotransplantation of pancreatic tail tissue to prevent carbohydrate metabolic disorder following total pancreatectomy. A case report with preliminary experience.
Chin Med J (Engl). 1982 Jul;95(7):481-2.
3
Segmental pancreas autotransplantation in man following total or near total pancreatectomy for serious recurrent chronic pancreatitis.
Transplant Proc. 1980 Dec;12(4 Suppl 2):15-8.
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Regional pancreatectomy for cancer of the pancreas, ampulla and other related sites.
Jpn J Surg. 1983 Sep;13(5):385-94. doi: 10.1007/BF02469723.
5
Recent experiences with autotransplantation of the kidney, jejunum, and pancreas.肾脏、空肠和胰腺自体移植的近期经验。
Ann Surg. 1983 Jun;197(6):678-87. doi: 10.1097/00000658-198306000-00006.
6
Segmental pancreatic autotransplantation for chronic pancreatitis. A preliminary report.慢性胰腺炎的节段性胰腺自体移植:初步报告
Gastroenterology. 1983 Mar;84(3):621-6.
7
Transplantation of irradiated heterotopic segmental human pancreas.
Am Surg. 1983 Sep;49(9):502-5.
8
Insulin, C-peptide, glucagon, and somatostatin secretion in segmental pancreatic autotransplantation.节段性胰腺自体移植中胰岛素、C肽、胰高血糖素和生长抑素的分泌
Transplant Proc. 1984 Jun;16(3):741-4.
9
Segmental auto-transplantation of the pancreas.胰腺节段性自体移植
Jpn J Surg. 1987 Jan;17(1):41-6. doi: 10.1007/BF02470584.
10
Segmental pancreatic autotransplantation with pancreatic ductal occlusion after near total or total pancreatic resection for chronic pancreatitis. Results at 5- to 54-month follow-up evaluation.慢性胰腺炎患者在近全胰或全胰切除术后行胰管闭塞的节段性胰腺自体移植。5至54个月随访评估结果。
Ann Surg. 1986 Jun;203(6):626-36. doi: 10.1097/00000658-198606000-00007.