Iwamoto S, Ishikawa O, Ohigashi H, Imaoka S, Sasaki Y, Takenaka A, Iwanaga T
Department of Surgery, Center for Adult Diseases, Osaka, Japan.
Nihon Geka Gakkai Zasshi. 1995 Jan;96(1):54-7.
A new method of intraoperative cytodiagnosis was performed for one patient with occult neoplasms of the pancreas in order to locate the original site of cancer cells, using a balloon catheter. Cancer cells were detected in the pancreatic juice obtained from the pancreatic body only. The pancreatic body was removed, and the tail of the pancreas was anastomosed to the stomach. The post operative course was good without diabetes, and it was confirmed histologically that minimally invasive adenocarcinoma existed in the pancreatic body. Thus this procedure is beneficial because it can preserve as much pancreatic function as possible without losing the chance of cure by surgery.
为定位癌细胞的原发部位，对一名患有隐匿性胰腺肿瘤的患者采用球囊导管进行了一种新的术中细胞诊断方法。仅在从胰体获取的胰液中检测到癌细胞。切除了胰体，将胰尾与胃进行了吻合。术后过程顺利，无糖尿病发生，组织学证实胰体存在微浸润腺癌。因此，该方法是有益的，因为它可以在不丧失手术治愈机会的情况下尽可能多地保留胰腺功能。
