Annals of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회지)

The Korean Association of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회)
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Laparoscopic distal pancreatosplenectomy for left-sided pancreatic cancer in patients with radical subtotal gastrectomy for gastric cancer

  • Kang Hee Lee (Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Seung Soo Hong (Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Seung-seob Kim (Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine) ;
  • Ho Kyoung Hwang (Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Woo Jung Lee (Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Chang Moo Kang (Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine)
  • Received : 2022.03.07
  • Accepted : 2022.06.08
  • Published : 2022.11.30
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Abstract

After radical subtotal gastrectomy (RSTG) for stomach cancer, the remnant stomach is supposed to be perfused through the short gastric vessels. What if a patient who received previous RSTG is diagnosed with resectable distal pancreatic cancer? Can radical distal pancreatosplenectomy (DPS) be performed safely without ischemic damage to the remnant stomach? Unfortunately, there are limited studies on this specific clinical issue. Notably, in spite of rare clinical presentation, it is expected to increase due to prolonged survival of patients with resected gastric cancer. Therefore, we aimed to demonstrate the safety and feasibility of the radical DPS in patients with previous RSTG. In this study, we investigated perioperative and long-term survival outcomes of DPS for left-sided pancreatic cancer in patients with previous RSTG.

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References

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