Appraisal of Extended Operation for Carcinoma of the Pancreas and Biliary Tract Observated from Quality of Life

Takukazu Nagakawa, Keiichi Ueno, Tetsuo Ohta, Hironobu Kobayashi, Takashi Nakamura, Yasuharu Nakano, Naotaka Kodoya, Masao Yagi, Ryohei Izumi, Itsuo Miyazaki

Department of Surgery II, Shool of Medicine, Kanazawa University

Extended operation have been performed since the end of 1973 in order to improve the reuslts of surgery for carcinoma of the pancreas and biliary tract. Though the problem of incomplete resection still remains in extended operations for carcinoma of these areas, this report introduced the operative procedures and the surgical results of the extended operations, and appraised the extended operations from the viewpoint of the quality of life. The quality of life was investigated for patients with combined resection of the liver and pancreas, resection of the nerve plexus of the pancreas head, and dissection of lymph nodes. Resection of the nerve plexus around the superior mesenteric artery was thought to have the greatest effect on the quality of life among these three factors. In the future, pancreatoduodenectomy will increase for carcinoma of the gallbladder, but will decrease for carcinoma of the hilar bile duct. Dissection of lymph nodes around the abdominal aorta and combined resection of the portal vein and the superior mesenterc artery will be more necessary to improve results of surgery for carcinoma of the pancreas life.

Key words
carcinoma of the pancreas and biliary tract, extended operation, quality of life

Reprint requests
Takukazu Nagakawa Department of Surgery II, School of Medicine, Kanazawa University
13-l Takaramachi, Kanazawa, 920 JAPAN

Accepted
December 13, 1989

To read the PDF file you will need Abobe Reader installed on your computer.