A Patient with Advanced Gallbladder Cancer Aliving 5 Years after Simultaneous Resection of the Liver and Pancreas

Ken-ichi Kumazawa, Toshinori Oishi, Seiji Ohigashi, Koichi Kubota, Tadao Shimizu, Shunsuke Haga, Tetsuro Kajiwara, Tomomitsu Kikuchi*

Department of Surgery, Tokyo Women's Medical College Daini Hospital
*Department of Surgery, Tokyo Metropolitan Fuchu Hospital

Simultaneous resection of the liver and pancreas has recently become more commonly used to treat advanced gallbladder cancer. However, the prognosis after the surgery is unfavorable, and there have been only a few long-term survivors. We have a 54-year-old patient who has been alive for 5 years after simultaneous resection of the liver and pancreas in combination with right hemicolectomy. He began to suffer right hypochondral pain in May 1986, and was admitted to our hospital on June 2. His condition was diagnosed as advanced gallbladder cancer infiltrating directly into the liver, duodenum and colon. On June 18, extensive hepatic right lobecromy, pancreatoduodenectomy and right hemicolectomy were performed. The mode of progression was pat-Gbfn, por, int, INFβ, si, hinf₃, binf₀, n (-), P₀ and H₀. This was a case of R₃ absolute curative resection. The patient was discharged on the 84th hospital day without any major postoperative complications. His body weight,44 kg at the beginning, is now restored to 51 kg. Although CT revealed a fatty liver, there have been no signs of recurrence. The patients now able to deal with outside work. The long survival of this patient seems to be mainly due to the absence of infiltration into the hepatoduodenal ligament and lymph node metastasis despite the advanced stage of the cancer.

Key words
cancer of the gallbladder, simultaneous resection of the liver and pancreas

Reprint requests
Ken-ichi Kumazawa Department of Surgery, Tokyo Women's Medical College Daini Hospital
2-1-10 Nishiogu, Arakawa-ku, Tokyo, 116 JAPAN

Accepted
January 8, 1992

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