A Case of Segmental Resection of Pancreas Body with End-to-End Anastomosis of Pancreas for Intraductal Papillary Tumor

Osamu Ikawa, Keigo Miyata, Shigeru Takahashi, Naoki Kakihara, Hiroomi Matsumura, Ryouji Iizuka, Kouji Fujii, Hiroshi Izumi, Atsushi Takenaka and Hajime Tokuda

Department of Surgery, Kyoto Second Red Cross Hospital

We report end-to-end anastomosis of the pancreas after segmental resection of the pancreas body due to intraductal papillary tumor. A 67-year-old symptom-free man with no complaint was referred to our hospital because of a cystic lesion 3.5 cm in diameter found in abdominal ultrasonography at mass screening. Endoscopic retrograde pancreatography and cytology of the pancreatic juice led to a diagnosis of intraductal mucin-producing papillary adenoma. The patient underwent segmental resection of the pancreas body and reconstruction by end-to-end anastomosis of the pancreas, and was discharged without complications. Endoscopic retrograde pancreatography 16 months postoperatively showed the main pancreatic duct clearly to the tail without dilation or reccurence. The patient has been alive for three years without problems. It may be difficult to survey the pancreas tail of the patient after pancreatojejunostomy. All trials of pancreatography through pancreatogastrostomy failed in our cases. End-to-end anastomosis after segmental pancreas resection is more effective requiring shorter operation time and making it easy to survey the residual pancreas tail.

Key words
intraductal papillary tumor of pancreas, segmental resection of pancreas body, end-to-end anastomosis of pancreas

Reprint requests
Osamu Ikawa Department of Surgery, Kyoto Second Red Cross Hospital 355-5 Haruobi-cho, Kamanza-Marutamachi-Agaru, Kamigyo-ku, Kyoto, 602-8026 JAPAN

Accepted
June 26, 2001

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