Extensive Dissection of Lymph Nodes and Nerve Plexus for Carcinoma of the Pancreatic Head Region
Lymph node metastasis and extrapancreatic nerve plexus invasion of carcinoma of the pancreatic head region was histopathologically studied. Lymph node metastasis was observed in 70% of duct cell carcinomas of the pancreatic head (n=101), 39% of common bile duct carcinomas (n=23) and 43% of papilla V...
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| Veröffentlicht in: | Nippon Shokaki Geka Gakkai zasshi 1995, Vol.28(4), pp.898-902 |
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| container_title | Nippon Shokaki Geka Gakkai zasshi |
| container_volume | 28 |
| creator | Nakao, Akimasa Harada, Akio Nomami, Toshiaki Kaneko, Tetsuya Takeda, Shin Inoue, Soichiro Hosono, Jiro Nomoto, Shuji Inagaki, Hitoshi Takagi, Hiroshi |
| description | Lymph node metastasis and extrapancreatic nerve plexus invasion of carcinoma of the pancreatic head region was histopathologically studied. Lymph node metastasis was observed in 70% of duct cell carcinomas of the pancreatic head (n=101), 39% of common bile duct carcinomas (n=23) and 43% of papilla Vater carcinomas (n=28), respectively. Perigastric lymphb node metastasis was observed in 12% of pancreatic head carcinomas and was restricted to the subpyloric region (N. 6), with 0% in common bile duct carcinomas and 4% in papilla Vater carcinomas. Lymph node metastasis around the superior mesenteric artery (SMA) (No.14) and para-aorta (No.16) was observed in 23% and 25% in pancreatic head carcinoma, 9% and 9% in common bile duct carcinoma, and 0% in papilla Vater carcinoma, respectively. Neural invasion was observed in 88% of pancreatic head carcinoma, 83% of common bile duct carcinoma and 14% of papilla Vater carcinoma. Extrapancreatic nerve plexus invasion was noted in 75% of pancreatic head carcinoma with intrapancreatic neural invasion. A significant relationship was observed (p |
| doi_str_mv | 10.5833/jjgs.28.898 |
| format | Article |
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Lymph node metastasis was observed in 70% of duct cell carcinomas of the pancreatic head (n=101), 39% of common bile duct carcinomas (n=23) and 43% of papilla Vater carcinomas (n=28), respectively. Perigastric lymphb node metastasis was observed in 12% of pancreatic head carcinomas and was restricted to the subpyloric region (N. 6), with 0% in common bile duct carcinomas and 4% in papilla Vater carcinomas. Lymph node metastasis around the superior mesenteric artery (SMA) (No.14) and para-aorta (No.16) was observed in 23% and 25% in pancreatic head carcinoma, 9% and 9% in common bile duct carcinoma, and 0% in papilla Vater carcinoma, respectively. Neural invasion was observed in 88% of pancreatic head carcinoma, 83% of common bile duct carcinoma and 14% of papilla Vater carcinoma. Extrapancreatic nerve plexus invasion was noted in 75% of pancreatic head carcinoma with intrapancreatic neural invasion. A significant relationship was observed (p<0.001) between prognosis and extrapancreatic nerve plexus invasion, but not between prognosis and lymph node metastasis in pancreatic head carcinoma. Wide dissection of the paraaortic lymph node caused massive ascites leakage after surgery, and complete dissection of the nerve plexus around the SMA caused severe diarrhea. Postoperative nutritional support is necessary for patients with extensive surgery.</description><identifier>ISSN: 0386-9768</identifier><identifier>EISSN: 1348-9372</identifier><identifier>DOI: 10.5833/jjgs.28.898</identifier><language>eng ; jpn</language><publisher>The Japanese Society of Gastroenterological Surgery</publisher><subject>cancer of pancreatic head region ; lymph node metastasis ; neural invasion</subject><ispartof>The Japanese Journal of Gastroenterological Surgery, 1995, Vol.28(4), pp.898-902</ispartof><rights>The Japanese Society of Gastroenterological Surg</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27902,27903,27904</link.rule.ids></links><search><creatorcontrib>Nakao, Akimasa</creatorcontrib><creatorcontrib>Harada, Akio</creatorcontrib><creatorcontrib>Nomami, Toshiaki</creatorcontrib><creatorcontrib>Kaneko, Tetsuya</creatorcontrib><creatorcontrib>Takeda, Shin</creatorcontrib><creatorcontrib>Inoue, Soichiro</creatorcontrib><creatorcontrib>Hosono, Jiro</creatorcontrib><creatorcontrib>Nomoto, Shuji</creatorcontrib><creatorcontrib>Inagaki, Hitoshi</creatorcontrib><creatorcontrib>Takagi, Hiroshi</creatorcontrib><title>Extensive Dissection of Lymph Nodes and Nerve Plexus for Carcinoma of the Pancreatic Head Region</title><title>Nippon Shokaki Geka Gakkai zasshi</title><addtitle>Jpn J Gastroenterol Surg</addtitle><description>Lymph node metastasis and extrapancreatic nerve plexus invasion of carcinoma of the pancreatic head region was histopathologically studied. Lymph node metastasis was observed in 70% of duct cell carcinomas of the pancreatic head (n=101), 39% of common bile duct carcinomas (n=23) and 43% of papilla Vater carcinomas (n=28), respectively. Perigastric lymphb node metastasis was observed in 12% of pancreatic head carcinomas and was restricted to the subpyloric region (N. 6), with 0% in common bile duct carcinomas and 4% in papilla Vater carcinomas. Lymph node metastasis around the superior mesenteric artery (SMA) (No.14) and para-aorta (No.16) was observed in 23% and 25% in pancreatic head carcinoma, 9% and 9% in common bile duct carcinoma, and 0% in papilla Vater carcinoma, respectively. Neural invasion was observed in 88% of pancreatic head carcinoma, 83% of common bile duct carcinoma and 14% of papilla Vater carcinoma. Extrapancreatic nerve plexus invasion was noted in 75% of pancreatic head carcinoma with intrapancreatic neural invasion. A significant relationship was observed (p<0.001) between prognosis and extrapancreatic nerve plexus invasion, but not between prognosis and lymph node metastasis in pancreatic head carcinoma. Wide dissection of the paraaortic lymph node caused massive ascites leakage after surgery, and complete dissection of the nerve plexus around the SMA caused severe diarrhea. Postoperative nutritional support is necessary for patients with extensive surgery.</description><subject>cancer of pancreatic head region</subject><subject>lymph node metastasis</subject><subject>neural invasion</subject><issn>0386-9768</issn><issn>1348-9372</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><recordid>eNo9kE1PAjEQhhujiQQ5-Qd6N4v92I_2aADFhKAxeq7ddgolsEva1cC_pyuGy0xm5pl33gxC95SMC8H542azimMmxkKKKzSgPBeZ5BW7RgPCRZnJqhS3aBSjrwkpRJVqOkDfs0MHTfS_gKc-RjCdbxvcOrw47vZrvGwtRKwbi5cQEvO-hcNPxK4NeKKD8U270z3drdNMNyaA7rzBc9AWf8Aqad2hG6e3EUb_eYi-nmefk3m2eHt5nTwtMsNKKjItSAHJObe8tpJxmVNWJ9u25kVepS5x1DINtanyssqdJdSZuhDE1SUwZvgQPZx1TWhjDODUPvidDkdFier_o_r_KCZUf2WIpmd6Ezu9ggurQ7K_hT-WylL2fH4Oae0yNmsdFDT8BJ8NccQ</recordid><startdate>1995</startdate><enddate>1995</enddate><creator>Nakao, Akimasa</creator><creator>Harada, Akio</creator><creator>Nomami, Toshiaki</creator><creator>Kaneko, Tetsuya</creator><creator>Takeda, Shin</creator><creator>Inoue, Soichiro</creator><creator>Hosono, Jiro</creator><creator>Nomoto, Shuji</creator><creator>Inagaki, Hitoshi</creator><creator>Takagi, Hiroshi</creator><general>The Japanese Society of Gastroenterological Surgery</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>1995</creationdate><title>Extensive Dissection of Lymph Nodes and Nerve Plexus for Carcinoma of the Pancreatic Head Region</title><author>Nakao, Akimasa ; Harada, Akio ; Nomami, Toshiaki ; Kaneko, Tetsuya ; Takeda, Shin ; Inoue, Soichiro ; Hosono, Jiro ; Nomoto, Shuji ; Inagaki, Hitoshi ; Takagi, Hiroshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2618-a805e8983d3bd9239412b386db35473d30f1d2aebc74674fd01fcb580fb6e22c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; jpn</language><creationdate>1995</creationdate><topic>cancer of pancreatic head region</topic><topic>lymph node metastasis</topic><topic>neural invasion</topic><toplevel>online_resources</toplevel><creatorcontrib>Nakao, Akimasa</creatorcontrib><creatorcontrib>Harada, Akio</creatorcontrib><creatorcontrib>Nomami, Toshiaki</creatorcontrib><creatorcontrib>Kaneko, Tetsuya</creatorcontrib><creatorcontrib>Takeda, Shin</creatorcontrib><creatorcontrib>Inoue, Soichiro</creatorcontrib><creatorcontrib>Hosono, Jiro</creatorcontrib><creatorcontrib>Nomoto, Shuji</creatorcontrib><creatorcontrib>Inagaki, Hitoshi</creatorcontrib><creatorcontrib>Takagi, Hiroshi</creatorcontrib><collection>CrossRef</collection><jtitle>Nippon Shokaki Geka Gakkai zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakao, Akimasa</au><au>Harada, Akio</au><au>Nomami, Toshiaki</au><au>Kaneko, Tetsuya</au><au>Takeda, Shin</au><au>Inoue, Soichiro</au><au>Hosono, Jiro</au><au>Nomoto, Shuji</au><au>Inagaki, Hitoshi</au><au>Takagi, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extensive Dissection of Lymph Nodes and Nerve Plexus for Carcinoma of the Pancreatic Head Region</atitle><jtitle>Nippon Shokaki Geka Gakkai zasshi</jtitle><addtitle>Jpn J Gastroenterol Surg</addtitle><date>1995</date><risdate>1995</risdate><volume>28</volume><issue>4</issue><spage>898</spage><epage>902</epage><pages>898-902</pages><issn>0386-9768</issn><eissn>1348-9372</eissn><abstract>Lymph node metastasis and extrapancreatic nerve plexus invasion of carcinoma of the pancreatic head region was histopathologically studied. Lymph node metastasis was observed in 70% of duct cell carcinomas of the pancreatic head (n=101), 39% of common bile duct carcinomas (n=23) and 43% of papilla Vater carcinomas (n=28), respectively. Perigastric lymphb node metastasis was observed in 12% of pancreatic head carcinomas and was restricted to the subpyloric region (N. 6), with 0% in common bile duct carcinomas and 4% in papilla Vater carcinomas. Lymph node metastasis around the superior mesenteric artery (SMA) (No.14) and para-aorta (No.16) was observed in 23% and 25% in pancreatic head carcinoma, 9% and 9% in common bile duct carcinoma, and 0% in papilla Vater carcinoma, respectively. Neural invasion was observed in 88% of pancreatic head carcinoma, 83% of common bile duct carcinoma and 14% of papilla Vater carcinoma. Extrapancreatic nerve plexus invasion was noted in 75% of pancreatic head carcinoma with intrapancreatic neural invasion. A significant relationship was observed (p<0.001) between prognosis and extrapancreatic nerve plexus invasion, but not between prognosis and lymph node metastasis in pancreatic head carcinoma. Wide dissection of the paraaortic lymph node caused massive ascites leakage after surgery, and complete dissection of the nerve plexus around the SMA caused severe diarrhea. Postoperative nutritional support is necessary for patients with extensive surgery.</abstract><pub>The Japanese Society of Gastroenterological Surgery</pub><doi>10.5833/jjgs.28.898</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Japanese Journal of Gastroenterological Surgery, 1995, Vol.28(4), pp.898-902 |
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| language | eng ; jpn |
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| source | J-STAGE Free; Freely Accessible Japanese Titles; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | cancer of pancreatic head region lymph node metastasis neural invasion |
| title | Extensive Dissection of Lymph Nodes and Nerve Plexus for Carcinoma of the Pancreatic Head Region |
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