Pylorus-preserving Pancreatoduodenectomy (PPPD)by Imanaga Procedure for Periampullary Cancer, and Postoperative Endoscopic Findings of Pancreatic and Biliary Stomas (Video presentation)
- VernacularTitle:Фатерын хөхлөг орчмын байрлалтай өмөнгийн үед ходоодны нугалуур хэсгийг хадгалан нойр булчирхайнтолгойг дээд гэдэсний хамт тайрах мэс заслыг Иманага-н аргаар хийх болон мэс заслын дараа нойр булчирхай болон цөсний залгаасуудыг дурангийн шинжилгээгээр хянах нь
- Author:
Yoshiro Ogata
;
Moriaki Tomikawa
;
Iwao Ozawa,
;
Shoichi Hishinuma
;
Hirofumi Shirakawa
- Publication Type:journal article
- From:Innovation
2014;8(4):116-117
- CountryMongolia
- Language:English
-
Abstract:
After PPPD, we have consistently performed gastrointestinal reconstruction by
Imanaga procedure that entailed an end-to-end dudenojejunostomy, end-toside
pancreatojejunostomy (pancreatic duct to jejunal mucosa anastomosis) and
choledochojejunostomy, performed in that order.
PPPD-Imanaga, which leaves no blind intestinal segment, simulates the normal
anatomic arrangement and provides a physiological mixture of food and bile
in the upper portion of the jejunum. The good mixing was evidenced by dual
scintigraphy with few exceptions. As another advantages, insertion of endoscopy
is easier postoperatively and as a result, we can check patency of pancreatic and
biliary anastomotic stomas. This is important to evaluate postoperative function
of remnant pancreas and liver, and early to detect local recurrence.
Since 1986, we have experienced 272 cases of PPPD/PD-Imanaga (PPPD 233
/ PD 39), which consists of patients with pancreatic head cancer 122, bile duct
cancer 55, Vater cancer 36 and another 61.
Overall 5-year-survival is 14.2% in pancreatic head cancer, and 25.3% in distal
bile duct cancer.
