Resection of liver metastases after pancreatoduodenectomy: Report of seven cases

Kimihito Fujii, Junji Yamamoto, Kazuaki Shimada, Tomoo Kosuge, Susumu Yamasaki, Yae Kanai

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

There has been no English report of a long survivor after hepatectomy for metastasis from peri-ampullary malignancies, who had previously undergone pancreatoduodenectomy (PD) for primary disease. Herein, we report 7 patients of liver metastases who underwent 8 hepatectomies after PD for peri-ampullary malignancies. One patient whose liver metastasis was neuroendocrine tumor, survived 2 years and 6 months without recurrence after hepatectomy. Another patient who had 2 hepatectomies for metastasis from duodenal leiomyosarcoma survived for 3 years and 20 days after the first hepatectomy. Procedure of hepatectomy comprised 4 limited resections (including 1 second hepatectomy) and 4 lobectomies at the first resection. Hepatic inflow clamp was used in 6 out of 8 hepatectomies and 4 out of 8 hepatectomies did not require allogeneic blood transfusion. Bacterial contamination of the drained discharge from the cut surface of the liver, mostly representative of enteric organisms, was identified in all but 2 patients who were not examined. Subphrenic abscesses developed in 2 patients after removal of the drains. Thus, prophylactic use of abdominal drain is indispensable after hepatectomy for the patients with bilioenteric anastomosis.

Original languageEnglish
Pages (from-to)2429-2433
Number of pages5
JournalHepato-Gastroenterology
Volume46
Issue number28
Publication statusPublished - 1999
Externally publishedYes

Fingerprint

Pancreaticoduodenectomy
Hepatectomy
Neoplasm Metastasis
Liver
Subphrenic Abscess
Neuroendocrine Tumors
Leiomyosarcoma
Blood Transfusion
Survivors
Neoplasms
Recurrence

Keywords

  • Drain contamination
  • Liver metastasis
  • Pancreatoduodenectomy

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Fujii, K., Yamamoto, J., Shimada, K., Kosuge, T., Yamasaki, S., & Kanai, Y. (1999). Resection of liver metastases after pancreatoduodenectomy: Report of seven cases. Hepato-Gastroenterology, 46(28), 2429-2433.

Resection of liver metastases after pancreatoduodenectomy : Report of seven cases. / Fujii, Kimihito; Yamamoto, Junji; Shimada, Kazuaki; Kosuge, Tomoo; Yamasaki, Susumu; Kanai, Yae.

In: Hepato-Gastroenterology, Vol. 46, No. 28, 1999, p. 2429-2433.

Research output: Contribution to journalArticle

Fujii, K, Yamamoto, J, Shimada, K, Kosuge, T, Yamasaki, S & Kanai, Y 1999, 'Resection of liver metastases after pancreatoduodenectomy: Report of seven cases', Hepato-Gastroenterology, vol. 46, no. 28, pp. 2429-2433.
Fujii K, Yamamoto J, Shimada K, Kosuge T, Yamasaki S, Kanai Y. Resection of liver metastases after pancreatoduodenectomy: Report of seven cases. Hepato-Gastroenterology. 1999;46(28):2429-2433.
Fujii, Kimihito ; Yamamoto, Junji ; Shimada, Kazuaki ; Kosuge, Tomoo ; Yamasaki, Susumu ; Kanai, Yae. / Resection of liver metastases after pancreatoduodenectomy : Report of seven cases. In: Hepato-Gastroenterology. 1999 ; Vol. 46, No. 28. pp. 2429-2433.
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