A case of pancreaticoduodenectomy and partial hepatic resection as repeat cytoreductive surgery for recurrent pseudomyxoma peritonei
| Title: | A case of pancreaticoduodenectomy and partial hepatic resection as repeat cytoreductive surgery for recurrent pseudomyxoma peritonei |
|---|---|
| Authors: | Kenya Yamanaka, Norishige Iizuka, Toshiyuki Kitai |
| Source: | Surgical Case Reports, Vol 7, Iss 1, Pp 1-7 (2021) |
| Publisher Information: | SpringerOpen, 2021. |
| Publication Year: | 2021 |
| Collection: | LCC:Surgery |
| Subject Terms: | Pancreaticoduodenectomy, Partial hepatic resection, Repeat cytoreductive surgery, Recurrent pseudomyxoma peritonei, Surgery, RD1-811 |
| More Details: | Abstract Background For recurrent pseudomyxoma peritonei (PMP), repeat cytoreductive surgery (CRS) with or without hyperthermic intraperitoneal chemotherapy (HIPEC) can provide survival benefits if patients are carefully selected. We describe a case of pancreaticoduodenectomy and partial liver resection (HPD) as the repeat CRS for a recurrent tumor that infiltrated the pancreatic head around the hepatic hilum. This is the first report of HPD for recurrent PMP. Case presentation The patient was a 58-year-old male without comorbidities. In 2001, he was diagnosed with PMP at the time of laparoscopic cholecystectomy. In 2004, CRS, including total peritoneal resection, pyloric gastrectomy, splenectomy, and right hemicolectomy with HIPEC was performed (peritoneal cancer index (PCI) = 28). In 2008, the first repeat CRS with HIPEC was performed (PCI = 14). In 2016, fourth repeat CRS, including partial hepatectomy with HIPEC for recurrence of the round ligament of the liver, was performed. In 2017, a tumor of 5 cm in size was observed from the hepatic hilum to the pancreatic head, which infiltrated the main pancreatic duct. Other tumors 2 cm in size were observed (PCI = 7). We performed the fifth repeat CRS, including HPD. The adhesions of the small intestine from around the liver to the lower abdomen were detached for the reconstruction of pancreatojejunostomy and cholangiojejunostomy. The uncinate approach was applied for the pancreatic head resection because it was difficult to identify the cranial part of the pancreas due to adhesions in the hepatoduodenal ligament and the omental bursa. We approached to the origin of the extrahepatic Glissonean pedicle by resecting a part of the liver around the hepatic hilum using transhepatic hilar approach. A complete cytoreduction was achieved. The postoperative pathological diagnosis was a recurrence of PMP, which is equivalent to peritoneal mucinous carcinomatosis. He was discharged on the 22nd postoperative day without major postoperative complications. The patient survived without recurrence four years after HPD. Conclusions Even for recurrence around the hepatic hilum and the pancreatic head, repeat CRS can be safely performed by applying the techniques of hepatobiliary pancreatic surgery. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2198-7793 |
| Relation: | https://doaj.org/toc/2198-7793 |
| DOI: | 10.1186/s40792-021-01332-2 |
| Access URL: | https://doaj.org/article/b73f515a66074d809d551c2638b636ea |
| Accession Number: | edsdoj.b73f515a66074d809d551c2638b636ea |
| Database: | Directory of Open Access Journals |
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| Items | – Name: Title Label: Title Group: Ti Data: A case of pancreaticoduodenectomy and partial hepatic resection as repeat cytoreductive surgery for recurrent pseudomyxoma peritonei – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Kenya+Yamanaka%22">Kenya Yamanaka</searchLink><br /><searchLink fieldCode="AR" term="%22Norishige+Iizuka%22">Norishige Iizuka</searchLink><br /><searchLink fieldCode="AR" term="%22Toshiyuki+Kitai%22">Toshiyuki Kitai</searchLink> – Name: TitleSource Label: Source Group: Src Data: Surgical Case Reports, Vol 7, Iss 1, Pp 1-7 (2021) – Name: Publisher Label: Publisher Information Group: PubInfo Data: SpringerOpen, 2021. – Name: DatePubCY Label: Publication Year Group: Date Data: 2021 – Name: Subset Label: Collection Group: HoldingsInfo Data: LCC:Surgery – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Pancreaticoduodenectomy%22">Pancreaticoduodenectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Partial+hepatic+resection%22">Partial hepatic resection</searchLink><br /><searchLink fieldCode="DE" term="%22Repeat+cytoreductive+surgery%22">Repeat cytoreductive surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Recurrent+pseudomyxoma+peritonei%22">Recurrent pseudomyxoma peritonei</searchLink><br /><searchLink fieldCode="DE" term="%22Surgery%22">Surgery</searchLink><br /><searchLink fieldCode="DE" term="%22RD1-811%22">RD1-811</searchLink> – Name: Abstract Label: Description Group: Ab Data: Abstract Background For recurrent pseudomyxoma peritonei (PMP), repeat cytoreductive surgery (CRS) with or without hyperthermic intraperitoneal chemotherapy (HIPEC) can provide survival benefits if patients are carefully selected. We describe a case of pancreaticoduodenectomy and partial liver resection (HPD) as the repeat CRS for a recurrent tumor that infiltrated the pancreatic head around the hepatic hilum. This is the first report of HPD for recurrent PMP. Case presentation The patient was a 58-year-old male without comorbidities. In 2001, he was diagnosed with PMP at the time of laparoscopic cholecystectomy. In 2004, CRS, including total peritoneal resection, pyloric gastrectomy, splenectomy, and right hemicolectomy with HIPEC was performed (peritoneal cancer index (PCI) = 28). In 2008, the first repeat CRS with HIPEC was performed (PCI = 14). In 2016, fourth repeat CRS, including partial hepatectomy with HIPEC for recurrence of the round ligament of the liver, was performed. In 2017, a tumor of 5 cm in size was observed from the hepatic hilum to the pancreatic head, which infiltrated the main pancreatic duct. Other tumors 2 cm in size were observed (PCI = 7). We performed the fifth repeat CRS, including HPD. The adhesions of the small intestine from around the liver to the lower abdomen were detached for the reconstruction of pancreatojejunostomy and cholangiojejunostomy. The uncinate approach was applied for the pancreatic head resection because it was difficult to identify the cranial part of the pancreas due to adhesions in the hepatoduodenal ligament and the omental bursa. We approached to the origin of the extrahepatic Glissonean pedicle by resecting a part of the liver around the hepatic hilum using transhepatic hilar approach. A complete cytoreduction was achieved. The postoperative pathological diagnosis was a recurrence of PMP, which is equivalent to peritoneal mucinous carcinomatosis. He was discharged on the 22nd postoperative day without major postoperative complications. The patient survived without recurrence four years after HPD. Conclusions Even for recurrence around the hepatic hilum and the pancreatic head, repeat CRS can be safely performed by applying the techniques of hepatobiliary pancreatic surgery. – Name: TypeDocument Label: Document Type Group: TypDoc Data: article – Name: Format Label: File Description Group: SrcInfo Data: electronic resource – Name: Language Label: Language Group: Lang Data: English – Name: ISSN Label: ISSN Group: ISSN Data: 2198-7793 – Name: NoteTitleSource Label: Relation Group: SrcInfo Data: https://doaj.org/toc/2198-7793 – Name: DOI Label: DOI Group: ID Data: 10.1186/s40792-021-01332-2 – Name: URL Label: Access URL Group: URL Data: <link linkTarget="URL" linkTerm="https://doaj.org/article/b73f515a66074d809d551c2638b636ea" linkWindow="_blank">https://doaj.org/article/b73f515a66074d809d551c2638b636ea</link> – Name: AN Label: Accession Number Group: ID Data: edsdoj.b73f515a66074d809d551c2638b636ea |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1186/s40792-021-01332-2 Languages: – Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 1 Subjects: – SubjectFull: Pancreaticoduodenectomy Type: general – SubjectFull: Partial hepatic resection Type: general – SubjectFull: Repeat cytoreductive surgery Type: general – SubjectFull: Recurrent pseudomyxoma peritonei Type: general – SubjectFull: Surgery Type: general – SubjectFull: RD1-811 Type: general Titles: – TitleFull: A case of pancreaticoduodenectomy and partial hepatic resection as repeat cytoreductive surgery for recurrent pseudomyxoma peritonei Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Kenya Yamanaka – PersonEntity: Name: NameFull: Norishige Iizuka – PersonEntity: Name: NameFull: Toshiyuki Kitai IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 21987793 Numbering: – Type: volume Value: 7 – Type: issue Value: 1 Titles: – TitleFull: Surgical Case Reports Type: main |
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