Related Experiment Videos
["Three steps procedure" in the treatment of large pancreatic head cancer]
1Center for Pancreatic Cancer, Huashan Hospital, Shanghai Medical University, Shanghai 200040, China.
Objective:
To evaluate the feasibility and effectivity of "3 steps procedure" in the treatment of large pancreatic head cancer.
Methods:
The "3 steps procedure" consisted of decompression of jaundice by simple cholecystotomy, intervenient (intra-arterial) chemotherapy (5-FU 1 approximately 1.5 g, mitomycin 8 approximately 14 mg, cisplatin 40 approximately 60 mg and octreatide 1 mu intravenously as near the superior and inferior pancreatic-duodenal arteries as possible), and then the reasonable regional pancreatic-duodenectomy.
Results:
All 16 tumors were radically resected. Conventional and regional pancreatic-duodenectomy was done in 7 and 9 patients, respectively; of the later group, artificial prosthesis for portal vein bridge was done in 3 patients, end-to-end anastomosis in 4 and repair after partial resection of invaded vessel wall in 2.
Conclusion:
The "3 steps procedure" is feasible and effective in the treatment of large pancreatic head cancer.