Nobukazu Nakashima

Segmental autotransplantation of the pancreas after total pancreatectomy for advanced periampullary carcinoma —A case report—

A case is reported here in which segmental autotransplantation of the pancreas was performed after total pancreatectomy for advanced periampullary carcinoma in an attempt to preserve pancreatic endocrine function. The postoperative course was uneventful. The requirement of insulin decreased after the operation and the daily profile examination, done 5 months following surgery, showed a permissive fluctuation of blood sugar levels without insulin injection. Thus, segmental autotransplantation of the pancreas offers a method of preserving pancreatic endocrine function after total pancreatectomy for periampullary carcinoma in selected patients.

A case report of gastric cancer combined with idiopathic throbocytopenic purpura. A case report and a review of the literature.

慢性特発性血小板減少性紫斑病 (idiopathic thrombocytopenic purpura: ITP) を合併した進行胃癌症例に対し, 術前に完全分子型γ-グロプリンと血小板を投与し, 安全に手術を施行しえた.手術は, 胃亜全摘術と脾臓摘出術を予定したが, 残胃の血流が悪いため, 胃全摘術と脾臓摘出術に変更した.文献学的にITPを合個併した固型癌症例を集計すると, 一般のITPに比較し, 男性に優位で, 高齢者に多く認められた.

Localization of an Occult Insulinoma by Intraoperative Ultrasonography and Enzyme-Linked Immunoassay for Insulin

A 46-year-old woman with an occult insulinoma underwent surgical exploration. Intraoperative ultrasonography demonstrated three hypoechoic lesions in the pancreas. Following massage of each hypoechoic