Kombinierte Leber-Insel-Transplantation nach Oberbauchexenteration bei Papillencarcinom.

Translated title of the contribution: Combined liver-islet transplantation after epigastric exenteration in carcinoma of Vater's ampulla

R. Engemann, B. J. Hering, W. Timmermann, H. J. Gassel, D. Meyer, T. Schang, H. Brandhorst, D. Brandhorst, R. G. Bretzel, K. Federlin

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

A 44 year old female underwent an upper abdominal exenteration because of an adenocarcinoma of the pancreas with liver metastases (T1 N1 M1). Reconstruction was performed by orthotopic liver transplantation and intraportal islet transplantation. Due to initial non function of the first liver graft, a second liver transplantation was performed. Thereafter, the patient received 375,000 islet equivalents of the primary liver donor in addition to 295,400 islet equivalents of another donor. Six months postoperatively, the patient is off insulin except irregular injections of 4-6 units of insulin to protect her from hyperglycemia after lunch. CT scans of the liver do not show any signs of tumor recurrence. Upper abdominal exenteration with consecutive islet transplantation offers a good method of reconstruction after radical surgery in the upper abdomen. The oncological aspects of the procedure have to be further investigated.

Translated title of the contributionCombined liver-islet transplantation after epigastric exenteration in carcinoma of Vater's ampulla
Original languageGerman
JournalDer Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
Volume66
Issue number4
StatePublished - Apr 1995

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