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Case Reports in Surgery
Volume 2014 (2014), Article ID 648678, 3 pages
http://dx.doi.org/10.1155/2014/648678
Case Report

Middle Segment-Preserving Pancreatectomy for Recurrent Metastasis of Renal Cell Carcinoma after Pancreatoduodenectomy: A Case Report

1Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo 060-8638, Japan
2Department of Surgery, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan
3Department of Pathology, Asahikawa-Kosei General Hospital, 1 Jo 24 Chome 111, Asahikawa 078-8211, Japan

Received 1 March 2014; Accepted 11 June 2014; Published 30 June 2014

Academic Editor: Gregorio Santori

Copyright © 2014 Aiyama Takeshi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Many cases of surgical resection of metastatic pancreatic tumors originating from renal cell carcinoma have been reported; however, cases of reresection of recurrent pancreatic metastasis of renal cell carcinoma in the remnant pancreas are rare. We performed a second resection for recurrent pancreatic metastasis of renal cell carcinoma six years after pancreatoduodenectomy with pancreaticogastrostomy reconstruction. By performing middle segment-preserving pancreatectomy, we were able to successfully spare the exocrine and endocrine pancreatic function compared to that observed after total pancreatectomy, with no signs of recurrence for two years after the surgery.