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KIYOSHI INOKUCHI, MD, DSc; TAIJI IKEJIRI, MD

AMA Arch Surg. 1966;92(6):853-856.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE suprarenal-splenic venous shunt was first performed in 1954 by Galante and associates¹ in four patients with far-advanced carcinoma of the breast. The operation is clinically significant not only as an adjuvant to simple bilateral oophorectomy originated by Beatson,² but also as a possible means of abolishing the substitution therapy necessary after bilateral ablation of the suprarenal glands devised by Huggins and associates.³

The shunting procedure, however, is associated with certain difficulties: (1) the necessity of splenectomy, which increases not only the extent of operation but also the unfavorable effects of body resistance to cancer; and (2) technical difficulty of anastomosing the splenic vein to the small suprarenal vein. To overcome these difficulties, one of us (Inokuchi^4,5) began using a branch of the inferior mesenteric vein for anastomosis of the suprarenal vein instead of the splenic vein, as in Galante's procedure; this method eliminates splenectomy. Although . . . [Full Text PDF of this Article]

Author Affiliations
FUKUOKA, JAPAN

From the Second Department of Surgery, Kyushu University Faculty of Medicine, Fukuoka.

Footnotes
Submitted for publication Oct 21, 1965.

Reprint requests to Kyushu University School of Medicine, Fukuoka, Japan (Dr. Inokuchi).

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