Curative resection of pancreatic head carcinoma in recent 30 years: report of 377 cases

<正> Objective: To evaluate retrospectively the relationshipbetween the types of operation, characteristics of tu-mor, and survival rate after radical pancreatoduo-denectomy for patients with carcinoma of the pancre-atic head performed in recent 30 years.Methods: Of 377 patients with ca...

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Published in:Hepatobiliary & pancreatic diseases international 2002-02, Vol.1 (1), p.126-128
Main Authors: Ni, Quan-Xing, Zhang, Qun-Hua, Fu, De-Liang, Cao, Guo-Hai, Yao, Qi-Yuan, Jin, Chen, Yu, Xian-Jun, Zhang, Niu, Zhang, Yan-Ling
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
cancer
Female
Humans
Lymphatic Metastasis
Male
Middle Aged
operation
Pancreas - innervation
Pancreas - pathology
Pancreas - surgery
pancreatic
Pancreatic Neoplasms - mortality
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - surgery
Pancreaticoduodenectomy
Postoperative Complications - mortality
rate
Retrospective Studies
survival
Survival Rate
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Summary:<正> Objective: To evaluate retrospectively the relationshipbetween the types of operation, characteristics of tu-mor, and survival rate after radical pancreatoduo-denectomy for patients with carcinoma of the pancre-atic head performed in recent 30 years.Methods: Of 377 patients with carcinoma of the pan-creas treated during 1970-1999, 75 were subjected toWhipple procedure or pancreatectomy with dissectionof regional lymph nodes (10 patients receiving inter-vention therapy). The latter is beneficial to patientswith carcinoma of the pancreatic head. The operationmay be extended by resection of a segment of superiormensenteric-portal vein confluence if involved.Results: The resection rate was increased from 9% inthe 1970s to 28.2% in the 1990s. The 1-, 3-, 5-year-survival rates were 50%, 25%, 0 in the 1970s;57.1%, 28.5%, 9% in the 1980s; and 61.1%, 27%,11.1% in the 1990s, respectively.Conclusion: Despite its retrospective in nature, thepresent study suggests that in patients with pancreaticcancer without visceral or distant metastasis, resectionshould always be attempted when there is no high op-erative risk factor and the operation is technically fea-sible.
ISSN:1499-3872