Pancreaticoduodenectomy for periampullary carcinoma.
Article
em En
| IMSEAR
| ID: sea-63591
ABSTRACT
OBJECTIVES:
To assess the morbidity, mortality and 1- and 2-year survival rates, and safety of pancreaticoduodenectomy for periampullary (including pancreatic head) carcinomas in a non-oncology surgical set-up.METHODS:
Records of 45 patients undergoing pancreaticoduodenectomies for periampullary cancers between July 1996 and April 2000 were reviewed. These included ampullary (n=23), pancreatic (14) and duodenal (2) adenocarcinomas, lower-end cholangiocarcinoma (5), and ampullary carcinoid (1). Thirty-seven patients underwent the Whipple procedure and 8 underwent the pylorus-preserving modification.RESULTS:
The overall mortality rate was 11% and morbidity rate was 46%. Wound infection was the most common postoperative complication. The 1- and 2-year survival rates for periampullary cancers were 61% and 39% and those for pancreatic cancers were 57% and 36%, respectively.CONCLUSION:
Pancreaticoduodenectomy for periampullary tumors remains a formidable procedure in our set-up. However, it can be performed safely with low mortality and morbidity rates.
Texto completo:
1
Índice:
IMSEAR
Assunto principal:
Neoplasias Pancreáticas
/
Ampola Hepatopancreática
/
Neoplasias dos Ductos Biliares
/
Ductos Biliares Intra-Hepáticos
/
Idoso
/
Feminino
/
Humanos
/
Masculino
/
Tumor Carcinoide
/
Adenocarcinoma
Idioma:
En
Ano de publicação:
2001
Tipo de documento:
Article