Surgical treatment of carcinoma of the pancreas

ABSTRACT

1. To highlight the surgical treatment of carcinoma of the pancreas. 2. To discuss its various treatment modalities. DESIGN: Case study PERIOD June 1994 to June 1996. SUBJECTS: A total of 30 patients [09 females [30%] and 21 males [70%]. Age ranged between 24 to 80 years [mean being 52 years]. SETTING: Allied Hospital Faisalabad DIAGNOSTIC CRITERIA Ultrasound, CT scan, operative findings and biopsy. PATIENTS AND METHODS: Nineteen patients [63.33%] had cholecysto jejunostomy [C.J]. Nine patients [30.00%] had choledocho duodenostomy [CDD] and two patients [6.66%] had Hepatico jejunostomy [HJ]. All had prophylactic antecolic Gastro jejunostomy [GJ]. All were T3 or higher stage tumours. 1. None of the patients underwent curative resection. 2. All underwent various types of palliative surgical bypass. CONCLUSIONS: Palliative surgery for carcinoma pancreas has tow advantages; 1. It gives long term relief of symptoms. 2. Only surgical explorations offers potential for curative resection