Pancreaticoduodenectomy for periampullary carcinoma.
Article
in English
| 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.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Pancreatic Neoplasms
/
Ampulla of Vater
/
Bile Duct Neoplasms
/
Bile Ducts, Intrahepatic
/
Aged
/
Female
/
Humans
/
Male
/
Carcinoid Tumor
/
Adenocarcinoma
Language:
English
Year:
2001
Type:
Article
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