Standard versus extended pancreaticoduodenectomy in treating adenocarcinoma of the head of the pancreas / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal
;
(4): 107-112, 2013.
Article
Dans Anglais
| WPRIM
| ID: wpr-243208
ABSTRACT
<p><b>OBJECTIVES</b>To compare the postoperative complications and survival of standard pancreatoduodenectomy (SPD) and extended pancreatoduodenectomy (EPD) in patients with resectable adenocarcinoma of the head of the pancreas.</p><p><b>METHODS</b>Between January 1994 and December 2011, 165 patients with biopsy-proven adenocarcinoma of the pancreatic head were treated in West China Hospital, among whom 93 underwent SPD and 72 had EPD. Complications and survival after the surgery were analyzed retrospectively.</p><p><b>RESULTS</b>The median operation time of the EPD group was longer compared with the SPD group (375 minutes vs.310 minutes, P<0.01), the volume of blood transfusion was larger (700 mL vs.400 mL, P<0.05), while the median hospital stay (13.5 days vs.12 days, P=0.79) and the total complication rates were comparable (34.7% vs.32.4%, P=0.93). The total recurrence rates of the SPD and EPD groups were not significantly different (52.7% vs. 43.1%, P=0.83). No significant differences were found between the SPD and EPD groups in 1-year (81.7% vs. 86.1%), 3-year (38.7% vs. 43.1%), 5-year (16.7% vs. 19.4%), and median survivals (19.8 months vs. 23.2 months, P= 0.52).</p><p><b>CONCLUSION</b>The postoperative complications and survival donot differ significantly between SPD and EPD.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Tumeurs du pancréas
/
Chirurgie générale
/
Adénocarcinome
/
Épidémiologie
/
Études rétrospectives
/
Mortalité
/
Duodénopancréatectomie
/
Méthodes
/
Récidive tumorale locale
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Adulte
/
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Chinese Medical Sciences Journal
Année:
2013
Type:
Article
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