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

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

作     者:Quan-Xing Ni Qun-Hua Zhang De-Liang Fu Guo-Hai Cao Qi-Yuan Yao Chen Jin Xian-Jun Yu Niu Zhang Yan-Ling Zhang From the Center for Pancreatic Cancer, Huashan Hospital, Fudan University Shanghai 200040, China 

作者机构:Center for Pancreatic Cancer Huashan Hospital Fudan University Shanghai 200040 China. quanxingni@*** 

出 版 物:《Hepatobiliary & Pancreatic Diseases International》 (国际肝胆胰疾病杂志(英文版))

年 卷 期:2002年第1卷第1期

页      面:126-128页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:pancreatic cancer operation survival rate 

摘      要: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 ***: 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 ***: 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, ***: 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.

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