title: [Carcinoma of the head of the pancreas--diagnosis, surgical indications and results (author's transl)].
abstract: 89 cases of pancreatic or periampullary carcinoma were analysed and the following problems discussed: 1.
  
  
  METHODS
  "early" diagnosis is at present impossible--not even with E.R.C.P. or angiography, although these provide valuable information for planning the operation. 2. Indication for operation: a curative resection was possible in only 20% of cases. The apparent advantages of total pancreatectomy as against the conventional Whipple operation (increased radicality and reduced post-op. complications) have not yet paid off in terms of improved long-term survival. 3.
  
  
  RESULTS
  in 46 pancreato-duodenectomies (for carcinoma as well as complicated chronic pancreatitis) the operative and hospital mortality was 4.3%.
mesh_terms: D002758:Cholangiography / Q000379:methods; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D010166:Palliative Care; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000601:surgery; D010195:Pancreatitis / Q000175:diagnosis; D011182:Postoperative Care; D011379:Prognosis
vernacular_title: Das Pankreaskopfkarzinom. Diagnostik, chirurgische Indikation und Ergebnisse