title: [Surgical treatment of malignant neoplasms of the pancreatoduodenal zone].
abstract: The experience with surgical treatment of 866 patients with malignant neoplasms of the pancreato-duodenal zone is analyzed. Radical operations were carried out upon 220 (25.4%) patients, palliative ones-upon 459 (52.8%) and laparotomies-upon 187 (22.7%) patients. The authors draw the conclusion that a one-stage pancreato-duodenal resection is the operation of choice for cancer of the Vater's papilla, distal portion of the common bile duct and of the head of the pancreas. Extended pancreato-duodenal resections with excision of a segment of the portal or the superior mesenteric veins are indicated when adhesion of tumor and the venous wall makes the only contraindication to the radical operation.
mesh_terms: D007516:Adenoma, Islet Cell / Q000401:mortality / Q000601:surgery; D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery; D001650:Bile Duct Neoplasms / Q000401:mortality / Q000601:surgery; D004379:Duodenal Neoplasms / Q000401:mortality / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000401:mortality; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery*
vernacular_title: Khirurgicheskoe lechenie zlokachestvennykh novoobrazovaniĭ pankreatoduodenal'noĭ zony.