[The palliative treatment of pancreatic cancer: percutaneous drainage versus surgical diversion].
In a retrospective study, the outcome of 56 patients with unresectable carcinoma of the exocrine pancreas undergoing two palliative operations (bypass surgery vs percutaneous transhepatic biliary drainage with endoprosthesis) for the management of biliary obstruction was evaluated. Morbidity and mortality were similar in the two groups. Postop hospital stay was 8 days for the intubated, and 15 days for operated patients (p less than 0.01). Although the symptom-free period was similar in both groups, intubated patients had a shorter period of poor-quality life.
Padillo
F J
FJ
Servicio de Cirugía, Hospital Clínico Universitario Reina Sofía, Córdoba.
Canis
M
M
Rufian
S
S
Varo
E
E
Díaz
C
C
Membrives
A
A
Pera Madrazo
C
C
D001659:Biliary Tract; D002277:Carcinoma / Q000150:complications / Q000401:mortality / Q000601:surgery*; D004322:Drainage / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D010166:Palliative Care / Q000379:methods* / Q000706:statistics & numerical data; D010179:Pancreas / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000150:complications / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies