[Operability of pancreatic carcinoma, surgical experience].
The authors analyse and evaluate the clinical records of 251 patients operated on during the last 14 years for pancreatic cancer, comparing the results with data in the literature. Among the surgical procedures there were 42 resections of the pancreas, 106 palliative bypass operations and 103 explorative laparotomies. The rate of resectability was 16.7% considering the whole period but it was 21.5% for the second seven-year period. The mortality rate of the palliative and resection operations was 14.2% and 14.3 respectively, it was the highest after explorative laparotomies (22.3%). Among the palliative operations choledochojejunostomy came into prominence opposed to cholecystojejunostomy, however choledochoduodenostomy was the most frequent operation. The authors did not routinely perform GEA together with biliary bypass surgery. As to the radical operations, pylorus preserving pancreatoduodenectomy was applied in the greatest numbers (22 from 42). Late survival after resection operations, palliative procedures and laparotomies was 15.2, 5.6 and 2.1 months respectively. On the basis of the early results and survival times the authors regard it necessary to perform resection operations instead of the palliative procedures.
Sápy
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P
Radiológiai Klinika, Debreceni Orvostudományi Egyetem I. Sebészeti Klinika.
Olvasztó
S
S
Pálffy
A
A
Garami
Z
Z
Péter
M
M
D000328:Adult; D002277:Carcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
A pancreas-carcinoma operabilitása, sebészi kezelésének tapasztalatai.