[Change in the value of palliative interventions in cancer of the head of the pancreas].
An analysis of 412 patients with carcinoma of the head of the pancreas treated only with palliative procedures revealed remarkable differences in the results following internal anastomosis procedures and external T-tube drainage. The anastomosis group showed in comparing the years 1963-1982 with the years 1983-1987 a decline in the frequency of such procedures from 89% to 54% and a decline of the mortality from 12% to 4% while the survival time (220 days) showed no change. According to the low mortality rate we prefer internal anastomosis procedures to PTCD. However, as the results of T-tube drainage are still poor (mortality rate 36%; survival time 190 days) an attempt of PTCD seems indicated if the untreatable situation is recognized preoperative, as PTCD achieves similar results as T-tube drainage.
Sellner
F
F
Chirurgischen Abteilung, Kaiser-Franz-Josef-Spitals der Gemeinde Wien.
Jelinek
R
R
Kollar
B
B
D000368:Aged; D015904:Biliopancreatic Diversion / Q000379:methods; D004386:Duodenum / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010166:Palliative Care / Q000379:methods*; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery*; D010193:Pancreaticojejunostomy / Q000379:methods; D011183:Postoperative Complications / Q000401:mortality; D015996:Survival Rate
Zum Wandel des Stellenwertes palliativer Eingriffe beim Pankreaskopfkarzinom.