[The nonresectable pancreatic tumor, an interdisciplinary problem. The surgeon's viewpoint].
In 204 patients with cancer of the pancreas (1973-1984), palliative treatment in 157 non-resectable tumors is analyzed retrospectively. 124 patients underwent biliodigestive anastomosis, 11 with simultaneous gastroenterostomy. In 13 patients a secondary gastroenterostomy was necessary due to duodenal obstruction. The mortality rate in this group was 38.5% compared with 9% in patients who underwent simultaneous gastroenterostomy. Where there is a calculated risk, the aim should be a single, definitive intervention, especially where the patient can no longer be provided with an endoscopic discharge.
Berchtold
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Chirurgische Klinik Stadtspital Waid, Zürich.
Akovbiantz
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A
D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000601:surgery; D004386:Duodenum / Q000601:surgery; D005763:Gastroenterostomy; D006801:Humans; D008875:Middle Aged; D010166:Palliative Care; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011379:Prognosis; D012189:Retrospective Studies
Der nichtresezierbare Pankreastumor, ein interdisziplinäres Problem. Standpunkt des Chirurgen.