[Whipple's resection in cancer of Vater's ampulla and the pancreatic head].
A review is presented of 62 Whipple's resections between 1962 and 1984 for adenocarcinoma of the choledocho-duodenal junction (CDJ) and pancreatic head (PH). The operation was radical in 17 patients with CDJ (94%) and in 34 patients with PH cancer (77%). The cumulative 5-year survival rates were 22% and 9%, respectively. The overall perioperative mortality was 23%, but was lowered to 11% during the last five years. Histology, size of tumour and age also influenced survival. Sixteen of the 32 radically operated patients who survived more than three months had a period without pain. Whipple's resection is still the only hope for cure in otherwise fit patients with CDJ or PH cancer, estimated to be radically resectable by pre- and peroperative investigations. The operation should be centralized in a few departments.
Schrøder
H M
HM
Rokkjaer
M
M
Persson
M
M
Nielsen
R H
RH
Hansen
S L
SL
Skjoldborg
H
H
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D006801:Humans; D008722:Methods; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011379:Prognosis
Whipple's resektion ved ampulla Vateri og caput pancreatis cancer.