title: [Changes in the value of papilla excision in papilla cancer. A retrospective study].
abstract: A retrospective analysis of 56 patients with a carcinoma of Vater's ampulla in the years 1956-1983 demonstrated a steadily increasing resection index of duodenopancreatectomy from 34% (1961-1965) to 86% (1981-1983), although the rate of mortality was 0% since 1975. The reason for the increasing resection index was the treatment of all patients since 1975 by only one team of operators and the improvement of peri- and postoperative medicine treatment. Thus it was possible to perform a duodenopancreatectomy without operative mortality even in patients in the 8th decade of life. Therefore an indication for a local excision of the ampulla no longer seems to be justified.
mesh_terms: D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods; D011183:Postoperative Complications / Q000401:mortality; D011379:Prognosis; D012189:Retrospective Studies
vernacular_title: Die Wandlung der Wertigkeit der Papillenexstirpation beim Papillencarcinom. Eine retrospektive Analyse.