[Local resection for the treatment of carcinoma of the papilla of Vater].
6 cases of local resection for the treatment of carcinoma of the papilla of Vater were reported. The average age was 63.8 years. All the patients were admitted with chief complaint of jaundice. The ill course was 1-2 months. The diagnosis was confirmed in 2 cases through endoscopic biopsy and in 4 by frozen section during surgery. The tumors were visualized with the diameter less than 2 cm. The survival time was related with pathological condition of the tumor. 1 of low differentiated and 1 of infiltrative adenocarcinoma were died of 16 and 20 months respectively after surgery. In 2 papillocarcinoma, 1 survived more than 5 years, another died of other cause after 28 months postoperatively. 1 of high differentiated carcinoma and 1 of mucinous carcinoma survived well after 29 and 46 months respectively. Local resection is not a real radical operation. It is only indicated for old patients with high-risk or severe concurrent diseases. They are not able to tolerated whipple procedure and tumors are small enough to be excised locally. A better survival rate would be expected. The operative technique was discussed in detail.
Huang
Y T
YT
First Hospital, Beijing Medical University.
Xing
M R
MR
D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery; D000231:Adenocarcinoma, Papillary / Q000401:mortality / Q000601:surgery; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015996:Survival Rate