[Surgical managements and cancer of the exocrine pancreas. Survey of the French Association of Surgery].
In a French national enquiry, 3761 cases of cancer of the exocrine pancreas operated between 1982 and 1989 were collected. The aim of the part of the enquiry presented in this study was to define the various surgical attitudes. Surgical techniques significantly differed from one department to an another (P < 0.001). Resections were performed in 21 per cent of cases (range 6-45 per cent). Causes of unresectability, choice of a biliary by-pass, indications for gastro-jejunostomy, and use of spanchnicectomy varied from one Surgical Department to another (P < 0.001). The magnitude of these differences can be explained only by different habits or skillfulness for a rarely curable disease. These findings would justify a consensus about the indications for various procedures in the treatment of cancer of the exocrine pancreas.
Huguier
M
M
Service de chirurgie viscérale, Hôpital Tenon, Paris.
Baumel
H
H
Manderscheid
J C
JC
D015904:Biliopancreatic Diversion; D005774:Gastrostomy; D006801:Humans; D007582:Jejunostomy; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies
Comportements chirurgicaux et cancer du pancréas exocrine. Enquête de l'Association Française de Chirurgie.