[Pancreatoduodenectomy in the treatment of carcinoma of Vater's ampulla].
OBJECTIVE
To analyze clinical characteristics, diagnostic methods, intraoperative findings, morbidity & mortality and outcome of a series of patients with ampullary adenocarcinoma.


METHODS
Retrospective analysis.


METHODS
Tertiary-care medical center.


METHODS
Thirty four consecutive patients who underwent radical resection between 1960 and 1992.


RESULTS
The most frequent findings were jaundice (91%), weight loss (44%) and palpable gallbladder (42%). Thirty-three patients (97%) underwent Whipple resection and one total pancreatectomy (3%). The postoperative mortality was 15%. Overall survival at 1, 5, 10 and 14 years was 67, 36, 25 and 17% respectively. Fourteen patients died of tumor recurrence developed more than five years after the resection.


CONCLUSIONS
Radical resection for ampullary carcinoma remains the procedure of first choice in these patients.
Morales-Linares
J C
JC
División de Cirugía, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.
Gómez-Méndez
T J
TJ
Chan
C
C
Quintanilla-Martínez
L
L
Uscanga
L
L
Robles-Díaz
G
G
de la Garza
L
L
Campuzano
M
M
Herrera
M F
MF
D000230:Adenocarcinoma / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome
Pancreatoduodenectomía en el tratamiento de carcinoma del ámpula de Vater.