title: [Tumor in Vater's ampulla--local excision or Whipple's resection].
abstract: Results of the operative treatment of Vater's papilla carcinoma in fifteen cases were analysed. Eleven patients had pancreatoduodenectomy according to Whipple, four had only local excision of Vater's papilla along with the tumour. All four had early recurrence and were re-operated by Whipple method. In our experience only radical pancreatoduodenectomy with regional lymphadenectomy, preferably Whipple type, gives chance of achieving the radical cure.
authors.affiliation: Katedry i Kliniki Chirurgii Przewodu Pokarmowego Akademii Medycznej we Wrocławiu.
authors.forename: W
authors.initials: W
authors.lastname: Knast
authors.forename: K
authors.initials: K
authors.lastname: Markocka-Maczka
authors.forename: J
authors.initials: J
authors.lastname: Wierzbicki
authors.forename: S
authors.initials: S
authors.lastname: Woźniak
authors.forename: M
authors.initials: M
authors.lastname: Nienartowicz
authors.forename: P
authors.initials: P
authors.lastname: Pelczar
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000379:methods; D012086:Reoperation; D016896:Treatment Outcome