[Diagnosis and surgical treatment of tumors in pancreatoduodenal area].
The results of treatment of 691 patients (70.8% patients were older than 60 years) with pancreatoduodenal cancer are analyzed. The obstructive jaundice was diagnosed in 95.8% patients, 82% patients had cancer stage III, IV. Ultrasonic diagnosis is expedient as a screening method. Percutaneous transhepatic cholecystocholangiostomy or tumor stenting is expedient as a preoperative method of biliary tract decompression. Radical operation--pancreatoduodenal resection--was possible in 17.5% patients. Lethality in this operation reduced from 31.9% to 12.2%. Mean survival was 20.8 months--3 times longer than after creation of palliative biliodigestive anastomosis.
Barykov
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D003937:Diagnosis, Differential; D004379:Duodenal Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010180:Pancreatectomy / Q000401:mortality; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D015996:Survival Rate