[Internal drainage combined with intraoperative radiotherapy and chemotherapy for pancreatic head carcinoma].
OBJECTIVE
To improve the palliative effect on intermediate or advanced pancreatic head carcinoma.


METHODS
26 patients with intermediate or advanced pancreatic head carcinoma underwent cholecystojejunostomy combined with intraoperative radiotherapy with an electron beam on carcinoma from May 1996 to May 1998. The catheter of multifunctional implantable drug delivery system was inserted via gastroduodenal artery for postoperative perfusion chemotherapy.


RESULTS
Follow-up for 3 - 27 months showed that all carcinomas shrunk with pain released in different degrees after a course of treatment. The 6-month, 12-month and 24-month survival rates were 100%, 93.9% and 20% respectively. Five patients survived on the average for 17.8 months.


CONCLUSIONS
This protocol is effective to prolong the life of the patients with intermediate or advanced pancreatic head carcinoma.
Xue
H
H
Department of Surgery, People's Hospital of Henan Province, Zhengzhou 450003.
Jiang
Q
Q
Zhang
H
H
Wang
Y
Y
Luo
J
J
D000328:Adult; D000368:Aged; D001918:Brachytherapy; D010478:Chemotherapy, Cancer, Regional Perfusion; D003131:Combined Modality Therapy; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000628:therapy*; D015996:Survival Rate