[Cephalic duodenopancreatectomy with pyloric preservation in the treatment of pancreatic cancer].
Is the application of DPCPP in the treatment of pancreatic neoplasia a good reason? We have analysed 30 patients with cephalic duodenopancreatectomy (DPC) for biliopancreatic neoplasia between 1995-1999 in Ist Surgical Clinic of Iassy (13 with pyloric preservation). The indications were:--cephalic pancreatic neoplasia (adenocarcinoma--4 cases (one with cephalic chronic pancreatitis on the intraoperative microscopical examination);--Vater ampulloma (7 cases);--inferior common biliary duct (CBD 1 case);--duodenal adenocarcinoma (1 case). In the same time was operated 265 biliopancreatic diseases (203 mechanical jaundice with 132 neoplastic jaundice).


RESULTS
--Better early postoperatively status of the patients--DPCPP does not give better prognosis;--there are necessary some technical skills to depase the important phases of DPCPP.
Pleşa
C
C
Facultatea de Medicină Clinica I Chirurgie, Universitatea de Medicină şi Farmacie Gr. T Popa, Iaşi.
Bradea
C
C
Strat
V
V
Chifan
V
V
Niculescu
D
D
Târcoveanu
E
E
Georgescu
S
S
Dănilă
N
N
Cotea
E
E
D000230:Adenocarcinoma / Q000601:surgery*; D006801:Humans; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011379:Prognosis; D011708:Pylorus; D012189:Retrospective Studies