Surgical treatment of pancreatic carcinoma.
OBJECTIVE
To evaluate the surgical treatment of pancreatic carcinoma.


METHODS
101 patients with pancreatic carcinoma admitted from 1995 to 2002 were studied retrospectively. Of 83 patients undergoing surgery, 56 (64.5%) were subjected to tumor resection. Whipple's procedure was performed in 48 patients, extended regional pancreatectomy and autograft intestinal transplantation in 2, combined resection of pancreatic body or tail carcinoma in 6, and 27 patients with unresectable pancreatic carcinoma were given inner drainage.


RESULTS
Wound dehiscence and digestive bleeding were found in one patient respectively. Pancreatic fistula was found in one patient undergoing extended regional pancreatectomy and autograft intestinal transplantation. Other patients recovered uneventfully.


CONCLUSIONS
Most patients with pancreatic carcinoma could undergo tumor resection. Blood vessel repair or transplantation can be used if the tumor adherent to the superior mesenteric-portal vein. Extended regional pancreatectomy and autograft intestinal transplantation are feasible. Simple inner drainage should be used in the patient whose neoplasm is unresectable.
Zhou
Jie
J
Department of Hepatobiliary & Vascular Surgery, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China. jacky@fimmu.com
Li
Chao-Long
CL
Zhang
Guo-Wei
GW
D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000601:surgery*; D004322:Drainage / Q000379:methods; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D010185:Pancreatic Fistula / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome