[Results of surgical treatment of pancreatic cancer].
The aim of this study was to assess the results of the treatment of (255) patients with pancreatic cancer in the Department of Surgery, University of Szeged, during the time period 1997-2001.


METHODS
The age, male/female ratio, postoperative morbidity and mortality were discussed.


RESULTS
The resecability rate was 17.3% (44/255 patients). The mortality rate was 2.3% (1/44 patients) after radical operations and 12.1% (15/124 patients) after the palliative procedures. Localization and UICC staging after pancreatic tumors were analyzed.


CONCLUSIONS
In spite of the improvement of the new diagnostic methods, the proportion of patients undergoing radical surgery has not been increased in this period. Palliative surgical procedures are indicated in the case of advanced tumor stage. Choledochojejunostomy with Roux-Y loop offers the best results for the treatment of biliary obstruction. The role of endoscopic stenting is very questionable and the increased rate of postoperative biliary infections indicates that this procedure should be avoided in the preoperative treatment of patients who are suitable for potentially curative operation.
Márton
János
J
Sebészeti Klinika, Szegedi Tudományegyetem, Szeged 6720, Hungary. g.marton@freemail.hu
Rigó
Balázs
B
Farkas
Gyula
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y; D002277:Carcinoma / Q000401:mortality / Q000601:surgery* / Q000628:therapy; D002768:Choledochostomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery* / Q000628:therapy; D016577:Pancreaticoduodenectomy; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome