title: Extended local resection for treatment of periampullary carcinoma of vater.
abstract: BACKGROUND
  The trauma caused by pancreatoduodenectomy for periampullary carcinoma of vater is often severe and extensive. The purpose of this study was to evaluate the effect of extended local resection in the treatment of periampullary carcinoma of vater.
  
  
  METHODS
  The extra-hepaticobiliary tract, the confluence of the pancreatic and biliary duct, vater ampulla and duodenal papilla were resected en bloc in 8 patients with periampullary carcinoma from 1995 to 1998.
  
  
  RESULTS
  One patient died perioperatively. Duodenal obstruction developed postoperatively in one of 7 survived patients and was relieved after reoperation. All the 7 patients were followed up for more than 6 months without recurrence.
  
  
  CONCLUSIONS
  Extended local resection fulfils the task of radical treatment of periampullary malignancy.
authors.affiliation: Department of Hepatobiliary Surgery, Weifang People's Hospital, Weifang 261041, China. lisen988@sohu.com
authors.forename: Sen
authors.initials: S
authors.lastname: Li
authors.forename: Guan-Yi
authors.initials: GY
authors.lastname: Zhuang
authors.forename: Yong-Quan
authors.initials: YQ
authors.lastname: Pei
authors.forename: Chun-You
authors.initials: CY
authors.lastname: Li
authors.forename: Jian-Li
authors.initials: JL
authors.lastname: Wang
authors.forename: Wei
authors.initials: W
authors.lastname: Ding
authors.forename: Fu-Tian
authors.initials: FT
authors.lastname: Du
authors.forename: Qin-Hua
authors.initials: QH
authors.lastname: Song
authors.forename: Kai-Xiang
authors.initials: KX
authors.lastname: Lin
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000379:methods*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome