Extended local resection for treatment of periampullary carcinoma of vater.
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.
Li
Sen
S
Department of Hepatobiliary Surgery, Weifang People's Hospital, Weifang 261041, China. lisen988@sohu.com
Zhuang
Guan-Yi
GY
Pei
Yong-Quan
YQ
Li
Chun-You
CY
Wang
Jian-Li
JL
Ding
Wei
W
Du
Fu-Tian
FT
Song
Qin-Hua
QH
Lin
Kai-Xiang
KX
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