title: [Clinical comparison on the classical versus extensive Whipple's resection for adenocarcinoma of head of pancreas].
abstract: OBJECTIVE
  To evaluate the effect of extensive Whipple's resection to the adenocarcinoma of head of pancreas on the survival, complications, and surgical mortality.
  
  
  METHODS
  Ninety three patients who received Whipple's surgery between January 1995 and March 2003 were divided into classical group (n = 51) and extensive group (n = 42). Their short-term outcome and survival rate were compared retrospectively.
  
  
  RESULTS
  The postoperative complication rate and mortality in classical group and extensive group were 19.61%/3.92% and 16.67%/2.38%, respectively. And 1- and 2- year survival rates in classical group and extensive group were 58.82%/20.59% and 63.33%/23.33%, respectively.
  
  
  CONCLUSIONS
  Postoperative complications and mortality will not increase in extensive Whipple's resection for adenocarcinoma of head of pancreas. However, whether extensive Whipple's resection will improve long-term survival still requires further investigation.
authors.affiliation: Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China. xbliu61@yahoo.com
authors.forename: Xu-bao
authors.initials: XB
authors.lastname: Liu
authors.forename: Lü-nan
authors.initials: LN
authors.lastname: Yan
authors.forename: Hong-jun
authors.initials: HJ
authors.lastname: Zhai
authors.forename: Bing
authors.initials: B
authors.lastname: Lu
authors.forename: Wei-ming
authors.initials: WM
authors.lastname: Hu
authors.forename: Bo-le
authors.initials: BL
authors.lastname: Tian
authors.forename: Zhao-da
authors.initials: ZD
authors.lastname: Zhang
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D015996:Survival Rate