title: [Indications and results of pancreatic metastasis resection. Experience in the Hospital Universitario de Bellvitge].
abstract: OBJECTIVE
  To analyse the indications and results of pancreatic metastasis resection in a university hospital.
  
  
  METHODS
  An analysis was performed on a prospective database from 1990 to 2010. The clinical-pathological and perioperative details, as well the follow-up results were analysed.
  
  
  RESULTS
  Of the 710 pancreatic resections performed, 7 cases (0.99%) were due to a metastasis in the pancreas. The mean age of the patients was 53.3 years (20-77 years), and 5 were male and 2 were women. Five (70%) patients were asymptomatic. The origin of the metastasis was: colon (n=3), kidney (n=2), jejunum (n=1), and testicle (n=1). In 4 cases they were situated in the head, 2 in the tail, and one in the body. The metastases were metachronous in 4 (57%) patients and the disease free interval was 29 months (17-48). There were 3 cases (43%) of synchronous metastases, with a mean recurrence-free time of 14 months, and survival of 21.6 months. This was lower than that of patients with metachronous metastases, which was 27.8 months and with a survival of 32 months, respectively. The overall disease free interval and survival was 21.85 months and 27.5 months, respectively.
  
  
  CONCLUSIONS
  Resection of pancreatic metastases can extend survival in selected patients.
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España. acbadia@bellvitgehospital.cat
authors.forename: Anna
authors.initials: A
authors.lastname: Casajoana
authors.forename: Joan
authors.initials: J
authors.lastname: Fabregat
authors.forename: Núria
authors.initials: N
authors.lastname: Peláez
authors.forename: Juli
authors.initials: J
authors.lastname: Busquets
authors.forename: Carlos
authors.initials: C
authors.lastname: Valls
authors.forename: David
authors.initials: D
authors.lastname: Leiva
authors.forename: Lluís
authors.initials: L
authors.lastname: Secanella
authors.forename: Laura
authors.initials: L
authors.lastname: Lladó
authors.forename: Emilio
authors.initials: E
authors.lastname: Ramos
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000556:secondary* / Q000601:surgery*; D011446:Prospective Studies; D013030:Spain; D055815:Young Adult