title: [Long-term results of surgical treatment of patients with cancer of biliopancreaticoduodenal area].
abstract: 500 patients with cancer of biliopancreaticoduodenal area who underwent treatment and survey in the hospital at the period from 1986 to December 2011 years were included in the study. There were 212 (42.4%) males and 288 (57.6%) females. It was analyzed the long-term results of palliative surgical interventions in 72 (40.2%) patients and endoscopic interventions in 107 (65.2%) patients. It was done a comparative analysis of palliative interventions results. It was concluded that both methods have high efficiency for resolution of obstructive jaundice. Average survival rate of patients depends on the biliary decompression method (8 months after surgical interventions and 7 months after endoscopic interventions). It was analyzed the long-term results of radical surgery in 55 (78.5%) patients. It was concluded that the best 5-years survival rate was in patients with major papilla cancer without invasion into mesenterical vessels (54.2%). 5-years survival rate was observed only in 2 patients in case of pancreatic head and terminal bile duct cancer. And lifetime of the majority did not exceed 3 years.
authors.forename: A E
authors.initials: AE
authors.lastname: Klimov
authors.forename: A S
authors.initials: AS
authors.lastname: Gaboian
authors.forename: N V
authors.initials: NV
authors.lastname: Lebedev
authors.forename: A A
authors.initials: AA
authors.lastname: Barkhudarov
authors.forename: M Iu
authors.initials: MIu
authors.lastname: Persov
mesh_terms: D001661:Biliary Tract Neoplasms / Q000150:complications / Q000401:mortality / Q000473:pathology / Q000601:surgery; D057186:Comparative Effectiveness Research; D019299:Decompression, Surgical / Q000379:methods; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004379:Duodenal Neoplasms / Q000150:complications / Q000401:mortality / Q000473:pathology / Q000601:surgery; D016145:Endoscopy, Digestive System / Q000379:methods*; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology / Q000601:surgery*; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010166:Palliative Care / Q000379:methods / Q000706:statistics & numerical data; D010190:Pancreatic Neoplasms / Q000150:complications / Q000401:mortality / Q000473:pathology / Q000601:surgery; D015996:Survival Rate; D016896:Treatment Outcome