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Results of pancreaticoduodenectomy for ampullary carcinoma and analysis of prognostic factors for survival
- Source :
- Surgery, 117(3), 247-253. Mosby Inc.
- Publication Year :
- 1995
- Publisher :
- Elsevier BV, 1995.
-
Abstract
- BACKGROUND: Results of pancreaticoduodenectomy for ampullary carcinoma were evaluated, and prognostic factors for survival were analyzed. METHODS: During the period from 1984 to 1992 67 patients underwent subtotal or total pancreaticoduodenectomy for ampullary carcinoma. All clinicopathologic data and their influence on survival were studied. RESULTS: Subtotal pancreaticoduodenectomy was performed in 62 of 67 patients with a mortality of 6% and a morbidity of 65%; the remaining five patients underwent total pancreaticoduodenectomy. Intraabdominal infection was the most important complication. Resection margins were tumor free in 75% of 67 patients. The overall 5-year survival was 50%. Survival was significantly influenced by the involvement of resection margins. After resection with involved margins 5-year survival was 15% and 60% after resection with free margins (p
- Subjects :
- Adult
Male
Ampulla of Vater
medicine.medical_specialty
Pancreatic disease
medicine.medical_treatment
Common Bile Duct Neoplasms
Adenocarcinoma
Pancreaticoduodenectomy
Postoperative Complications
Risk Factors
Adjuvant therapy
Humans
Medicine
Hospital Mortality
Lymph node
Survival rate
Aged
Retrospective Studies
business.industry
Retrospective cohort study
Middle Aged
Prognosis
medicine.disease
Surgery
Survival Rate
medicine.anatomical_structure
Multivariate Analysis
Female
business
Complication
Follow-Up Studies
Subjects
Details
- ISSN :
- 00396060
- Volume :
- 117
- Database :
- OpenAIRE
- Journal :
- Surgery
- Accession number :
- edsair.doi.dedup.....bbf964ffe689ad7756326ce443c90a7f