Summary
Out of 303 pancreatoduodenectomies performed for carcinoma in the past 19 years, 100 patients required a multivisceral or (in 39 cases) a regional pancreatectomy. Although the operative and hospital mortality for these extended resections was only 2%, long-term survival (only 1 patient survived more than 5 years) was inferior to conventional radical pancreatoduodenectomy with a 25% 5-year survival rate.
Zusammenfassung
Unter 303 Tumor-Duodenopankreatektomien der letzten 19 Jahre befanden sich 100, bei denen eine erweiterte bzw. 39mal eine sog. regionale Pankreatektomie notwendig wurde. Zwar betrug die Operations-und Hospitalletalität bei diesen größeren Eingriffen nur 2%, aber die Langzeitergebnisse (nur 1 Patientin überlebte mehr als 5 Jahre) sind denen nach konventioneller radikaler Duodenopankreatektomie (25% 5-Jahresüberlebensquote) unterlegen.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Brunschwig A, Ricketts HT, Bigelow RR (1945) Total pancreatectomy, total gastrectomy, total duodenectomy, splenectomy, left adrenalectomy and omentectomy in a diabetic patient, recovery. Surg Gynec Obstet 80: 252 – 256
Child III CG, Holswade GR, McClure RD Jr, Gore AL, O’Neill EA (1952) Pancreaticoduodenectomy with resection of the portal vein in the macaca mulatta monkey and in man. Surg Gynec Obstet 94: 31 – 45
Crile Jr G (1970) The advantages of bypass operations over radical pancreatoduodenectomy in the treatment of pancreatic carcinoma. Surg Gynecol Obstet 130: 1049 – 1053
Fortner JG (1973) Regional resection of cancer of the pancreas: a new surgical approach. Surgery 73: 307 – 320
Fortner JG (1984) Regional pancreatectomy for cancer of the pancreas, ampulla, and other related sites. Tumor staging and results. Ann Surg 199: 418 – 425
Fortner JG (1989) “Radical” abdominal cancer surgery: current state and future course. Japanese J Surgery 19:503–509
Gall FP, Kessler H, Hermanek P (1991) Surgical treatment of ductal pancreatic carcinoma. Europ J Surgical Oncology 17: 173 – 181
Gordon-Taylor G (1934) The radical surgery of cancer of the pancreas. Ann Surg 100: 206 – 214
Lea MS, Stahlgren LH (1987) Is resection appropriate for adenocarcinoma of the pancreas? A cost-benefit analysis. Am J Surgery 154 (1987) 651 – 654
Moore GE, Sako Y, Thomas LB (1951) Radical pancreatoduodenectomy with resection and reanastomosis of the superior mesenteric vein. Surgery 30: 550 – 553
Parsons WB (1950) Discussion of Child CG III et al. Ann Surg 133: 475
Rockey EW (1943) Total pancreatectomy for carcinoma, case report. Ann Surg 118: 603 – 611
Shapiro TM (1975) Adenocarcinoma of the pancreas: a statistical analysis of biliary bypass vs Whipple resection in good risk patients. Ann Surg 182: 715 – 721
Sindelar WF (1989) Clinical experience with regional pancreatectomy for adenocarcinoma of the pancreas. Arch Surg 124: 127 – 132
Starzl TE, Todo S, Tzakis A et al. (1989) Abdominal organ cluster transplantation. Ann Surg 210: 374 – 386
Statist. Bundesamt, Wiesbaden, 1990
Trede M (1985) The surgical treatment of pancreatic carcinoma. Surgery 97: 28 – 35
Trede M, Schwall G, Saeger HD (1990) Survival after pancreatectomy. 118 consecutive resections without an operative mortality. Ann Surg 211: 447 – 458
van Heerden JA, Mcllrath DC, Ilstrup DM, Weiland LH (1988) Total pancreatectomy for ductal adenocarcinoma of the pancreas: an update. World J Surg 12: 658 – 662
Warshaw AL, Fernandez-Del Castillo C (1992) Medical progress: Pancreatic carcinoma. New Engl J Med 326: 455–465
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Trede, M., Schwall, G. (1992). Multiviszerale und erweiterte Resektionen beim Pankreaskarzinom. In: Ungeheuer, E. (eds) Fortschritte in der Chirurgie im letzten Jahrzehnt. Kongreβband, vol 1992. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-07303-2_7
Download citation
DOI: https://doi.org/10.1007/978-3-662-07303-2_7
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-55835-4
Online ISBN: 978-3-662-07303-2
eBook Packages: Springer Book Archive