Jan 1, 1989

Change in the value of palliative interventions in cancer of the head of the pancreas

Zentralblatt für Chirurgie
F SellnerB Kollar

Abstract

An analysis of 412 patients with carcinoma of the head of the pancreas treated only with palliative procedures revealed remarkable differences in the results following internal anastomosis procedures and external T-tube drainage. The anastomosis group showed in comparing the years 1963-1982 with the years 1983-1987 a decline in the frequency of such procedures from 89% to 54% and a decline of the mortality from 12% to 4% while the survival time (220 days) showed no change. According to the low mortality rate we prefer internal anastomosis procedures to PTCD. However, as the results of T-tube drainage are still poor (mortality rate 36%; survival time 190 days) an attempt of PTCD seems indicated if the untreatable situation is recognized preoperative, as PTCD achieves similar results as T-tube drainage.

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Mentioned in this Paper

Anatomical Anastomosis
Pancreaticojejunostomy
Duodenum
Malignant Neoplasm of Pancreas
Anastomosis
Biliopancreatic Diversion
Carcinoma
Head of Pancreas
Pontine Tegmental CAP Dysplasia
Carcinoma, Pancreatic Ductal

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Carcinoma, Ductal

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