Extended resection in pancreatic metastases: feasibility, frequency, and long-term outcome: a retrospective analysis

BMC Surgery
Georg WiltbergerMichael Bartels

Abstract

Metastases to the pancreas are rare, accounting for less then 2% of all pancreatic malignancies. However, both the benefit of extended tumor resection and the ideal oncological approach have not been established for such cases; therefore, we evaluated patients with metastasis to the pancreas who underwent pancreatic resection. Between 1994 and 2012, 676 patients underwent pancreatic surgery in our institution. We retrospectively reviewed patients' medical records according to survival, and surgical and non-surgical complications. Student's t-test and the log-rank test were used for statistical analysis. Eighteen patients (2.7%) received resection for pancreatic metastases (12 multivisceral resections and 6 standard resections). The pancreatic metastases originated from renal cell carcinoma (n = 10), malignant melanoma (n = 2), neuroendocrine tumor of the ileum (n = 1), sarcoma (n = 1), colon cancer (n = 1), gallbladder cancer (n = 1), gastrointestinal stromal tumor (n = 1), and non-small cell lung cancer (n = 1). The median time between primary malignancy resection to metastasectomy was 83 months (range, 0-228 months). Minor surgical complications (Grade I-IIIa) occurred in six patients (33.3%) whereas major surgical complicati...Continue Reading

References

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Citations

Jan 24, 2019·Clinical Journal of Gastroenterology·Yoshihide KannoKei Ito
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Apr 25, 2019·European Urology Oncology·Idir OuzaidUNKNOWN Young Academic Urologists Kidney Cancer Working Group of the European Association of Urology

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Methods Mentioned

BETA
pancreatectomy
biopsy
surgical resection

Software Mentioned

SPSS

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