Pancreatic cancer: surgical management and outcomes after 6 years of follow-up

The Medical Journal of Australia
Antony G SpeerMichael Jefford

Abstract

To describe the management and outcomes of a population-based cohort of patients with pancreatic cancer in Victoria, Australia. Retrospective study based on questionnaires completed from medical histories of patients diagnosed with pancreatic cancer during 2002-2003 in Victoria who were identified from the Victorian Cancer Registry and followed up for 6 years. Proportion of patients receiving each form of treatment, 30-day mortality, median survival, and 5-year and 6-year survival. Of 1044 patients with pancreatic cancer identified, 927 were eligible for the study, and questionnaires were completed for 830 (response rate, 89.5%); 67 patients with ampulla of Vater and neuroendocrine tumours were excluded. Of the 763 remaining patients (median age, 72 years), notification of death was available for 747 (97.9%). Most patients (n = 548) had tumours in the head and neck of the pancreas. Resection was performed in a total of 87 patients (11.4%). Patients managed with Whipple resection (n = 75) had a 30-day mortality rate of 5.3% and median survival of 16.3 months. A relatively large number of surgeons (n = 31) each performed a modest number of Whipple resections during the study period. Jaundice was palliated with biliary stents (n =...Continue Reading

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