J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2847KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 80(11): 968-972, 1979

Report on the annual meeting

FACTORS INFLUENCING THE POSTOPERATIVE PROGNOSIS IN THE PERIAMPULLARY CARCINOMA

First Department of the Surgery School of Medicine, University of Hokkaido

Eisei Sasaki, Hiroshi Kondoh, Akira Kakita, Yoichi Kasai

Forty patients out of 102 patients with periampullary carcinoma, who underwent pancreaticoduodenectomy were analysed. Mainly, the correlation between the late survival and the predominant factors affecting postoperative prognosis were studied.
Five year survival rates of the carcinoma of the ampulla of Vater and the head of the pancreas were 50.0% and 6.6% respectively. No patient survived longer than 3 years in the patient with the carcinoma of the distal portion of the common bile duct.
The presense of lymphnodes metastasis and of cancer invasion to the pancreatic capsule, paticularly, the latter was apparently a significant factor most crucially affecting the survival of the patient with the carcinoma of the head of the pancreas.
In the patient with the carcinoma of the ampulla of Vater and the carcinoma of the distal portion of the common bile duct, a longer survival will be obtained by more extensive lymphnodes dissection in case of no cancer invasion to the pancreatic capsule. However, the extensive cancer invasion to the pancreatic capsule were found in most patients with the carcinoma of the head of the pancreas at the time of surgery. Further diagnostic technique will be needed to have more curable prognosis in those who has the carcinoma of the head of the pancreas.

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