J.Jpn. Surg. Soc.. 80(11): 978-982, 1979

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Report on the annual meeting

PANCREATICODUODENECTOMY FOR PANCREATODUODENAL CANCERS A STUDY ON THE FACTORS AFFECTING OPERATIVE MORTALITY

During the period between 1968 and 1978, 246 cases of pancreatoduodenal cancers were experienced in Institute of Gastroenterology, Tokyo Women's Medical College. Here, the pancreatoduodenal cancer includes the cancer in the duodenal papilla (A), that in the lower part of the common bile duct (B) and that in the head of the pancreas (C). Surgical resection was possible in 85% (39 out of 46) in (A), 52% (26 out of 50) in (B) and 26% (23 out of 88) in (C). Pancreaticoduodenectomy was performed in 83 cases ; 36 cases in (A), 26 in (B) and 21 in (C). Overall operative mortality of pancreaticoduodenectomy was 13% (11 among 83 cases) and five-year-survival rate was 40% in (A), 0% in (B) and (C). The causes of operative death in these 11 cases were; failure of suture at the part of pancreaticojejunostomy in 7 cases, thrombosis of the superior mesenteric artery in 2 cases, thrombosis of the hepatic artery in 1 case and myocardial infarction in 1 case, respectively.

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