J.Jpn. Surg. Soc.. 80(11): 983-987, 1979
Report on the annual meeting
LONGTERM RESULT OF SURGICAL REMOVAL OF THE MALIGNANT TUMOR IN THE PANCREAS HEAD REGION
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2nd Department of Surgery, Kurume University School of Medicine Toshimichi Nakayama |
Pancreatoduodenectomy was performed in 65 cases of the above. Early death occured in 4 cases (6.2%).
Longterm surgical results of total cases by the time of Dec. 1978 was 73.8% in I year survival 50% in 2 years survival 47.4% in 5 years survival.
Macroscopic type of tumor seemed to affect the prognosis of the surgical removals. In ampulla of vater localized type had better prognosis and infiltrative type or ulcerative infiltrative type showed poor prognosis. Metastasis to the lymphnod and infilfration to the pancreas were also additional affecting factor to the prognosis.
Metastatis to the lymphnod and infiltration to the pancreas became dominant factor to affect the prognosis in the cancer of the bile duct in the pancreas rather than macroscopic findings. Extensive removal of metastatic lymph was done in 32 cases out of 65. Complications occured more frequently in those cases but long term results were improved a little in ampulla of vater and bile duct cancer in the pancreas.
Extensive resection including portal vein was performed in 3 cases of pancreas head cancer and showed poor result instead of enormous surgical stress.
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