J.Jpn. Surg. Soc.. 91(9): 1252-1255, 1990

---

Report on the annual meeting

THE CLINICAL SIGNIFICANCE OF AN EXTENDED PANCREATODUODENECTOMY AND A PYLORUS-PRESERVING PANCREATODUODECTOMY IN CASES INVOLVING A CANCEROUS HEAD OF THE PANCREAS

Between 1972 to 1989, we experienced 37 surgical cases of cancer of the head of the pancreas (14 cases underwent extended pancreatoduodenectomy, 15 cases underwent Whipple's procedure and 15 cases underwent pylorus preserving pancreatoduodenectomy) and the resection rate amounted to 46%. Of the patients with resection recovery rate amounted to 62%. Among these three operations, there were no significant difference in the recovery rate. The overall five-year cumulative survival rate for these patients was 48%. Up to now we have used Whipple'procedure or a pylorus preserving pancreatoduodenectomy for the patients in Stages l and II, and an extend pancreatoduodenectomy for those in Stages III and IV. The five-year cumulative survival rate of Whipple' procedure, was 53%, and that of a pylorus preserving pancreatoduodenectomy was 45%. There was no statistical difference between them. Five-year cumulative survival rate of the patients with extended pancreatoduodenectomy was only 16%, which was far lower than those of other two operations. Extended pancreatoduodenectomy is the surgical procedure of choice for patients with advanced pancreas cancer, whereas pylorus preserving pancreatoduodenectomy is the standard operation for the cancer of the head of the pancreas in Stages I and II.

---

---

To read the PDF file you will need Adobe Reader installed on your computer.