Pancreatic resection for carcinoma of the pancreas and the periampullary region in patients over 70 years of age

1987 ◽  
Vol 74 (2) ◽  
pp. 116-118 ◽  
Author(s):  
M. I. Kairaluoma ◽  
H. Kiviniemi ◽  
M. Ståhlberg
Keyword(s):  
Pancreatic Resection ◽  
Carcinoma Of The Pancreas ◽  
Periampullary Region

scholarly journals Pancreatic Resection for Carcinoma of the Pancreas and the Periampullary Region. A Twenty-Year Experience

HPB Surgery ◽  
1990 ◽  
Vol 2 (1) ◽  
pp. 57-67 ◽  
Author(s):  
M. I. Kairaluoma ◽  
M. Ståhlberg ◽  
H. Kiviniemi
Keyword(s):  
Pancreatic Resection ◽  
Survival Rates ◽  
Morbidity Rate ◽  
Periampullary Cancer ◽  
Limiting Factor ◽  
Minimal Risk ◽  
Tumour Histology ◽  
Periampullary Region ◽  
Radical Removal ◽  
Long Term Prognosis

410 patients were treated for pancreatic and periampullary carcinoma in 1968–1987 of whom 89 (21.5%) underwent resection. Hospital mortality decreased from 33% in 1968–1972 to 0% in 1983–1987, but the morbidity rate remained unchanged. The trends were similar in patients ≥ 70 and < 70 years of age. The pylorus-saving technique did not increase mortality, morbidity, operative blood loss or the incidence of delayed gastric emptying, but it did reduce the operative time by one hour (p< 0.01). The real 5 year survival for periampullary cancer was 52%, but none of the patients with pancreatic carcinoma survived for 5 years.It is concluded that age as such is not a limiting factor for pancreatic resection. Resection can be performed with acceptable mortality and survival rates even in patients over 70 years of age if enough attention is paid to careful patient selection and proper preparation. The long-term prognosis is nevertheless related to tumour histology. The recent decline in operative mortality is mostly due to the resections being performed by the same group of surgeons. The best biopsy, and also palliation, is radical removal of the suspicious mass, provided that this can be performed with minimal risk.

The role of adjuvant intra-arterial chemotherapy (IAC) after pancreatic resection for ductal carcinoma of the pancreas

2000 ◽  
Vol 118 (4) ◽  
pp. A1517
Author(s):  
Calogero Iacono ◽  
Maurizio Cantore ◽  
Mauro Pagani ◽  
Luca Bortolasi ◽  
Andrea Mambrini ◽  
...  
Keyword(s):  
Pancreatic Resection ◽  
Ductal Carcinoma ◽  
Carcinoma Of The Pancreas

scholarly journals Carcinoma of the pancreas and periampullary region: Palliationversus cure

1993 ◽  
Vol 80 (12) ◽  
pp. 1575-1578 ◽  
Author(s):  
J. H. G. Klinkenbijl ◽  
J. Jeekel ◽  
P. I. M. Schmitz ◽  
P. A. R. Rombout ◽  
G. A. J. J. Nix ◽  
...  
Keyword(s):  
Carcinoma Of The Pancreas ◽  
Periampullary Region

scholarly journals Survival and Quality of Life after Pancreatic Resection for Carcinoma of the Pancreas.

1999 ◽  
Vol 32 (4) ◽  
pp. 1122-1126
Author(s):  
Kensei Maeshiro ◽  
Seiyo Ikeda ◽  
Yoshihiro Hamada ◽  
Shinichi Iwanaga ◽  
Tsurayuki Shinohara ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pancreatic Resection ◽  
Carcinoma Of The Pancreas

scholarly journals Carcinoma of the Pancreas and Periampullary Region

1977 ◽  
Vol 186 (6) ◽  
pp. 730-733 ◽  
Author(s):  
T. COUTSOFTIDES ◽  
J. MACDONALD ◽  
H. R. SHIBATA
Keyword(s):  
Carcinoma Of The Pancreas ◽  
Periampullary Region

scholarly journals Carcinoma of the Pancreas and Periampullary Region A Study of 279 Patients

1979 ◽  
Vol 189 (2) ◽  
pp. 129-138 ◽  
Author(s):  
JAMES F. FORREST ◽  
WILLIAM P. LONGMIRE
Keyword(s):  
Carcinoma Of The Pancreas ◽  
Periampullary Region
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