| Abstract: | Pancreaticoduodenal resection as performed
from 1960 t0 1979 at our hospital is reported.
Serious complications occurred in 32 cases, a
42.7% incidence. The incidence of postoperative
biliary and pancreatic fistulas is 8.O% and 5.3%,
1 case dying of biliary fistula.
There are 69 cases of malignant tumors in
the periampullary region including pancreatic
head carcinoma 22 and ampulla of Vater car-
cinoma 39, the 5 year survival rates are 19.6% in
the former and 36.2% in the latter. But almost
all with malignancies in the other parts of the
periampullary region died within 2 years post-
operatively.
Two cases of stomach carcinoma and 1 of
transverse colon carcinoma'i underwent this
operation because the primary lesions had in-
vaded to the pancreatic head. Two are alive
more than 2 years afterwards.
Despite the poor prognosis, we suggest that
pancreaticoduodenectomy is the treatment of
choice for those with resectable les.ions in the
periampullary region. |
