Diagnosis and Therapy for Ampullary Tumors: 63 Cases |
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Authors: | B Chareton J Coiffic S Landen E Bardaxoglou JP Campion B Launois |
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Institution: | (1) Department of Digestive Surgery and Transplant Unit, Hospital Pontchaillou, Rue Henri Le Guilloux, 35033 Rennes Cedex, France, FR |
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Abstract: | n
= 11) or bypass (
n
= 10). The mean duration of hospital stay was 20.6 days. Operative mortality was 12.7% for the whole series and 7.5% after
PD (2.5% for the last 10 years). Overall survival was 40% at 5 years (85% for stage I, 65% for stage II, 44% for stage III,
and 8% for stage IV). Survival was better for stages I, II, and III after PD than after ampullectomy. For stage IV patients
survival was 70% after PD versus 20% after bypass at 1 year and 25% versus 0% after 2 years. In our opinion, PD should be
proposed even for benign lesions because two of our patients had to undergo repeat operation (PD) 4 and 22 years later, respectively,
for stage IV disease. PD is our choice for all tumors of the ampulla. |
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Keywords: | |
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