Pancreatoduodenectomy pp 473-478 | Cite as
Epidemiology and Experience in Pancreatic Cancer in Chile
Conference paper
Summary
Although many advances have been made in the management of pancreatic cancer, especially in diagnosis, surgical techniques, and control of morbidity and mortality, the survival rate is still very poor according to the series reported by referral centers. These groups have reported a mortality rate that ranges between 0.2% and 5% and survival of 3%-10% at 5 years. The only curative procedure is radical resection, extended to the vessels invaded by tumor, and because of this attitude the resectability rate has increased to about 30%. Unfortunately, pancreatic cancer is still a dreadful disease, except in types such as ampullary, distal common bile duct, and duodenum cancer, in which the survival rate has been reported to be as high as 50%–60%.
Key words
Pancreatic cancer Epidemiology Pancreatoduodenectomy Periampullar tumor Palliative treatmentPreview
Unable to display preview. Download preview PDF.
References
- 1.Lillimoe KD (1995) Current management of pancreatic cancer. Ann Surg 221(2): 133–148CrossRefGoogle Scholar
- 2.Klinger J (1994) Cancer pancreatico. Temas de cirugia. BM publicidad. Grafica AL, Universidad de Valparaiso, pp 259–267Google Scholar
- 3.Reber HA, Ashley SW, McFadden W (1995) Curative treatment for pancreatic neoplasm, radical resection. Surg Clin North Am 75(5):905–912PubMedGoogle Scholar
- 4.Schwartz I (1995) Textbook of surgery—exocrine pancreatic cancer. Ed. Internacional, Philadelphia, Saunders, pp 1091–1121Google Scholar
- 5.Gold EB (1995) Epidemiology of and risk factors for pancreatic Cancer. Surg Clin North Am 75(5):819–837PubMedGoogle Scholar
- 6.Cameron JL (1995) Long-term survival following PD for adenocarcinoma of the pancreas. Surg Clin North Am 75(5):939–951PubMedGoogle Scholar
- 7.Altschiller H (1990) Cancer de pancreas. Recalcine, Laboratory, pp 227–234Google Scholar
- 8.Moosa AR, Gamagami RA (1995) Diagnosis and staging of pancreatic neoplasms. Surg Clin North Am 75(5):871–890Google Scholar
- 9.De Aretxabala X, et al (1992) Cancer de la ampolla de Vater. Rev Chil Cir 44(1):89–96Google Scholar
- 10.De Aretxabala X, et al (1994) Experiencia en 24 PD sin mortalidad. Rev Chil Cir 46(4):342–347Google Scholar
- 11.Burmeister R, et al (1993) Pancreatoduodenectomia con preservacion pilorica. Rev Chil Cir 45(6):551–556Google Scholar
- 12.Caracci M, et al (1994) PD en el cancer de la cabeza del pancreas. Rev Chil Cir 46(5):470–476Google Scholar
- 13.Guzman S, et al (1992) PD, mortalidad y morbilidad. Analisis de 20 años. Rev Chil Cir 44(1):23–28Google Scholar
- 14.Pitt HA (1995) Curative treatment for pancreatic cancer; standard resection. Surg Clin North Am 75(5):891–904PubMedGoogle Scholar
- 15.Warshaw A (1995) Tumores quísticos de pancreas no neoplasicos. Experiencia del Massachusetts General Hospital, Boston, USA. In: Curso patología digestiva, Director Dr. E. Moreno González. Madrid, España, Mayo 1995Google Scholar
- 16.Kayahara M, et al (1995) Surgical strategy for pancreatic cancer of the head, based on clinicopathological analysis of nodal involvement and plexus invasion. Surgery (St Louis) 117:616–623CrossRefGoogle Scholar
- 17.Yeo CJ, Cameron JL, Lillimoe KD, Sitzmann JB, Hruban RH (1995) Pancreatoduodenectomy for cancer of the head of the pancreas; 201 patients. Ann Surg 221(6):721–733PubMedCrossRefGoogle Scholar
- 18.Cusack JC, Evans DB (1995) Pancreato-dudenectomy. Unsuspected tumor invasion of SM—portal vein confluence. Chir Int 4Google Scholar
- 19.Williamson T (1995) Ampullary cancer. In: Symposium on pancreato-biliary diseases, Berne, Switzerland, May 1995Google Scholar
- 20.Carboni M (1995) Ampullomas in Italy. In: Symposium on pancreato-biliary diseases, Berne, Switzerland, May 1995Google Scholar
- 21.Williamson T (1995) Pancreato-duodenectomy as elective treatment of Pca. In: Symposium on pancreato-biliary diseases, Berne, Switzerland, May 1995Google Scholar
- 22.Reissman P, Perry Y, Cuenca A, Bloom A, Eid A, Shiloni E, Rivkind A, Durst A (1995) Pancreatojejunostomy vs. controlled pancreatocutaneous fistula in PD for periampullary cancer. Am J Surg 169:585–588PubMedCrossRefGoogle Scholar
- 23.Hein SJ, Reinders ME, Van Gulik TM, Van Lewuwen DJ, Verbeek PCM, de Wit LT, Gouma DJ (1995) Results of PD for ampullary cancer and analysis of prognostic factors for survival. Surgery (St Louis) 117:247–253CrossRefGoogle Scholar
- 24.Nitecki SS, Sarr AG, Colby TV, Van Heerden JA (1995) Long-term survival after resection for ductal carcinoma of the pancreas: is it really improving. Ann Surg 221(1):59–66PubMedCrossRefGoogle Scholar
- 25.Yeo CJ (1995) Management of complications following PD. Surg Clin North Am 75(5):913–924PubMedGoogle Scholar
- 26.Lillimoe KD, Barnes SA (1995) Surgical palliation in non resectable Pca. Surg Clin North Am 75(5):953–968Google Scholar
- 27.Aufman SL (1995) Percutaneous palliation of unresectable Pca. Surg Clin North Am 75(5):989–999Google Scholar
- 28.Lichtenstein DR, Carr-Locke DL (1995) Endoscopic palliation for unresectable Pca. Surg Clin North Am 75(5):969–988PubMedGoogle Scholar
- 29.Abrams MA, Grochow LS (1995) Adjuvant therapy with chemotherapy and radiation therapy in the management of cancer of the head of the pancreas. Surg Clin North Am 75(5):925–938PubMedGoogle Scholar
Copyright information
© Springer-Verlag Tokyo 1997