Concept: Which Operations for Pancreatic Cancer?
In past decades the mortality rate of pancreatic resection ranged between 20% and 40% . Since the mortality rate far exceeded the incidence of 5-year survival, it could reasonably be argued that the results of bypass procedures were superior to resection. For the period 1952–1973, Aston and Longmire lost 13.8% of 65 patients undergoing a Whipple resection. But those patients undergoing surgery from 1963 to 1973 had a mortality rate of only 5.1%. van Heerden et al. experienced a 4.3% mortality in a series of total pancreatectomies. Barton and Copeland reported a 2.3% mortality for 44 Whipple operations for ampullary carcinoma.
KeywordsPancreatic Cancer Pancreatic Duct Distal Pancreatectomy Total Pancreatectomy Ampullary Carcinoma
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