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Concept: Which Operations for Pancreatic Cancer?

  • Jameson L. Chassin

Abstract

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.

Keywords

Pancreatic Cancer Pancreatic Duct Distal Pancreatectomy Total Pancreatectomy Ampullary Carcinoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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