Pancreaticoduodenectomy for gastric Cancer.
- Author:
Jae Cheol BYUN
1
;
Joo Ho LEE
;
Hang Jong YU
;
Soo Jin KIM
;
Kuhn Uk LEE
;
Jin Pok KIM
Author Information
1. Department of Surgery, Seoul National University, College of Medicine.
- Publication Type:Original Article
- Keywords:
Gastric cancer;
Pancreaticoduodenectomy
- MeSH:
Duodenum;
Follow-Up Studies;
Gastrectomy;
Head;
Humans;
Length of Stay;
Liver;
Mortality;
Neoplasm Metastasis;
Pancreas;
Pancreaticoduodenectomy*;
Postoperative Complications;
Retrospective Studies;
Stomach Neoplasms*;
Survival Rate
- From:Journal of the Korean Cancer Association
1998;30(1):72-79
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We purpose of this retrospective study is to evaluate the role of pancreaticoduadenectomy (PD) in gastric cancer which invades neighboring organs. MATERIALS AND METHODS: We analysed 28 patients with locally advanced gastric cancer which invaded to pancreas and/or duodenum who received surgical resection from Jan. 1989 to Dec. 1996. Patients were divided into two groups: Group A (n=12) who received PD and Group B (n=16) who received gastrectomy only. Indication of PD in group A is locally advanced gastric cancer which invaded to pancreas and/or duodenum but had no evidence of widespread nodal involvement, extended hepatic metastasis, or peritoneal dissemination. RESULTS: The operation time, amount of blood loss during operation, and postoperative hospital stay were greater in group A than in group B. Operative mortality was found in 1 case in group B but none in group A. Postoperative complications were similar in both groups. Four patients had liver metastases in both group during follow up period, whereas 2 and 4 patients had disseminated peritoneal seeding in group A and B, respectively. When survival rates were compared, Group A shows better survival than Group B (p= 0.043). CONCLUSION: These results suggest that PD is a rational and safe method for treatment of gastric cancer infiltrating into pancreatic head and/or duodenum.
