Perimpullary Carcinoma: A Study on Prognostic Factors Influencing long Term Survival After Pancreaticoduodenectomy.
- Author:
Jae Beom SONG
1
;
Kyoung Hyeon CHOI
;
Sung Do LEE
Author Information
1. Department of Surgery, Kosin Medical College, Korea.
- Publication Type:Original Article
- Keywords:
Periampullary cancer;
Resectional surgery
- MeSH:
Ampulla of Vater;
Duodenum;
Humans;
Length of Stay;
Lymph Nodes;
Mortality;
Pancreas;
Pancreaticoduodenectomy*;
Reoperation;
Survival Rate
- From:Journal of the Korean Surgical Society
1997;52(1):100-106
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
From November 1987 to December 1995, 76 patients with periampullary cancer underwent resectional surgery in the department of surgery, Kosin medical college. The object of this study was to assess the prognostic factors of the periampullary cancer after pancreaticoduodenectomy. The postoperative mortality rate was 11.8%. Significant morbidity occurred in 39.5% of the patients, early reoperation was required in 9.2% of these patients, and the mean hospital stay was 21.7 days. Univariate analysis on all patients revealed that the survival rate was significantly related to the size of the tumor (> or =3.0 cm 13%, <3.0 cm 41.4%; p<0.05), lymph node status (invasion 8.7%, no invasion 31.8%; p<0.05) and the age of the patient (>50 20.5%, < or =50 34.5%; p<0.05). The site was less significant(distal CBD 27%, ampulla of Vater 16.7%, pancreas 9%, duodenum 2%; p>0.05). These results indicated that patients with a tumor size lesser than 3cm, without lymph node involvement, and under the age of 50 had a long term survival rate.
