The Outcomes of Curative Surgery for Primary Duodenal Malignancy.
- Author:
Ho Keun YI
1
;
Kwang Min PARK
;
Hoon Bae JEON
;
Young Joo LEE
;
Shin HWANG
;
Sung Gyu LEE
Author Information
1. Depatment of Surgery, Asan Medical Center, College of Medicine, University of Ulsan.
- Publication Type:Original Article
- Keywords:
Primary duodenal malignancy
- MeSH:
Abdomen;
Abdominal Pain;
Abscess;
Adenocarcinoma;
Diarrhea;
Female;
Humans;
Intention;
Jaundice;
Lymphoma;
Male;
Melena;
Mortality;
Nausea;
Retrospective Studies;
Sarcoma;
Survival Rate;
Vomiting;
Weight Loss;
Wound Infection
- From:Journal of the Korean Surgical Society
1998;54(4):531-535
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fifteen cases of the primary duodenal malignancies were radically resected from July 1989 to September 1996. These cases were analysed retrospectively with the literature review. The male to female ratio was 8:7. The mean age was 49 years. Histopatholgically, adenocarcinomas were 10 cases, sarcomas were 4 cases and malignant lymphoma was 1 case. The symptoms and signs were abdominal pain and discomfort, weight loss, nausea and vomiting, jaundice, melena and diarrhea in the order of the frequency. We performed Whipple's operations in 11 cases, regional pancretectomy in 1 case, Whipple's operation with Right hemicolectomy in 2 cases and local resection in 3 cases. There was no operative mortality. The perioperative morbidity was 33%. The post operative complications were abscess in abdomen in 3 cases and wound infections in 2 cases. 1 year and 2 years survival rate were 93.3% and 33.3%. Aggressive and radical treatment with curative intention even in the presence of locally advanced disease, could be performed with acceptable mortality and morbidity and expect a better outcome.
