Carcinoma of the pancreas: A retrospective review

Gary J. Harris, Harold V. Gaskill, Anatolio B. Cruz

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Eighty‐five patients with adenocarcinoma of the pancreas were reviewed in order to evaluate the efficacy of our methods of diagnosis and treatment. The most useful diagnostic test was percutaneous transhepatic cholangiography (PTC) with a diagnostic rate of 96%. Pancreaticoduodenectomy (Whipple procedure) and total pancreatic resection were performed in 13 and 2 patients, respectively. The remaining 50 patients underwent various palliative drainage procedures. Twenty patients did not undergo operation for various reasons. The primary tumor was found in the head of the pancreas in 50 patients (59%), the body in 6 patients (7%), and in the tail in 8 patients (9%). Postoperative complications, including sepsis, bleeding, intra‐abdominal abscesses, and anastomotic leaks, occurred in 37% of the patients. There were one operative and 9 postoperative deaths. The average survival for those patients undergoing surgical intervention was 6 months. There were no 5‐year survivors.

Original languageEnglish (US)
Pages (from-to)184-189
Number of pages6
JournalJournal of Surgical Oncology
Volume45
Issue number3
DOIs
StatePublished - Nov 1990
Externally publishedYes

Keywords

  • diagnosis
  • experience
  • major teaching hospital
  • pancreatic cancer
  • treatment

ASJC Scopus subject areas

  • Surgery
  • Oncology

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