Debate: extended resection for pancreatic cancer; the affirmative case View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2003-02

AUTHORS

Akimasa Nakao

ABSTRACT

Background/Purpose. A clinical study was carried out to clarify the indications for extended resection of pancreatic cancer.Methods. From July 1981 to April 2000, 200 of 314 (63.7%) patients with pancreatic cancer underwent extended tumor resection. Portal vein resection was performed in 146 of the 200 (73%) resected cases. The postoperative survival rate was studied based on the operative and histopathological findings.Results. Operative death (within 30 days postoperatively) occurred in 11 of the 200 (5.5%) resected patients. Most of the patients who survived for 2 or 3 years were in the group with carcinoma-free surgical margins.Conclusion. The most important indication for an extended operation combined with portal vein resection for pancreatic cancer is the likelihood of obtaining surgical cancer-free margins. There is no indication for an extended resection in patients in whom the surgical margins will become cancer-positive if such a resection is employed. More... »

PAGES

57-60

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10534-002-0801-0

DOI

http://dx.doi.org/10.1007/s10534-002-0801-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1028102391

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12918458


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