Abstract
Resection was carried out in 118 patients for periampullary lesions. Ninety-eight of these were adenocarcinomas and were treated by the Whipple operation, total pancreatectomy, or local resection (87 patients, 7 patients, and 4 patients, respectively). Diagnosis of pancreatic head carcinoma before resection was falsely positive in 27 percent of the patients. Mortality for radical resection was 4 percent. Five year survival for ampullary carcinoma was 32 percent, and for pancreatic head carcinoma it was 7 percent. Resection of all periampullary tumors is recommended, with the Whipple operation being the standard in most cases.
MeSH terms
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Actuarial Analysis
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Adenocarcinoma / diagnosis
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Adenocarcinoma / mortality
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Adenocarcinoma / pathology
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Adenocarcinoma / surgery
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Adult
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Aged
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Ampulla of Vater*
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Common Bile Duct Neoplasms / diagnosis
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Common Bile Duct Neoplasms / mortality
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Common Bile Duct Neoplasms / pathology
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Common Bile Duct Neoplasms / surgery*
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Duodenal Neoplasms / diagnosis
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Duodenal Neoplasms / mortality
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Duodenal Neoplasms / pathology
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Duodenal Neoplasms / surgery*
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Duodenum / surgery
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False Negative Reactions
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False Positive Reactions
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Female
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Humans
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Male
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Middle Aged
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Pancreas / surgery
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Pancreatectomy
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Pancreatic Neoplasms / diagnosis
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Pancreatic Neoplasms / mortality
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Pancreatic Neoplasms / pathology
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Pancreatic Neoplasms / surgery*
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Postoperative Complications / epidemiology