Enderlin F
Schweiz Med Wochenschr. 1975 May 3;105(18):592-5.
The records of 41 patients who had carcinoma of the ampulla of Vater in the period 1952-1973, are reviewed. Palliative operations were disappointing in 16 patients since they resulted in an average survival of only a few months. The most impressive results were obtained with the one-stage Whipple procedure and, in selected cases, by simple papillectomy with survival of up to 6 years. However, not every surgeon is able to deal competently with the difficult problems of malignant jaundice. Special technical and tactical skill is a precondition and systematic diagnostic evaluation as well as modern intensive care are necessary for good results. The ampullomas have the best prognosis in the group of peripapillary tumors.
回顾了1952年至1973年间41例患有 Vater壶腹癌患者的记录。16例患者接受姑息性手术后效果不佳，因为平均生存期仅为几个月。一期Whipple手术取得了最显著的效果，在某些特定病例中，单纯乳头切除术的患者生存期长达6年。然而，并非每位外科医生都能妥善处理恶性黄疸的难题。特殊的技术和策略技巧是前提条件，系统的诊断评估以及现代重症监护对于取得良好效果是必要的。壶腹瘤在乳头周围肿瘤组中预后最佳。
