Rosenberg J M, Welch J P, Macaulay W P
J Surg Oncol. 1985 Mar;28(3):217-21. doi: 10.1002/jso.2930280315.
A clinical review of 461 patients with adenocarcinoma of the pancreas is presented. Seventy-nine percent of the group underwent laparotomy, including laparotomy and biopsy (n = 134), bypass procedures (n = 207), and radical resection (n = 24). The operative mortality following cholecystoenterostomy or choledochoenterostomy was similar but survival was greater following the latter procedure. Thirteen percent having biliary bypass alone needed later gastric bypass. Radical resection is recommended under favorable conditions (6.6% in this series). The five-year survival in this group was 12.5% and the operative mortality was 9% over the last 10 years.
本文对461例胰腺癌患者进行了临床回顾。该组中79%的患者接受了剖腹手术，包括剖腹手术及活检（n = 134）、旁路手术（n = 207）和根治性切除术（n = 24）。胆囊肠吻合术或胆总管肠吻合术后的手术死亡率相似，但后者手术后的生存率更高。仅接受胆道旁路手术的患者中有13%后来需要进行胃旁路手术。在有利条件下建议进行根治性切除术（本系列中为6.6%）。该组的五年生存率为12.5%，过去10年的手术死亡率为9%。
