Spohn K, Fux H D, Tewes G, Hahn K
Langenbecks Arch Chir. 1975 Nov;339:267-73. doi: 10.1007/BF01257517.
Among 1146 patients with diseases of the pancreas observed over a 15-year period, there were 234 cases of malignant duodeno-pancreatic tumors. This report concerns the intraoperative diagnostic methods and the various palliative operations available. There was a ratio of 13 males to 10 females, and the average age was 63 years. In 24.3 percent of the patients attempts to establish the diagnosis intraoperatively by puncture or excision were unsuccessful. The cardinal symptom in 71 percent of these cases was icterus. Duodenopancreatectomy was possible only in 21 cases (= 8.9%). In 173 cases (= 75.2% of all patients) a palliative operation was performed.
在15年期间观察的1146例胰腺疾病患者中，有234例十二指肠 - 胰腺恶性肿瘤。本报告涉及术中诊断方法和可用的各种姑息性手术。男女比例为13比10，平均年龄为63岁。24.3%的患者术中通过穿刺或切除来确诊的尝试未成功。这些病例中71%的主要症状是黄疸。仅21例（=8.9%）可行十二指肠胰腺切除术。173例（=所有患者的75.2%）进行了姑息性手术。
