Guglielminetti D, Burgini M, Gaddoni G, Polacchini G, Fiorentini G
Ospedale S. Maria delle Croci, Seconda Divisione Chirurgica, Regione Emilia Romagna U.S.L. 35, Ravenna.
G Chir. 1994 Oct;15(10):439-42.
The authors report 30 cases of adenocarcinoma of the pancreas treated with palliative surgery at the 2nd Department of Surgery of S. Maria delle Croci Hospital in Ravenna, in the period 1985-1991. Biliary bypass or gastroenterostomy were performed because of severe jaundice and duodenal obstruction, and not with prophylactic intent. According to Fortner's classification 60% of the neoplasias were stage 3, 36.7% stage 2, and 3, 3% stage 1 tumors. The hospitalization mean time was 15 days, perioperative mortality was 6.6% and mean survival rate was 6.5 months. The authors conclude that palliative surgical treatment is useful in case of neoplastic biliary and duodenal stenoses, with no liver or lung metastases, and also whenever an histological evaluation of the tumor is necessary to evaluate resection chances.
作者报告了1985年至1991年期间在拉文纳圣玛丽亚德克罗齐医院第二外科接受姑息性手术治疗的30例胰腺癌病例。因严重黄疸和十二指肠梗阻而进行胆肠吻合术或胃肠造口术，并非出于预防性目的。根据福特纳分类，60%的肿瘤为3期，36.7%为2期，3.3%为1期肿瘤。平均住院时间为15天，围手术期死亡率为6.6%，平均生存率为6.5个月。作者得出结论，姑息性手术治疗对于没有肝或肺转移的肿瘤性胆管和十二指肠狭窄病例是有用的，并且在需要对肿瘤进行组织学评估以评估切除机会时也是有用的。
