Bergstrand O, Ahlberg J, Ewerth S, Hellers G, Holmström B
Acta Chir Scand Suppl. 1978;482:26-8.
469 patients treated for carcinoma of the pancreas in the County of Stockholm in 1963--73 were analysed for mean survival time, mean hospital-stay, post-operative complications and mortality. The results of treatment with palliative biliary by-pass procedures and radical surgery were compared. The mean survival time after by-pass operation was 5,7 months and after radical surgery 12,8 months. The mean hospital-stay was 39 and 83 days respectively. The post-operative mortality after palliative biliary by-pass procedures was 16%, and the frequence of major post-operative complications 10%. The corresponding figures after radical surgery were 25% and 30% respectively. Despite the longer survival time, it is doubtful if patients benefit from radical surgery.
对1963年至1973年在斯德哥尔摩县接受胰腺癌治疗的469例患者的平均生存时间、平均住院时间、术后并发症和死亡率进行了分析。比较了姑息性胆肠吻合术和根治性手术的治疗结果。胆肠吻合术后的平均生存时间为5.7个月，根治性手术后为12.8个月。平均住院时间分别为39天和83天。姑息性胆肠吻合术后的术后死亡率为16%，主要术后并发症的发生率为10%。根治性手术后的相应数字分别为25%和30%。尽管生存时间更长，但患者是否能从根治性手术中获益仍值得怀疑。
