Carrabetta S, De Cian F, Mondini G, Bocchio M M, D'Ambra L, Spirito C, Lazzari I, Griffanti Bartoli F, Civalleri D
Istituto di Clinica Chirurgica I, Università degli Studi di Genova.
G Chir. 1998 Jun-Jul;19(6-7):265-70.
The Authors analyse a series of 149 consecutive patients with carcinoma of the pancreas or the periampullary region. Curative surgical treatment was achievable in 55 patients, palliative procedures included surgery in 68 patients; biliary decompression with endoscopic or percutaneous procedure in 25 patients and chemotherapy in one patient with lymphoma. Perioperative complications consisted in gastroplegia (33%), pancreatic fistula (22%), biliary fistula (7.3%), abdominal abscess (5.5%) and hemoperitoneum (1.8%). Five patients died within 30 days after surgery (9%). The overall median postoperative survival was 37, 29 and 21 months in papillary, choledochal and pancreatic cancer, respectively.
