Surgical treatment of malignant neoplasms of the pancreatoduodenal zone
Shalimov, A.A.; Shalimov, S.A.; Zemskov, V.S.; Radzikhovskiĭ, A.P.
Vestnik Khirurgii Imeni I. I. Grekova 121(7): 6-11
1978
ISSN/ISBN: 0042-4625 PMID: 211689 Document Number: 131968
The experience with surgical treatment of 866 patients with malignant neoplasms of the pancreato-duodenal zone is analyzed. Radical operations were carried out upon 220 (25.4%) patients, palliative ones-upon 459 (52.8%) and laparotomies-upon 187 (22.7%) patients. The authors draw the conclusion that a one-stage pancreato-duodenal resection is the operation of choice for cancer of the Vater's papilla, distal portion of the common bile duct and of the head of the pancreas. Extended pancreato-duodenal resections with excision of a segment of the portal or the superior mesenteric veins are indicated when adhesion of tumor and the venous wall makes the only contraindication to the radical operation.