Local resection of carcinoma of ampulla of Vater: an analysis of 52 cases
Zhang, J.; Chen, G.; Huo, F.
Zhonghua Zhong Liu Za Zhi 21(4): 305-307
1999
ISSN/ISBN: 0253-3766 PMID: 11776824 Document Number: 498222
To study the therapeutic results of patients with carcinoma of ampulla Vater treated by local tumor resection. Four cases of carcinoma of ampulla of Vater treated in our hospital by local tumor resection and 48 cases reported in Chinese medical literature in 1992-1997 were analyzed. A total of 52 cases was collected who received local resection of carcinoma of ampulla of Vater. The operative mortality was 3.8% and the morbidity was 9.6%. Recurreuce occurred in 12 cases, of whom 3 had poorly differentiated adenocarcinoma, 7 had their tumor incompletely resected with tumor left at the cutting edge and one had local invasion. In 8 month to 4 years, 19 cases died. Thirty two cases survived for 7 months to 8 years after operation. The prognosis of local resection is related not only to tumor size, extent of invasion, metastasis to lymph node, but also to pathologic types and differentiation. It is a treatment of choice for early carcinoma of ampulla of Vater in patients who are at high-risk due to old age, poor general condition or severe concurrent diseases.