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Palliative surgery in cases of unresectable pancreatic head cancer
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Abstract
Material and methods. We analysed 108 patients who underwent surgery for the pancreatic head cancer in Department of General and Transplant Surgery of the Medical University in Łódź between years 1995 and 2004. Of those in 94 cases unresectable lesion without duodenal involvement was detected during surgery. The patients were divided into two groups - in the first group of 60 - biliary by-pass procedure has been done and in the second group of 34 - similiar procedure with gastroenterostomy. We compared the frequency of postoperative complications and mortality rate in mentioned above groups.
Results. Patients, who underwent combined biliary and gastric by-pass remained in hospital for 18.1 ± 9.1 and following biliary by-pass alone - 19.2 ± 7.9 days. There were no statistically significant differences between these groups while the complication frequency and mortality rate were found similar.
Conclusions. In advanced pancreatic cancer, traditionally executed biliary drainage can be extended by a gastro-jejunostomy without the increased risk of post-operative complications or mortality.
Abstract
Material and methods. We analysed 108 patients who underwent surgery for the pancreatic head cancer in Department of General and Transplant Surgery of the Medical University in Łódź between years 1995 and 2004. Of those in 94 cases unresectable lesion without duodenal involvement was detected during surgery. The patients were divided into two groups - in the first group of 60 - biliary by-pass procedure has been done and in the second group of 34 - similiar procedure with gastroenterostomy. We compared the frequency of postoperative complications and mortality rate in mentioned above groups.
Results. Patients, who underwent combined biliary and gastric by-pass remained in hospital for 18.1 ± 9.1 and following biliary by-pass alone - 19.2 ± 7.9 days. There were no statistically significant differences between these groups while the complication frequency and mortality rate were found similar.
Conclusions. In advanced pancreatic cancer, traditionally executed biliary drainage can be extended by a gastro-jejunostomy without the increased risk of post-operative complications or mortality.
Keywords
unresectable pancreatic head cancer; palliative operation; triple by-pass; surgical bypass
About this articleTitle
Palliative surgery in cases of unresectable pancreatic head cancer
Journal
Advances in Palliative Medicine
Issue
Vol 5, No 1 (2006): Polish Palliative Medicine
Pages
9-13
Published online
2006-04-21
Page views
544
Article views/downloads
27619
Bibliographic record
Advances in Palliative Medicine 2006;5(1):9-13.
Keywords
unresectable pancreatic head cancer
palliative operation
triple by-pass
surgical bypass
Authors
Dariusz Szymański
Michał Nowicki
Aleksandra Iljin
Wojciech Wilczyński
Michał Berliński
Janusz Wasiak
Janusz Strzelczyk