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Vol 5, No 1 (2006): Polish Palliative Medicine
Original articles
Published online: 2006-04-21
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Palliative surgery in cases of unresectable pancreatic head cancer

Dariusz Szymański, Michał Nowicki, Aleksandra Iljin, Wojciech Wilczyński, Michał Berliński, Janusz Wasiak, Janusz Strzelczyk
Advances in Palliative Medicine 2006;5(1):9-13.

open access

Vol 5, No 1 (2006): Polish Palliative Medicine
Original articles
Published online: 2006-04-21

Abstract

Background. The authors discuss surgical palliative procedures in patients with unresectable pancreatic head cancer. Aim of the study is to compare diffrent surgical procedures in respect of postoperative complication and mortality rate in cases, when the radical treatment was not possible.
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

Background. The authors discuss surgical palliative procedures in patients with unresectable pancreatic head cancer. Aim of the study is to compare diffrent surgical procedures in respect of postoperative complication and mortality rate in cases, when the radical treatment was not possible.
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.
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Keywords

unresectable pancreatic head cancer; palliative operation; triple by-pass; surgical bypass

About this article
Title

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

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

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