Onkologie. 2010:4(6):338-341

Surgery for cancer of head of pancreas and survival analysis

Martin Loveček¹, Dušan Klos¹, Pavel Skalický¹, Jiří Kysučan¹, Čestmír Neoral¹, Bohuslav Melichar², Roman Havlík¹

¹ I. chirurgická klinika FN a LF UP Olomouc

² Onkologická klinika FN a LF UP Olomouc

The authors refer seventy six patients radically operated for pancreatic head carcinoma and analyzed postoperative complications and

survival.

Material and Methods: During 1/2006–9/2010 76 patients underwent potentially curative hemipancreato-duodenectomy for adenocarcinoma

of the head of pancreas. The patients are prospectively followed, complications and survival are discussed.

Results: The 30-days postoperative mortality was 2,6 %. According to TNM classification 11 % of patients had stage I, 78 % stage II and

3 % stage III.

Most severe complications were leak from pancreato-jejunal anastomosis (6,5 %) and delayed gastric emptying (11.8 %). The survival

analyses showed 1,2,3 and 4 years survival as follows: 82 %, 52 %, 35 %, 35 % respectively.

Conclusion: Resection of the pancreatic head is a safe procedure with low mortality but disappointing long-term survival. This may be

due to biological activity of the tumor and late diagnosis.

Keywords: pancreatic carcinoma, radical resection, complications, survival

Published: January 1, 2011  Show citation