Papiloduodenectomia como alternativa terapêutica para tumores papilares

Souza, Hamilton Petry de; Alves, Jarcedy Machado; Toneto, Marcelo Garcia; Gabiatti, Gémerson; Pandolfo, Gilmara

doi:10.1590/s0100-69911998000600012

Rev. Col. Bras. Cir.

1998

DOI: 10.1590/s0100-69911998000600012

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Papiloduodenectomia como alternativa terapêutica para tumores papilares

Hamilton Petry de Souza¹,

Jarcedy Machado Alves²,

Marcelo Garcia Toneto³

et al.

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2014

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“…The patient, a 60-year-old woman with a history of jaundice, gallbladder distention and hepatomegaly, underwent a transduodenal resection of the ampulla with reanastomosis of the pancreatic duct and common bile duct, in much the same way as it is performed currently. 13 The patient tolerated the procedure well, but recurrence of the jaundice occurred following removal of the tube used for the cholecystostomy, with further surgery required. The patient died as a consequence of tumor recurrence six months after the procedure.…”

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Evolução histórica do tratamento cirúrgico do câncer de pâncreas

Toneto

Lopes²

2014

Sci Med

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Aims: To review the main historical aspects of the treatment evolution of pancreatic cancer. Data source: Literature review through PubMed. Selected articles on the history of pancreatic cancer treatment were included. Summary of findings:Complete surgical resection is the only therapeutic alternative that can offer a cure to patients with pancreatic cancer. However, pancreaticoduodenectomy is one of the most challenging surgical procedures, requiring surgeons with a high level of training for its safe implementation. Several researchers have been involved in the evolution of surgical techniques in pancreatic surgery to reach the levels of safety currently presented by the procedure. Conclusions: Despite the safety with which pancreaticoduodenectomy is currently performed, postoperative survival in pancreatic cancer is still insufficient, suggesting that operative technical issues are just one of the steps needed to improve the outcome. Better screening methods that enable earlier diagnosis of tumors, identification of high-risk patients and improvements in adjuvant treatment are required to increase the cure rate for this neoplasm.

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confidence: 90%

Evolução histórica do tratamento cirúrgico do câncer de pâncreas

Toneto

Lopes²

2014

Sci Med

Self Cite

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Papiloduodenectomia como alternativa terapêutica para tumores papilares

Cited by 1 publication

References 3 publications

Evolução histórica do tratamento cirúrgico do câncer de pâncreas

Evolução histórica do tratamento cirúrgico do câncer de pâncreas

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