Survival analysis after pancreatic resection for ampullary and pancreatic head carcinoma: An analysis of clinicopathological factors

Abstract

In this study, patients with ampullary carcinoma have a better prognosis and survival than those with pancreatic carcinoma.

Loco-recurrence after resection for ductal adenocarcinoma of the pancreas: predictors and implications for adjuvant chemoradiotherapy

“…The surgical techniques used in our unit have been previously described (Williamson 1994;Sommerville et al 2009). In brief, standard PD with resection of peripancreatic tissues and lymph nodes (N1) is performed without extended lymphadenectomy (N2/N3).…”

Peripancreatic Soft Tissue Involvement: Independent Outcome Predictor in Patients With Resected Pancreatic Adenocarcinoma

“…19 The previous studies have also not been consistent in showing the impact of surgical margin status on the prediction of survival in patients with pancreatic cancer. Although the majority of the studies have emphasized the importance of surgical margin status as a predictor of survival in these patients, 3,5,7,9 other studies have failed to show a significant difference of outcome based on the margin status. 10,11 There have also been a variety of definitions between different studies as to what is called R1.…”

“…In the previous studies, age of the patient, 3,23,24 stage of the disease, 24,25 tumor grade, 3,5,24 lymph-node status, 3,5,7,[24][25][26] resection margin status, 3,5,7,9 presence of complications, 23,27,28 size of the tumor, 5,9 and transfusion requirement 9,23 have all been proposed as factors predicting outcome in the patients with pancreatic cancer. While in our experience tumor size, stage, grade, presence and severity of complications, margin status, PST involvement, and transfusion requirement were all important predictors of mortality in the patients with pancreatic adenocarcinoma, grade of the tumor, PST involvement, margin status, and transfusion requirement were the only independent factors predicting the outcome in this group of patients.…”

“…1,2 In patients with localized disease, complete surgical resection is the only curative treatment 3 and the 5-year-OS can be as high as 25%. [4][5][6][7] Due to the often late presentation of pancreatic cancer, only a minority of the patients (10%-20%) are considered to be a candidate for curative resection (CR). At the time of diagnosis, more than 50% of patients have already developed distant metastasis and 35% have locally advanced disease.…”

Minimally invasive surgical treatment of carcinoma of the papilla of Vater: A case report

“…The laparoscopic methods are implemented in high-volume centers, which are able to develop minimally invasive CPD surgery which is extremely technically demanding. In addition, prognosis and survival depend on the correctness of the resection procedure and radical lymphadenectomy, histological type and TNM stage of the disease (6). The aim of this study was to show that adequate radical surgical treatment of the periampullary region cancer can be performed by the laparoscopic method.…”