Abstract:Objective To discuss the choice of operative method for pancreatic carcinoma.
Methods The clinical data of 209 cases of pancreatic cancer treated within 8 years were retrospectively analysed. Among the cases, 149 cases of tumor of haed of pancreas, 54 cases of tumor of body and tail of pancreas, and 6 cases of cancer of entire pancreas. The operations performed were radical pancreaticoduodenectomy in 59 cases, palliative pancreaticoduodenectomy or distal pancreatectomy with splenectomy in 15 cases, and internal drainage in 64 cases.
Results After radical excision of pancreatic cancer, the 1-,3-,and 5-year survival rate was 42.37 %, 13.56 % and 6.78 %, respectively, which was higher than the 20.00 %, 6.60 % and 0 %, respectively, after palliative resection. After internal drainage, the 1-and 3-year survival rate was 9.38 % and 0 %,respectively, which was not different from cases without operation, but their quality of life was improved.
Conclusions Marked increase in postoperative survival rate and improvement in quality of life can be achieved by correct pre-operative assessment and staging of pancreatic cancer by CT and MRI studies and correct selection of operative method.