Abstract:Objective:To study the efficacy of local resection for tumor of ampalla of Vater.
Methods: The clinical data of 28 patients with ampullary tumors treated by local resection from January 2000 to January 2010 were reviewed retrospectively.
Results:There were no deaths during perioperative period. Postoperative complications included one case of duodenal leakage, 1 pancreatic leakage and 1 wound infection respectively, which were cured after comservative treatments; the morbidity rate of postoperative complications was 10.7%.Follow-up survey of 25 patients at 1 to 9 years after operation showed that the 1 year and 5 year survival rate was 92% and 32%, respectively.
Conclusions:Local resection of ampullary tumor could achieve a radical resection effect in a subset of patients and could be a therapeutic choice for patients with early tumor of ampulla of Vater who are of high-risk due to old age, poor general condition or severe concurrent diseases.