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Surgical Treatment and Prognosis for Cancer of the Ampulla of Vater: Pylorus-preserving Pancreatoduodenectomy Ryo Miyazaki 1 , Seiyo Ikeda 1 , Shin-ichi Iwanaga 2 , Yoshifuku Nakayama 2 , Kensei Maeshiro 1 1The First Department of Surgery, Fukuoka University School of Medicine 2The First Department of Pathology, Fukuoka University School of Medicine Keyword: 十二指腸乳頭部癌 , 外科治療 , 幽門輪温存膵頭十二指腸切除術 , 乳頭部癌の予後 , 予後規定因子 pp.173-179
Published Date 1997/2/25
DOI https://doi.org/10.11477/mf.1403105001
  • Abstract
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 Twenty-nine patients with cancer of the ampulla of Vater, resected from 1987 to 1996 by pylorus-preserving pancreatoduodenectomy (PpPD) at the first department of surgery in Fukuoka University Hospital, were evaluated. The overall 5-year-survival rate was 52.1% in 25 patients who had curative resection. Pancreatic invasion and lymph nodes metastasis were important prognostic factors. Early cancer with no invasion into the pancreas and duodenum, had 100% of 5-year-survival rate. PpPD may be a rational method of treatment for cancer of the ampulla of Vater without decreasing radicality in lymph nodes dissection, because it prevent complication such as indigestion and malabsorption that are carsed by extended operation.


Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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