Spanheimer PM, Cyr AR, Liao J, Johlin FC, Hoshi H, Howe JR, Mezhir JJ<\/strong><\/p>\n <\/p>\n
In a retrospective chart review study from 1997 to 2013 in a US hospital, 50 patients with adenocarcinoma of the pancreatic head who underwent surgical exploration with curative intent but who did not undergo pancreatectomy were evaluated (these account for about 20% of patients taken for resection). They were unresectable due to metastatic disease or due to vascular invasion. 68% of these patients had a palliative procedure performed including double bypass, biliary bypass, gastrojejunostomy or cholecystectomy. Complications occurred in 44% of patients who had a palliative operation. They also had a longer hospital stay and reduced survival. In view of this the authors emphasise the importance of identifying unresectable disease prior to surgery and support a selective approach to palliative operations.<\/p>\n","protected":false},"excerpt":{"rendered":"
January 2014 J Surg Oncol. 2014 Jan 7. [Epub ahead of print] Complications and survival associated with operative procedures in patients with unresectable pancreatic head adenocarcinoma Spanheimer PM, Cyr AR, Liao J, Johlin FC, Hoshi H, Howe JR, Mezhir JJ In a retrospective chart review study from 1997 to 2013 in a US […]<\/p>\n
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