ERDAL GÖÇMEN, OSMAN DOĞRU, MUAMMER KARAAYVAZ, MUTLU DOĞANAY, NURİ AYDIN KAMA

Ankara Numune Hastanesi, 4. Cerrahi Kliniği, ANKARA

Abstract

Radical pancreaticoduodenectomy has been performed on 10 patients for periampullary malign tumors between May 1991 and January 1994. Of these patients, 8 were male (%80) and 2 were female (%20), the average age was 55.7. As the indications of the operations were carcinoma of ampulla vateri (%40), carcinoma of duodenum (%20), carcinoma of pancreatic head (%20) and carcinoma of distal choledochus (%1o). Standart Whipple operation was performed on 5 of these patients (%50) whereas pylor-preserving pancreaticoduodenectomy was performed on 5 (%50). 8 patients had one or more of the parameters accepted as poor prognostic criteria for malign periampullary tumors. Of 6 patients who developed early postoperative complications, one required reoperation. 2 patients died due to the problems related to pancreatic and biliary anastomosis. The other 2 patients died of the distant metastasis and the medical problems which weren't related to the primary disease on the postoperative 23rd and 2nd months respectively. Of the 6 patients presently alive, all of them have been followed for at least 3 months and maximally 31 months (average 14 months) and 4 of them are disease-free and healthy.

Keywords: PERIAMPULLARY, MALIGN, TUMORS, RADICAL PANCREATICODUODENECTOMY