PERIAMPULLARY MALIGN TUMORS TEN PATIENTS

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.