%0 Journal Article
%T Resultados actuales de la pancreatoduodenectom¨ªa para el tratamiento de los tumores periampulares y an¨¢lisis de factores pron¨®sticos de sobrevida
%A Norero
%A Enrique
%A Vi£¿uela
%A Eduardo
%A B¨¢ez
%A Sergio
%A Mart¨ªnez
%A Cristian
%A Reyes
%A Julio
%A Kusanovic
%A Rodrigo
%A Sanhueza
%A Marcel
%A Aguayo
%A Gloria
%A Calvo
%A Alfonso
%A Mege
%A Rose Marie
%A Caracci
%A Mario
%A D¨ªaz
%A Alfonso
%J Revista m¨¦dica de Chile
%D 2011
%I Sociedad M¨¦dica de Santiago
%R 10.4067/S0034-98872011000800006
%X background: the diagnosis and treatment of periampullary tumors represents a challenge for current medicine. aim: to review the results of pancreaticoduodenectomy (pdd) in the treatment of periampullary tumors and to identify risk factors that impact the long-term survival. patients and methods: we performed a retrospective study of patients who underwent a pdd for periampullary tumors between 1993 and 2009. we reviewed perioperative results and long term survival. we performed a multivariate analysis for long-term survival. results: a pdd was performed in 181 patients aged 58 ¡À 12 years (98 females). piloric preservation was done in 53% and a pancreatogastric anastomosis was used in 94% of cases. morbidity was 62% and postoperative mortality was 5.5%. pancreatic cancer was the most frequent pathological finding in 41%, followed by ampullary cancer in 28% and distal bile duct cancer in 16%. median survival was 17 months, with a five years survival of 24%. survival for ampullary tumors was 28 months with a five years survival of 32%. the median and five years survival were 14 months and 16% for bile duct cancer and 11 months and 14% for pancreatic cancer. multivariate analysis identified tumor type (pancreas /bile duct) and lymph node dissemination as independent predictors of mortality. conclusions: one quarter of patients experienced long term survival. mortality predictors were tumor type and lymph node dissemination.
%K common bile duct neoplasms
%K pancreaticoduodenectomy
%K pancreatic neoplasms.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0034-98872011000800006&lng=en&nrm=iso&tlng=en