Disappointments in the Management of Patients With Malignancy of Pancreas, Duodenum, and Common Bile Duct

Beall, MH

doi:10.1001/archsurg.1970.01340280013004

Cited by 48 publications

(6 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Beall et al (1970) reported that only 8 per cent of 275 patients with periampullary carcinoma qualified for curative resection. This would imply that less than 2 per cent of the present series would be eligible for radical resection.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Carcinoma of the periampullary region: A review of a personal series of 87 patients

Balasegaram

1976

Journal of British Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…The current incidence figures are 0.3-0.9 per cent of all autopsies and 1-2 per cent of all malignancies. Beall et al (1970) reported that pancreatic carcinoma presently ranks as the third leading cause of cancer deaths in males between 35 and 57 years old. However, little has been reported on this subject from the East (Maki et al, 1966).…”

mentioning

confidence: 99%

Carcinoma of the periampullary region: A review of a personal series of 87 patients

Balasegaram

1976

Journal of British Surgery

View full text Add to dashboard Cite

show abstract

“…Three groups of lymph nodes should be examined carefully: (1) nodes around the celiac axis and along the gastrohepatic ar¬ tery; (2) hepatoduodenal ligament nodes surrounding the bile duct, he¬ patic artery, and portal vein; and (3) nodes around the superior mesenteric vessels or about the inferior pan-creaticoduodenal artery. When nodes are positive for tumor in the hepatoduodenal ligament or along the distal gastrohepatic artery, an en bloc re¬ section can be carried out.…”

Section: Clinical Seriesmentioning

confidence: 99%

Pancreaticoduodenal Resection

Aston¹

1973

Arch Surg

100

View full text Add to dashboard Cite

“…um die ,,periampull/~ren" Krebse des amerikanischen Schrifttums[2] oder die yon Kremer u. a [15]. Bei den Carcinomen sind wegen der oft nicht eindeutig anzugebenden Zuordnung die Geschwiilste des Pankreaskopfes, der Papille und des distalen Choledochus zusammengefaBt.…”

unclassified

“…Operationsletalit~t (rund um 20%) und die postoperative Morbidit~t der Whippleschen Radikaloperation noch zu groB zu sein[2,9,17], als dab die Folgen solcher Fehlindikationen bagatellisiert werden diirften. 57 Patienten stehen gegenfiber einerseits 4 F/ille, die auf Grund eines falsch-positiven klinisehen Eindrucks insofern irrtfimlich radikal operiert worden waren, als das Resektionspr~parat bei mikroskopischer Untersuchung nur das Bild der Pankreatitis zeigte.…”

unclassified

Das Problem der intraoperativen Abkl�rung von Pankreaskopftumoren

Bodner

1973

Langenbecks Arch Chiv

View full text Add to dashboard Cite

Through observation of our own patients we have analyzed the problem of differential diagnosis of tumours of the head of the pancreas during operation and have found out that even by means of modern pre-operative examination techniques a clear distinction between carcinomata and chronic panereatitis cannot be achieved. Therefore the final diagnostic decision in these cases is left to the surgeon to be taken during operation. The reservations, generally brought forward against the histological methods of pancreas biopsy (sample excision and Menghini-puncture) because of their low degree of accuracy and high risk of complication, must be confirmed according to our own experience (out of 35 carcinomata, positively diagnosed at a later stage, only 16 had been detected immediately whereas 19 had produced wrong negative results; in 15 cases out of 37 complications had arisen, among them one death). Thus we were looking for adequate methods of cytological diagnosis. Good results could be achieved particularly with curettage of the pancreatic duct and with fine.needle aspiration biopsy (out of t9 carcinomata li definite and 4 suspected positive results). It should be emphasized that so far * Herrn Prof. Dr. W. Baumgartner wird fiir die stiindige FSrderung und das Interesse, das er der vorliegenden Arbeit entgegengebracht hat, herzlich gedankt. Mein Dank gilt auch den Herren Prof. Dr. A. Propst (Vorstand des Pathologischanatomischen Instituts der Universit~t Innsbruck) und Doz. Dr. B. Lederer fiir die morphologische Beurteilung und Befunddokumentation. Teile der Arbeit wurden in Zusammenarbeit mit dem Gastroenterologischen Labor unserer Klinik und mit Unterstiitzung des Fonds zur FSrderung der wissenschaftlichen Forschung in 0sterreich durchgeffthrt. Daf/ir habe ich Herrn Prof. Dr. H. Reissigl und Herrn Dr. :N. Falser zu danken. Schlielllich sei auch Herrn Doz. Dr. E. Semenitz, durch dessen Entgegenkommen die Tierversuche ermSglicht wurden, mein Dank ausgesprochen.

show abstract

Disappointments in the Management of Patients With Malignancy of Pancreas, Duodenum, and Common Bile Duct

Cited by 48 publications

References 14 publications

Carcinoma of the periampullary region: A review of a personal series of 87 patients

Carcinoma of the periampullary region: A review of a personal series of 87 patients

Pancreaticoduodenal Resection

Das Problem der intraoperativen Abkl�rung von Pankreaskopftumoren

Contact Info

Product

Resources

About