Document Detail


Pancreatic carcinoma. Second-look operation?
MedLine Citation:
PMID:  2081928     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From a total of 146 patients with carcinoma of the head of the pancreas and preiampullary region, treated surgically, 31 underwent Whipple's pancreaticoduodenectomy. Eighteen were carried out at the initial laparotomy and thirteen at a second-look operation (SLO). Of the 128 patients who underwent bypass as palliative procedure, 36 were selected. All were less than 65 yr of age, and their general condition continued to improve postoperatively. They were reassessed regularly with view to SLO. Whipple's procedure was accomplished in 13 cases. Ten out of 13 patients had a raised serum amylase at the initial exploration, indicating coexisting pancreatitis. SLO should be considered in fit patients with evidence of concomitant acute pancreatitis at the initial laparotomy, since pancreatitis can make some tumors seem locally invasive and hence unresectable at the initial laparotomy.
Authors:
H Hashimi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of pancreatology : official journal of the International Association of Pancreatology     Volume:  7     ISSN:  0169-4197     ISO Abbreviation:  Int. J. Pancreatol.     Publication Date:    1990 Aug-Nov
Date Detail:
Created Date:  1991-05-09     Completed Date:  1991-05-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8703511     Medline TA:  Int J Pancreatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  55-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Bradford Royal Infirmary, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Carcinoma / surgery*
Female
Humans
Male
Middle Aged
Pancreatic Neoplasms / surgery*
Pancreatitis / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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