Vater-papilla tumorok sebészi kezelésével szerzett tapasztalataink.

Translated title of the contribution: Experience with the surgical management of Vater's ampulla tumors

T. Belágyi, S. A. Nagy, G. Pardavi, A. Oláh

Research output: Contribution to journalArticle

Abstract

The article reviews our experience about tumours of the papilla of Vater. 30 patients were operated on between 1996-1999. The mean age was 58 years, the leading symptom (73%) was jaundice. In 23 patients preoperative ERCP was successful and was completed in 15 cases with EST, in 8 cases with biliary drainage. In 3 patients--despite benign endoscopic histology--intraoperative frozen section, and in one patient final histology confirmed malignancy. Altogether in 27 patients was malignant transformation of the papilla observed. In 15 cases pylorus-preserving pancreatoduodenectomy (PPPD), in 2 cases local excision (LE), while in 10 patients palliative procedures were performed. Resection rate (PPPD + LE) was 63%, while radical resection (PPPD) was performed in 55.5% of all cases. During 26 months mean follow-up survival rate was altogether 74%, and 80% in radically resected patients. We review the literature, describe the difficulty of histological and describe our experience and practice in the treatment of this rare tumour.

Original languageHungarian
Pages (from-to)27-31
Number of pages5
JournalMagyar sebészet
Volume54
Issue number1
Publication statusPublished - 2001

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Ampulla of Vater
Pancreaticoduodenectomy
Pylorus
Neoplasms
Histology
Endoscopic Retrograde Cholangiopancreatography
Frozen Sections
Jaundice
Drainage
Survival Rate

Cite this

Vater-papilla tumorok sebészi kezelésével szerzett tapasztalataink. / Belágyi, T.; Nagy, S. A.; Pardavi, G.; Oláh, A.

In: Magyar sebészet, Vol. 54, No. 1, 2001, p. 27-31.

Research output: Contribution to journalArticle

Belágyi, T, Nagy, SA, Pardavi, G & Oláh, A 2001, 'Vater-papilla tumorok sebészi kezelésével szerzett tapasztalataink.', Magyar sebészet, vol. 54, no. 1, pp. 27-31.
Belágyi, T. ; Nagy, S. A. ; Pardavi, G. ; Oláh, A. / Vater-papilla tumorok sebészi kezelésével szerzett tapasztalataink. In: Magyar sebészet. 2001 ; Vol. 54, No. 1. pp. 27-31.
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abstract = "The article reviews our experience about tumours of the papilla of Vater. 30 patients were operated on between 1996-1999. The mean age was 58 years, the leading symptom (73{\%}) was jaundice. In 23 patients preoperative ERCP was successful and was completed in 15 cases with EST, in 8 cases with biliary drainage. In 3 patients--despite benign endoscopic histology--intraoperative frozen section, and in one patient final histology confirmed malignancy. Altogether in 27 patients was malignant transformation of the papilla observed. In 15 cases pylorus-preserving pancreatoduodenectomy (PPPD), in 2 cases local excision (LE), while in 10 patients palliative procedures were performed. Resection rate (PPPD + LE) was 63{\%}, while radical resection (PPPD) was performed in 55.5{\%} of all cases. During 26 months mean follow-up survival rate was altogether 74{\%}, and 80{\%} in radically resected patients. We review the literature, describe the difficulty of histological and describe our experience and practice in the treatment of this rare tumour.",
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