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.

Translated title of the contributionExperience with the surgical management of Vater's ampulla tumors
Original languageHungarian
Pages (from-to)27-31
Number of pages5
JournalMagyar sebészet
Volume54
Issue number1
Publication statusPublished - Feb 2001

ASJC Scopus subject areas

  • Medicine(all)

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