Comparison between two types of local resection in the treatment of ampullary cancer

Background This study aims to compare the effects of two different local resection procedures on the prognosis of ampullary cancer. Methods We carried out a retrospective study using clinical and pathological data from patients with ampullary cancer who underwent local resection between February 199...

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Bibliographic Details
Published in:ANZ journal of surgery 2014-04, Vol.84 (4), p.255-259
Main Authors: Zhao, Xiang-Qian, Huang, Xiao-Qiang, Zhang, Wen-Zhi, Liu, Zhe
Format: Article
Language:English
Subjects:
Aged
Ampulla of Vater - surgery
ampullary cancer
Biliary Tract Surgical Procedures - methods
Cancer surgery
Common Bile Duct Neoplasms - mortality
Common Bile Duct Neoplasms - surgery
Comparative studies
Duodenum - surgery
Female
Follow-Up Studies
hepatobiliary surgery
Humans
local resection
Male
Medical prognosis
Middle Aged
Prognosis
Retrospective Studies
retrospective study
Surgical outcomes
Surgical techniques
Survival Analysis
transduodenal
Treatment Outcome
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Summary:Background This study aims to compare the effects of two different local resection procedures on the prognosis of ampullary cancer. Methods We carried out a retrospective study using clinical and pathological data from patients with ampullary cancer who underwent local resection between February 1996 and February 2009 in the PLA General Hospital. In these participants, we carried out a comparative analysis between the transduodenal (the transduodenal group) and the extraduodenal (extraduodenal group) surgical approaches. Results No significant differences in gender, age, preoperative bilirubin levels, CA19‐9 values, biopsy results, tumour size, differentiation status, degree of invasion, surgical margins, recurrence, metastasis and complication rates, and intraoperative blood loss were found. As compared to the transduodenal group, the extraduodenal group showed a longer duration of surgery and higher survival rates. Conclusions Even though the operation time for the extraduodenal resection of ampullary cancer was longer, the survival rate was higher than in patients who underwent transduodenal resection. For certain patients, the extraduodenal approach may be more appropriate when technical conditions allow it.
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.12047