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Transduodenal Ampullectomy for the Treatment of Early-Stage Ampulla of Vater Cancer
Background Transduodenal ampullectomy (TDA) is a less invasive procedure than pancreaticoduodenectomy (PD). However, the outcomes of TDA and PD have been compared rarely in early ampullary cancer. Methods From September 1994 to June 2013, the patients who underwent curative surgery for Tis or T1 amp...
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| Published in: | World journal of surgery 2016-04, Vol.40 (4), p.967-973 |
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| container_end_page | 973 |
| container_issue | 4 |
| container_start_page | 967 |
| container_title | World journal of surgery |
| container_volume | 40 |
| creator | Lee, Huisong Park, Jin Young Kwon, Wooil Heo, Jin Seok Choi, Dong Wook Choi, Seong Ho |
| description | Background
Transduodenal ampullectomy (TDA) is a less invasive procedure than pancreaticoduodenectomy (PD). However, the outcomes of TDA and PD have been compared rarely in early ampullary cancer.
Methods
From September 1994 to June 2013, the patients who underwent curative surgery for Tis or T1 ampulla of Vater neoplasm were identified. The patients were divided into two groups according to the types of surgery; TDA group and PD group. The patient characteristics and survival outcomes were retrospectively investigated between the two groups.
Results
Total 137 patients were included in this study. The 18 patients underwent TDA and 119 patients underwent PD for Tis or T1 ampullary cancer. There was no lymph node metastasis in the patients with Tis tumor although 10 of 104 patients had lymph node metastasis in T1 cancer. After a median follow-up of 50 months (range, 6–148), there were no recurrence after TDA for Tis tumor. However, the TDA was associated with higher local recurrence rate than PD in the patients with T1 ampullary cancer on Kaplan–Meier survival analysis (
p
= 0.007).
Conclusion
The TDA is feasible treatment for Tis ampulla of Vater neoplasm. However, TDA is unsuitable for the treatment of T1 ampulla of Vater cancer. |
| doi_str_mv | 10.1007/s00268-015-3316-x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1768557114</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3972577401</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5589-3d284d4971947435ce633683108116e6bcb9139c62e4f9cad017e0a6a37b1c133</originalsourceid><addsrcrecordid>eNqFkEtr3DAUhUVoSaaT_oBsiqGbbtzq6sqStUyHpA8CXcw0XQqNfJ1O8GMq2TTz7yvjSQiF0pWE-M7h6GPsAvh74Fx_iJwLVeYcihwRVP5wwhYgUeQCBb5gC45KpjvgGXsV4z3noBVXp-xMqEIqKMWCrTfBdbEa-4o612SX7X5sGvJD3x6yug_Z8JOyTSA3tNQNWV9nVy40h3w9uDs60m56vnUDhWzlOk_hnL2sXRPp9fFcsu_XV5vV5_zm26cvq8ub3BdFaXKsRCkraTQYqSUWnhSiKhF4CaBIbf3WABqvBMnaeFel-cSdcqi34AFxyd7NvfvQ_xopDrbdRU9pUUf9GG36bVkUGpKSJXv7F3rfjyH9eKI0N1xIPRXCTPnQxxiotvuwa104WOB2Mm5n4zYZt5Nx-5Ayb47N47al6inxqDgBZgZ-7xo6_L_R_vi6_njNtUaTsmLOxhTr7ig8m_3PRX8Ac-2a-w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1770902473</pqid></control><display><type>article</type><title>Transduodenal Ampullectomy for the Treatment of Early-Stage Ampulla of Vater Cancer</title><source>Springer Nature</source><creator>Lee, Huisong ; Park, Jin Young ; Kwon, Wooil ; Heo, Jin Seok ; Choi, Dong Wook ; Choi, Seong Ho</creator><creatorcontrib>Lee, Huisong ; Park, Jin Young ; Kwon, Wooil ; Heo, Jin Seok ; Choi, Dong Wook ; Choi, Seong Ho</creatorcontrib><description>Background
Transduodenal ampullectomy (TDA) is a less invasive procedure than pancreaticoduodenectomy (PD). However, the outcomes of TDA and PD have been compared rarely in early ampullary cancer.
Methods
From September 1994 to June 2013, the patients who underwent curative surgery for Tis or T1 ampulla of Vater neoplasm were identified. The patients were divided into two groups according to the types of surgery; TDA group and PD group. The patient characteristics and survival outcomes were retrospectively investigated between the two groups.
Results
Total 137 patients were included in this study. The 18 patients underwent TDA and 119 patients underwent PD for Tis or T1 ampullary cancer. There was no lymph node metastasis in the patients with Tis tumor although 10 of 104 patients had lymph node metastasis in T1 cancer. After a median follow-up of 50 months (range, 6–148), there were no recurrence after TDA for Tis tumor. However, the TDA was associated with higher local recurrence rate than PD in the patients with T1 ampullary cancer on Kaplan–Meier survival analysis (
p
= 0.007).
Conclusion
The TDA is feasible treatment for Tis ampulla of Vater neoplasm. However, TDA is unsuitable for the treatment of T1 ampulla of Vater cancer.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-015-3316-x</identifier><identifier>PMID: 26546182</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Aged, 80 and over ; Ampulla of Vater - surgery ; Ampullary Cancer ; Benign Neoplasm ; Cardiac Surgery ; Common Bile Duct Neoplasms - diagnosis ; Common Bile Duct Neoplasms - mortality ; Common Bile Duct Neoplasms - surgery ; Female ; General Surgery ; High Local Recurrence Rate ; Humans ; Kaplan-Meier Estimate ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasm Staging ; Original Scientific Report ; Pancreatic Fistula ; Pancreaticoduodenectomy - methods ; Positive Resection Margin ; Republic of Korea - epidemiology ; Retrospective Studies ; Surgery ; Survival Rate - trends ; Thoracic Surgery ; Time Factors ; Treatment Outcome ; Vascular Surgery</subject><ispartof>World journal of surgery, 2016-04, Vol.40 (4), p.967-973</ispartof><rights>Société Internationale de Chirurgie 2015</rights><rights>2016 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>Société Internationale de Chirurgie 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5589-3d284d4971947435ce633683108116e6bcb9139c62e4f9cad017e0a6a37b1c133</citedby><cites>FETCH-LOGICAL-c5589-3d284d4971947435ce633683108116e6bcb9139c62e4f9cad017e0a6a37b1c133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26546182$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Huisong</creatorcontrib><creatorcontrib>Park, Jin Young</creatorcontrib><creatorcontrib>Kwon, Wooil</creatorcontrib><creatorcontrib>Heo, Jin Seok</creatorcontrib><creatorcontrib>Choi, Dong Wook</creatorcontrib><creatorcontrib>Choi, Seong Ho</creatorcontrib><title>Transduodenal Ampullectomy for the Treatment of Early-Stage Ampulla of Vater Cancer</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
Transduodenal ampullectomy (TDA) is a less invasive procedure than pancreaticoduodenectomy (PD). However, the outcomes of TDA and PD have been compared rarely in early ampullary cancer.
Methods
From September 1994 to June 2013, the patients who underwent curative surgery for Tis or T1 ampulla of Vater neoplasm were identified. The patients were divided into two groups according to the types of surgery; TDA group and PD group. The patient characteristics and survival outcomes were retrospectively investigated between the two groups.
Results
Total 137 patients were included in this study. The 18 patients underwent TDA and 119 patients underwent PD for Tis or T1 ampullary cancer. There was no lymph node metastasis in the patients with Tis tumor although 10 of 104 patients had lymph node metastasis in T1 cancer. After a median follow-up of 50 months (range, 6–148), there were no recurrence after TDA for Tis tumor. However, the TDA was associated with higher local recurrence rate than PD in the patients with T1 ampullary cancer on Kaplan–Meier survival analysis (
p
= 0.007).
Conclusion
The TDA is feasible treatment for Tis ampulla of Vater neoplasm. However, TDA is unsuitable for the treatment of T1 ampulla of Vater cancer.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ampulla of Vater - surgery</subject><subject>Ampullary Cancer</subject><subject>Benign Neoplasm</subject><subject>Cardiac Surgery</subject><subject>Common Bile Duct Neoplasms - diagnosis</subject><subject>Common Bile Duct Neoplasms - mortality</subject><subject>Common Bile Duct Neoplasms - surgery</subject><subject>Female</subject><subject>General Surgery</subject><subject>High Local Recurrence Rate</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Original Scientific Report</subject><subject>Pancreatic Fistula</subject><subject>Pancreaticoduodenectomy - methods</subject><subject>Positive Resection Margin</subject><subject>Republic of Korea - epidemiology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Survival Rate - trends</subject><subject>Thoracic Surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqFkEtr3DAUhUVoSaaT_oBsiqGbbtzq6sqStUyHpA8CXcw0XQqNfJ1O8GMq2TTz7yvjSQiF0pWE-M7h6GPsAvh74Fx_iJwLVeYcihwRVP5wwhYgUeQCBb5gC45KpjvgGXsV4z3noBVXp-xMqEIqKMWCrTfBdbEa-4o612SX7X5sGvJD3x6yug_Z8JOyTSA3tNQNWV9nVy40h3w9uDs60m56vnUDhWzlOk_hnL2sXRPp9fFcsu_XV5vV5_zm26cvq8ub3BdFaXKsRCkraTQYqSUWnhSiKhF4CaBIbf3WABqvBMnaeFel-cSdcqi34AFxyd7NvfvQ_xopDrbdRU9pUUf9GG36bVkUGpKSJXv7F3rfjyH9eKI0N1xIPRXCTPnQxxiotvuwa104WOB2Mm5n4zYZt5Nx-5Ayb47N47al6inxqDgBZgZ-7xo6_L_R_vi6_njNtUaTsmLOxhTr7ig8m_3PRX8Ac-2a-w</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Lee, Huisong</creator><creator>Park, Jin Young</creator><creator>Kwon, Wooil</creator><creator>Heo, Jin Seok</creator><creator>Choi, Dong Wook</creator><creator>Choi, Seong Ho</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201604</creationdate><title>Transduodenal Ampullectomy for the Treatment of Early-Stage Ampulla of Vater Cancer</title><author>Lee, Huisong ; Park, Jin Young ; Kwon, Wooil ; Heo, Jin Seok ; Choi, Dong Wook ; Choi, Seong Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5589-3d284d4971947435ce633683108116e6bcb9139c62e4f9cad017e0a6a37b1c133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ampulla of Vater - surgery</topic><topic>Ampullary Cancer</topic><topic>Benign Neoplasm</topic><topic>Cardiac Surgery</topic><topic>Common Bile Duct Neoplasms - diagnosis</topic><topic>Common Bile Duct Neoplasms - mortality</topic><topic>Common Bile Duct Neoplasms - surgery</topic><topic>Female</topic><topic>General Surgery</topic><topic>High Local Recurrence Rate</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Original Scientific Report</topic><topic>Pancreatic Fistula</topic><topic>Pancreaticoduodenectomy - methods</topic><topic>Positive Resection Margin</topic><topic>Republic of Korea - epidemiology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Survival Rate - trends</topic><topic>Thoracic Surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Huisong</creatorcontrib><creatorcontrib>Park, Jin Young</creatorcontrib><creatorcontrib>Kwon, Wooil</creatorcontrib><creatorcontrib>Heo, Jin Seok</creatorcontrib><creatorcontrib>Choi, Dong Wook</creatorcontrib><creatorcontrib>Choi, Seong Ho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection (ProQuest Medical & Health Databases)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Huisong</au><au>Park, Jin Young</au><au>Kwon, Wooil</au><au>Heo, Jin Seok</au><au>Choi, Dong Wook</au><au>Choi, Seong Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transduodenal Ampullectomy for the Treatment of Early-Stage Ampulla of Vater Cancer</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2016-04</date><risdate>2016</risdate><volume>40</volume><issue>4</issue><spage>967</spage><epage>973</epage><pages>967-973</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Background
Transduodenal ampullectomy (TDA) is a less invasive procedure than pancreaticoduodenectomy (PD). However, the outcomes of TDA and PD have been compared rarely in early ampullary cancer.
Methods
From September 1994 to June 2013, the patients who underwent curative surgery for Tis or T1 ampulla of Vater neoplasm were identified. The patients were divided into two groups according to the types of surgery; TDA group and PD group. The patient characteristics and survival outcomes were retrospectively investigated between the two groups.
Results
Total 137 patients were included in this study. The 18 patients underwent TDA and 119 patients underwent PD for Tis or T1 ampullary cancer. There was no lymph node metastasis in the patients with Tis tumor although 10 of 104 patients had lymph node metastasis in T1 cancer. After a median follow-up of 50 months (range, 6–148), there were no recurrence after TDA for Tis tumor. However, the TDA was associated with higher local recurrence rate than PD in the patients with T1 ampullary cancer on Kaplan–Meier survival analysis (
p
= 0.007).
Conclusion
The TDA is feasible treatment for Tis ampulla of Vater neoplasm. However, TDA is unsuitable for the treatment of T1 ampulla of Vater cancer.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>26546182</pmid><doi>10.1007/s00268-015-3316-x</doi><tpages>7</tpages></addata></record> |
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| subjects | Abdominal Surgery Adult Aged Aged, 80 and over Ampulla of Vater - surgery Ampullary Cancer Benign Neoplasm Cardiac Surgery Common Bile Duct Neoplasms - diagnosis Common Bile Duct Neoplasms - mortality Common Bile Duct Neoplasms - surgery Female General Surgery High Local Recurrence Rate Humans Kaplan-Meier Estimate Male Medicine Medicine & Public Health Middle Aged Neoplasm Staging Original Scientific Report Pancreatic Fistula Pancreaticoduodenectomy - methods Positive Resection Margin Republic of Korea - epidemiology Retrospective Studies Surgery Survival Rate - trends Thoracic Surgery Time Factors Treatment Outcome Vascular Surgery |
| title | Transduodenal Ampullectomy for the Treatment of Early-Stage Ampulla of Vater Cancer |
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