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Institute of Oncology, Lj. (OILJ)
  • Rak trebušne slinavke - Radikalno kirurško zdravljenje = Cancer of the pancreas - Resectional therapy
    Pegan, Vladislav
    Every year in Slovenia we can expect about 50 patients with pancreatic cancer suitable for radical surgical treatment. Because of the fact that 60 to 70% ofpancreatic cancer is located in the head of ... the gland the pancreatoduodenectomy is the predominant surgical procedure. This is true alsoaccording to very low resectability of malignant tumours located elsewherein the gland. A safe performance of pancreatoduodenectomy is warranted in the hands of skilled and experienced surgical team. A prerequisite for the good result of this operation is a low incidence of postoperative morbidity and a postoperative mortality below 5%. Mastering withall operative modalities the surgeon will be able, to achieve this goal. Performing the best operative variety he will contribute to a quick convalescence of the patient. The duration of the operation in the era of modern anaesthesia does not seem to influence the outcome. Yet the radical removal of all malignant tissue is of paramount importance for longer survival. Total pancreatectomy is only exceptionaly indicated. Howewer, multicentricity of cancer growth, indeed very rare, is probably the unique indication for this highly mutilating procedure. The total pancreatectomy doesnot contribute to lower postoperatve complication rate, neither has a beneficial effect in terms of longer survival due to imagined advantage in radicality.
    Source: Gastroenterolog : revija Slovenskega združenja za gastroenterologijo in hepatologijo = journal of Slovenian Association for Gastroenterology and Hepatology. - ISSN 1408-2756 (Letn. 5, št. 1, april 2001, str. 31-43)
    Type of material - article, component part
    Publish date - 2001
    Language - slovenian
    COBISS.SI-ID - 13169625

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