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| Extended local resection for treatment of periampullary carcinoma of vater |
| Sen Li, Guan-Yi Zhuang, Yong-Quan Pei,Chun-You Li, Jian-Li Wang, Wei Ding, Fu-Tian Du, Qin-Hua Song and Kai-Xiang Lin |
Weifang, China
Author Affiliations: Department of Hepatobiliary Surgery, Weifang People’s Hospital, Weifang 261041, China (Li S, Zhuang GY, Pei YQ, Li CY, Wang JL, Ding W, Du FT, Song QH and Lin KX)
Corresponding Author: Sen Li, MD, Department of Hepatobiliary Surgery, Weifang People’s Hospital, Weifang 261041, China (Tel: 86-536-8511326; Fax: 86-536-8232271; Email: lisen988@sohu.com) |
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Abstract BACKGROUND: The trauma caused by pancreatoduodenectomy for periampullary carcinoma of vater is often severe and extensive. The purpose of this study was to evaluate the effect of extended local resection in the treatment of periampullary carcinoma of vater.
METHODS: The extra-hepaticobiliary tract, the confluence of the pancreatic and biliary duct, vater ampulla and duodenal papilla were resected en bloc in 8 patients with periampullary carcinoma from 1995 to 1998.
RESULTS: One patient died perioperatively. Duodenal obstruction developed postoperatively in one of 7 survived patients and was relieved after reoperation. All the 7 patients were followed up for more than 6 months without recurrence.
CONCLUSION: Extended local resection fulfils the task of radical treatment of periampullary malignancy.
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2004, Vol. 3 
