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Surgical Palliation of Unresectable Pancreatic Carcinoma
Oleh:
Lillemoe, Keith D.
;
Barnes, Stephen A.
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The Surgical Clinics of North America (Keterangan: ada di ClinicalKey) vol. 75 no. 5 (Okt. 1995)
,
page 953.
Isi artikel
Carcinoma of the pancreas is a leading cause of cancer-related death in the United States. Unfortunately, the majority of tumors are unresectable for cure at the time of presentation; therefore, palliation of symptoms to maximize quality of life is of primary importance. Surgical palliation offers the advantage of providing a single procedure that can treat or prevent all of the major symptoms: obstructive jaundice, duodenal obstruction, and pain. For most patients, optimal palliation includes hepaticojejunostomy, retrocolic gastrojeju nostomy, and intraoperative chemical splanchnicectomy. Current surgical series report a low perioperative mortality rate (less than 3%) with acceptable morbidity rates. Most patients are discharged from the hospital within a short period with overall good long-term results.
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