1. Duodenopancreatectomy: influence of patient's intrinsic factors on results of pancreatic cancer surgical treatment
- Author
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Phillipe Geraldo Teixeira de Abreu Reis, Regina Maria Goolkate, Álisson Carvalho de Freitas, Raphaella Ferreira, João Lucas Aleixes Sampaio Rocha, and Heloisa Porath
- Subjects
medicine.medical_specialty ,business.industry ,Proportional hazards model ,Incidence (epidemiology) ,Fistula ,medicine.medical_treatment ,General Medicine ,medicine.disease ,Surgery ,Major duodenal papilla ,medicine.anatomical_structure ,Pancreatic cancer ,medicine ,Adenocarcinoma ,Pancreas ,business ,Evisceration (ophthalmology) - Abstract
Introduction: Pancreatic cancer is the fourth leading cause of cancer death in Western countries, with a more prevalent incidence in the elderly (1). It presents itself as a neoplasm with high lethality and low survival, surgical resection being the only treatment with curative potential. However, pancreatoduodenectomy (Kausch-Whipple technique) is one of the most difficult surgeries in the gastrointestinal system, due to the great difficulty in accessing the pancreas and its proximity to various delicate and vital structures, requiring advanced knowledge by the surgeon (6). Objective: Evaluate the profile of patients with pancreatic cancer and factors that contribute to the surgical outcome and survival after curative pancreatoduodenectomy. Method: A descriptive retrospective cross-sectional study was carried out through the analysis of records of pancreatoduodenectomy in the period May 2005 – July 2015 at Hospital Erasto Gaertner (HEG) in Curitiba/PR. Variables were analyzed using Student's t-test, non-parametric Mann-Whitney U test, and chi-squared test with Fisher's correction. Survival and disease-free survival rates were evaluated using the Kaplan-Maier method with the log-rank test and survival predictors identified with Cox regression. The SPSS 23.0 and STATA 15 programs were used, with p value being lower than 0.05 considered statistically significant. Results: 98 pancreatoduodenectomy were evaluated and 46 were in male patients and 30 were in patients aged
- Published
- 2021