Revista do Colégio Brasileiro de Cirurgiões
Print version ISSN 0100-6991
CARVALHO, Gustavo Santos Stoduto de; MALI JUNIOR, Jorge; DIAS, Jurandir de Almeida and ALBAGLI, Rafael. Extended duodenopancreatectomy for nonperiampulary tumors. Rev. Col. Bras. Cir. [online]. 2007, vol.34, n.2, pp. 119-122. ISSN 0100-6991. http://dx.doi.org/10.1590/S0100-69912007000200010.
BACKGROUND: To evaluate the surgical morbimortality and the outcome of patients submitted to extended duodenopancreatectomy (DP) for nonperiampulary tumors. METHODS: A retrospective evaluation of 15 patients submitted to DP for nonperiampulary tumors was performed in the abdominal-pelvic surgery service of National Cancer Institute- Brazil, from 1990 to 2005. RESULTS: The histological types of primary tumors included adenocarcinoma of colon (n=9), gastric adenocarcinoma (n=3), gastrointestinal stromal tumors (n=2) and renal carcinoma (n=1). The average hospital length of stay was 13.5 days (6 to 36), the average operation time was 360 minutes, the hemotransfusion average volume was 307 ml, the ressected lymph nodes average number was 19, where 3 patients had positive lymph nodes. The average size of the tumor was 7.8cm (2.5 to 24), the surgical morbidity was 53%, the operative mortality was 6.6% (one patient) and the overall survival average was 38 months. CONCLUSION: The duodenopancreatectomy for nonperiampulary tumors is an procedure of exception and it must be considered only for selected patients.
Keywords : Pancreaticoduodenectomy; Gastrointestinal neoplasms.