January 1976

Experience With 21 Pancreaticoduodenectomies

Author Affiliations

From the Department of Surgery, Ohio Valley Medical Center, Wheeling, WVa. Dr Ruilova is now in private practice in Cape Coral, Fla.

Arch Surg. 1976;111(1):27-30. doi:10.1001/archsurg.1976.01360190029004

• Twenty-one patients underwent pancreaticoduodenectomy—19 for neoplasia and two for benign disease (operative mortality, 9.5%). Anastomotic leakage occurred in three patients (14.3%); in two it was biliary and in one it was pancreatic. Vagotomy was not employed and there were no instances of stomal ulceration. Four patients (21%) operated on for malignant neoplasm are free of disease from five to ten years since surgery, and two more are in good health for less than five years (total, 31.6%). The presence of an involved regional lymph node is not a contraindication to curative or palliative resection in either carcinoma of the ampulla of Vater or carcinoma of the pancreas.

(Arch Surg 111:27-30, 1976)