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March 1967

A Ten-Year Experience With Carcinoma of the Pancreas: A Cooperative Study

Arch Surg. 1967;94(3):322-325. doi:10.1001/archsurg.1967.01330090016004

WHAT IS the place of resection in patients with adenocarcinoma of the pancreas? Is resection ever justified in view of the high reported rates of operative mortality and the low reported rates for five-year survival after resection? How much palliation is achieved by operations designed to bypass obstructions to the biliary or gastrointestinal tracts in patients with this disease?

Members of the Portland Surgical Society were interested in finding answers to these questions. Under the sponsorship of the Society, a ten-year review of the surgical experience with patients with this disease was organized. This cooperative enterprise was successful in collecting a large series of patients with this disease, all of whom were treated since 1955. An analysis of the results of operative treatment in this large group of patients forms the basis of this report.

Material and Methods  The records from seven major Portland hospitals of all patients who were

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