Resection of non-cystic adenocarcinoma in pancreatic body and tail

doi:10.3748/wjg.v12.i35.5726

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Sep 21, 2006; 12(35): 5726-5728
Published online Sep 21, 2006. doi: 10.3748/wjg.v12.i35.5726

Resection of non-cystic adenocarcinoma in pancreatic body and tail

Hai-Chao Yan, Yu-Lian Wu, Li-Rong Chen, Shun-Liang Gao

Hai-Chao Yan, Yu-Lian Wu, Shun-Liang Gao, Department of Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China

Li-Rong Chen, Department of Pathology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China

Author contributions: All authors contributed equally to the work.

Correspondence to: Yu-Lian Wu, MD, Department of Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China. wuyulian@medmail.com.cn

Telephone: +86-571-87783585 Fax: +86-571-87784604

Received: September 14, 2005
Revised: October 15, 2005
Accepted: October 26, 2005
Published online: September 21, 2006

Abstract

AIM: To report the outcome of Chinese patents with non-cystic adenocarcinoma in pancreatic body and tail (NCAPBT) after resection and to discuss its surgical strategy.

METHODS: Resection of NCAPBT was performed in eight Chinese patients with complete clinical-pathological data in our hospital from January 2000 to May 2004. The surgical strategy was explored by analyzing the results of these patients.

RESULTS: The resection rate of NCAPBT in patients without back pain was higher than that in patients with back pain (66.67% vs 20%, 2/3 vs 1/5). The prognosis in the group receiving palliative resection was poorer than that in the group receiving curative resection. The median survival time was 12 mo in the curative resection group and 6 mo in the palliative resection group, respectively.

CONCLUSION: The overall survival time of the Chinese patients with NCAPBT is dismal. The Chinese patients after curative resection of NCAPBT have a longer survival time. The Chinese NCAPBT patients with back pain trend to have a lower curative resection rate, but back pain should not be considered a contraindication for curative resection.

Keywords: Pancreas; Adenocarcinoma; Pancreatectomy; Survival; Back bain