[Inquire into factors influencing recurrence following resection of carcinoma of the head of pancreas].

OBJECTIVE

Inquire into factors influencing recurrence following resection of carcinoma of the head of pancreas to raise survival rate of pancreatic cancer.

METHODS

We performed a retrospective review of 56 pancreatic resections with carcinoma of the head of pancreas operated from January 1995 to December 1998. 35 patients tolerated the Whipple operadure in comparison with 21 patients received the extended radical operation contemporaneously. All patients were followed up more than 3 years to find out factors influencing recurrence following resection of carcinoma of the head of pancreas.

RESULTS

Deaths within 3-years after operation were due to recurrence, the cumulative rate of death from recurrence 51.4% in the Whipple procedure and 42.9% in the Extended radical operative procedure, significant difference in two groups.

CONCLUSION

Tumour size exceed 4 cm with severe retropancreatic invasion, lymph node involvement surpass the second group are at high risk for recurrence.