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Transduodenal local resection for low-risk group ampulla of Vater carcinoma

Authors
 박준성  ;  윤동섭  ;  김병로  ;  지훈상  ;  이우정  ;  박영년 
Citation
 JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, Vol.17(6) : 737-742, 2007 
Journal Title
 JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES 
ISSN
 1092-6429 
Issue Date
2007
MeSH
Adenocarcinoma/pathology ; Adenocarcinoma/surgery* ; Ampulla of Vater/pathology ; Ampulla of Vater/surgery* ; Chi-Square Distribution ; Common Bile Duct Neoplasms/pathology ; Common Bile Duct Neoplasms/surgery* ; Duodenal Neoplasms/pathology ; Duodenal Neoplasms/surgery* ; Female ; Humans ; Laparoscopy/methods* ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Survival Rate ; Treatment Outcome
Abstract
Purpose: A carcinoma of the ampulla of Vater has more favorable prognosis than other malignant tumors of the periampullary region, because it is symptomatic at an early stage. However, local resection of an ampullary carcinoma remains controversial. The aim of this study was to evaluate the treatment results of ampulla of Vater carcinomas, according to operation type in low risk group patients. Methods: The records of 17 low risk group patients, among 120 patients with ampulla of Vater cancer, who underwent curative surgery beyween 1992 and 2002, were reviewed. All specimens were critically reviewed by a single expert pathologist. The relationship between surgical outcomes and operation type were assessed. Results: There were 10 men and 7 women, with a median age of 57.8 years. 13 of the 17 patients underwent the Whipples operation or a PPPD, and 4 underwent a transduodenal local resection (TDLR). The operation time was shorter in the TDLR group, and was statistically significant. Among the 17 patients, only one had a recurrence in the inguinal area 33 months after the PD. Conclusion: Transduodenal local resection is a recommendable operation for low risk Ampulla of Vater cancer patients. During the operation, it is essential to accurately evaluate the depth of invasion, cell differentiation and positivity of the resection margin using frozen sections.
Full Text
https://www.liebertpub.com/doi/abs/10.1089/lap.2006.0134
DOI
10.1089/lap.2006.0134
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Byong Ro(김병로)
Park, Young Nyun(박영년) ORCID logo https://orcid.org/0000-0003-0357-7967
Park, Joon Seong(박준성) ORCID logo https://orcid.org/0000-0001-8048-9990
Yoon, Dong Sup(윤동섭) ORCID logo https://orcid.org/0000-0001-6444-9606
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Chi, Hoon Sang(지훈상)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96457
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