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- Title
Comparison between two types of local resection in the treatment of ampullary cancer.
- Authors
Zhao, Xiang‐Qian; Huang, Xiao‐Qiang; Zhang, Wen‐Zhi; Liu, Zhe
- Abstract
Background This study aims to compare the effects of two different local resection procedures on the prognosis of ampullary cancer. Methods We carried out a retrospective study using clinical and pathological data from patients with ampullary cancer who underwent local resection between February 1996 and February 2009 in the PLA General Hospital. In these participants, we carried out a comparative analysis between the transduodenal (the transduodenal group) and the extraduodenal (extraduodenal group) surgical approaches. Results No significant differences in gender, age, preoperative bilirubin levels, CA19-9 values, biopsy results, tumour size, differentiation status, degree of invasion, surgical margins, recurrence, metastasis and complication rates, and intraoperative blood loss were found. As compared to the transduodenal group, the extraduodenal group showed a longer duration of surgery and higher survival rates. Conclusions Even though the operation time for the extraduodenal resection of ampullary cancer was longer, the survival rate was higher than in patients who underwent transduodenal resection. For certain patients, the extraduodenal approach may be more appropriate when technical conditions allow it.
- Subjects
SURGICAL excision; CANCER prognosis; BILIRUBIN; RETROSPECTIVE studies; COMPARATIVE studies; GENDER differences (Psychology)
- Publication
ANZ Journal of Surgery, 2014, Vol 84, Issue 4, p255
- ISSN
1445-1433
- Publication type
Article
- DOI
10.1111/ans.12047