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Rare indications for a Kausch-Whipple procedure
M Niedergethmann1, A Richter, K Wendl
1Department of Surgery, University-Hospital Mannheim, University of Heidelberg, Mannheim, Germany. marco.niedergethmann@chir.ma.uni-heidelberg.de
The European Journal of Surgery = Acta Chirurgica
|March 27, 2001
Summary
The Kausch-Whipple operation can be effective for rare pancreatic head tumors. Patients with adenomas showed the best survival, while endocrine malignancies offered the best outcome among cancers.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Rare tumors of the pancreatic head present unique surgical challenges.
- The Kausch-Whipple operation is a complex procedure for resecting tumors in this region.
Purpose of the Study:
- To evaluate the efficacy of the Kausch-Whipple operation for rare pancreatic head tumors.
- To analyze patient outcomes and survival rates following this procedure.
Main Methods:
- Retrospective analysis of 640 Kausch-Whipple procedures performed between 1972 and 1998.
- Identification of 42 patients (6.6%) treated for rare pancreatic head tumors.
Main Results:
- Tumor types included endocrine tumors, adenomas, sarcomas, cystadenocarcinomas, acinar cell carcinomas, lymphomas, and metastases.
- Survival varied significantly by tumor type, with adenomas having a mean survival of 106.5 months.
- Among malignant tumors, endocrine malignancies demonstrated the best outcome with a mean survival of 58.3 months.
Conclusions:
- The Kausch-Whipple operation is a viable surgical option for rare pancreatic head tumors.
- Tumor type significantly impacts patient prognosis and long-term survival after resection.