[Individualized intraoperative radiotherapy of pancreatic cancer]

During the period from 1984-1988 at the University Clinic, Innsbruck (in cooperation with the Department of Radiotherapy and Surgery) 40 patients with pancreas carcinoma were treated with intraoperative radiotherapy. Based upon the preoperative CT's, the operation reports and the patho-anatomic judgement of the operative specimen for 19 patients the quality of the performed IORT (with curative intention combined with partial pancreaticoduodenectomy) was examined. This examination was based upon a standardized concept. In 53% of the cases the chosen irradiation field was too small and, in most cases the applied single dose was from radiooncological point of view not sufficient. These results emphasize the need for preoperative treatment planning depending from the surgical intention, the need for individually shaped cones and direct field control of the applied dose.