Related Experiment Video
Updated: Feb 20, 2026
Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
Published on: December 15, 2023
Duodenal localization is a negative predictor of survival after small bowel adenocarcinoma resection: A
Alexander Wilhelm1, Christian Galata2, Ulrich Beutner3
1Department of Surgery, St. Claraspital Basel, Basel, Switzerland.
Background And Objectives:
This study assessed the influence of tumor localization of small bowel adenocarcinoma on survival after surgical resection.
Methods:
Patients with resected small bowel adenocarcinoma, ACJJ stage I-III, were identified from the Surveillance, Epidemiology, and End Results database from 2004 to 2013. The impact of tumor localization on overall and cancer-specific survival was assessed using Cox proportional hazard regression models with and without risk-adjustment and propensity score methods.
Results:
Adenocarcinoma was localized to the duodenum in 549 of 1025 patients (53.6%). There was no time trend for duodenal localization (P = 0.514). The 5-year cancer-specific survival rate was 48.2% (95%CI: 43.3-53.7%) for patients with duodenal carcinoma and 66.6% (95%CI: 61.6-72.1%) for patients with cancer located in the jejunum or ileum. Duodenal localization was associated with worse overall and cancer-specific survival in univariable (HR = 1.73; HR = 1.81, respectively; both P < 0.001), multivariable (HR = 1.52; HR = 1.65; both P < 0.001), and propensity score-adjusted analyses (HR = 1.33, P = 0.012; HR = 1.50, P = 0.002). Furthermore, young age, retrieval of more than 12 regional lymph nodes, less advanced stage, and married matrimonial status were positive, independent prognostic factors.
Conclusions:
Duodenal localization is an independent risk factor for poor survival after resection of adenocarcinoma.
