[Clinical analysis of 140 patients with periampullary carcinoma]

From 1964 to 1984, 140 patients were treated by operation in our hospital with the diagnosis of periampullary carcinoma established by exploration or pathology. 86 patients were male and 54 were female. The age ranged from 29 to 73 years. 126 (90%) of them were over forty, pancreatoduodenectomy was performed in 60 patients. The resection rate was 42.9%. The operation mortality was 11.7%. Pancreatoduodenectomy gave a mean postoperative survival of 22 months. The longest survival was 13 years 10 months, palliative choledochoenterostomy or gastro-enterostomy was done in 66 patients with a mean survival of 5.2 months. 14 patients were given laparotomy only with a mean survival of 4 months. In this paper, the diagnosis of periampullary carcinoma, early postoperative complications of pancreatoduodenectomy and prognosis are discussed.