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Medline ® Abstract for Reference 64

of 'Overview of surgery in the treatment of exocrine pancreatic cancer and prognosis'

Total pancreatectomy for ductal cell carcinoma of the pancreas. An update.
Brooks JR, Brooks DC, Levine JD
Ann Surg. 1989;209(4):405.
Forty-eight patients with ductal cell carcinoma of the pancreas underwent total pancreatectomy. During 1970-1976, there were four deaths (a mortality of 18%). During the last twenty-eight operations (1977-1986), there were no hospital deaths. Seventeen per cent of the patients suffered intraoperative complications involving the mesenteric vessels. Twenty-seven per cent suffered postoperative complications. Twenty-five per cent of the patients left the hospital within 2 weeks, 50% left within 4 weeks, and another 25% remained in the hospital for longer than 4 weeks. Thirty-five per cent of the patients have returned to their preoperative job or similar life activity. Another 35% were able to lead an active life but did not return to regular work, and 30% were to some degree incapacitated by their operative procedure and disease. Twenty-one per cent of the patients lived for 4 years, and 14% survived for 5 years.
Department of Surgery, Harvard Medical School, Boston, Massachusetts.