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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1989-9-15
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pubmed:abstractText |
Seventy-four patients were treated with a radical or a nonradical pancreatectomy for ductal cell carcinoma of the head of the pancreas. Their survival rates and the selection of the operative procedure were evaluated. In 32 patients, a radical pancreatectomy was attempted where there was sufficient clearance of regional or juxta-regional lymph nodes beyond the group of suspected metastatic nodes, as well as a resection of a greater margin of soft tissue around the pancreas. These patients' cumulative 5-year survival rate was 33.4%. In 14 Stage I or Stage II patients, the cumulative 5-year survival rate was 46.4%. In 18 Stage III or Stage IV patients, the cumulative 5-year survival rate was 20.7%. For 42 patients treated with a nonradical pancreatectomy with the dissection of lymph nodes adjacent to the pancreas or of regional lymph nodes but with insufficient clearance of the soft tissue around the pancreas, the cumulative 2-year and 3-year survival rates were 5.4% and 0%, respectively. In seven patients with Stage II carcinoma, the survival rate was 16.7% after 2 years and 0% after three years. In 35 Stage III or Stage IV patients, the survival rate was 3.2% after 2 years and 0% after 3 years. Thus, the survival rates were significantly higher in patients treated with radical operation than in patients who had nonradical operation. These results indicate that a radical pancreatectomy with sufficient lymph node clearance with the surrounding connective tissue around the pancreas is indispensable to cure patients with ductal cell carcinoma of the pancreas.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0008-543X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
64
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1132-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2547508-Adult,
pubmed-meshheading:2547508-Aged,
pubmed-meshheading:2547508-Aged, 80 and over,
pubmed-meshheading:2547508-Carcinoma, Intraductal, Noninfiltrating,
pubmed-meshheading:2547508-Duodenum,
pubmed-meshheading:2547508-Female,
pubmed-meshheading:2547508-Humans,
pubmed-meshheading:2547508-Lymph Nodes,
pubmed-meshheading:2547508-Lymphatic Metastasis,
pubmed-meshheading:2547508-Male,
pubmed-meshheading:2547508-Middle Aged,
pubmed-meshheading:2547508-Neoplasm Staging,
pubmed-meshheading:2547508-Pancreatectomy,
pubmed-meshheading:2547508-Pancreatic Neoplasms
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pubmed:year |
1989
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pubmed:articleTitle |
Radical pancreatectomy for ductal cell carcinoma of the head of the pancreas.
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pubmed:affiliation |
First Department of Surgery, Faculty of Medicine, Kyoto University, Japan.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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