Abstract

GONZALEZ GONZALEZ, José Luis et al. Results of the treatment for 215 pancreatic and periampular tumors at "Hermanos Ameijeiras" hospital. Rev Cubana Cir [online]. 2014, vol.53, n.2, pp. 124-133. ISSN 0034-7493.

Introduction: pancreatic cancer is one of the most deadly cancers; it ranks the 5th place in frequency in the Western countries and its associated survival is under 20 % annually and lower than 3 % at 5 years. The only chance for healing is surgery, usually complex interventions with high morbidity and mortality rates. Objetive: to characterize patients by demographic features, associated diseases, and clinical manifestations, and to identify more valuable studies for diagnosis and related peroperative variables associated with complications, mortality and evolution. Methods: prospective, longitudinal and observational study was conducted on patients diagnosed with pancreatic and periampular tumors, who were treated at the general surgery service of "Hermanos Ameijeiras" clinical and surgical hospital from January 2006 through December 2011. Results: a total of 215 patients with pancreatic tumors, 178 periampular lesions and 37 injures in the body and the pancreas head. Twenty four distal pancreatic lesions were resected whereas 153 periampular locations, 83 of them were ablated. There were 78 cephalic pancreatoduodenectomies and most frequent localization was Vater ampoule in 36 patients (50.7 %), followed by the head of the pancreas in 26 patients (36.6 %). Complications were found on 66.2 % of cases. Perioperative mortality rate was 4.2 % whereas hospital mortality amounted to 23.9 %. Conclusions: periampular tumors were more common in patients aged 50 to 69 years; the most related disease was high blood pressure and the fundamental symptom was jaundice. Endoscopic retrograde cholangiopancreatography was the most sensible paraclinical test. In-hospital mortality was associated to related diseases, surgical time, blood transfusions and complications.

Keywords : tumors; pancreas; periampular; adenocarcinoma.

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