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MEDISAN
On-line version ISSN 1029-3019
Abstract
LEON GOIRE, Walter Lizardo et al. Survival of patients with primary neoplasias of the hepatobiliopancreatic segment. MEDISAN [online]. 2015, vol.19, n.3, pp. 328-336. ISSN 1029-3019.
A descriptive study of 60 operated and discharged patients with diagnosis of primary cancer of the hepatobiliopancreatic segment, assisted in the General Surgery Service of "Saturnino Lora Torres" Teaching Provincial Clinical Surgical Hospital in Santiago de Cuba was carried out in the period 2005-2011, exposed to an scheme of postoperative follow-up, with the objective of identifying the factors related to the survival for 5 years. The global survival was 17.6%, although it was higher for the gallbladder neoplasias and pancreas, associated with the diagnosis in the stages I and II, to the healing surgery and to the auxiliary treatment with cytostatic. It is concludes that the low survival of these patients is determined by the late diagnosis of the morbid process, so that a better interrelation is imperative between the primary and secondary levels of care, as well as to establish work groups for the development of surgery of the hepatobiliopancreatic segment in each hospital, so that they allow the uniform protocol of the behaviour to be followed
Keywords : liver neoplasia; survival; biliary ways; pancreas; surgical treatment; chemotherapy; secondary health care.