Factors influencing survival after pancreaticoduodenectomy for pancreatic cancer

作者: John L. Cameron , David W. Crist , James V. Sitzmann , Ralph H. Hruban , John K. Boitnott

DOI: 10.1016/0002-9610(91)90371-J

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摘要: Eighty-nine patients with carcinoma of the head pancreas underwent pancreaticoduodenectomies. The actuarial 5-year survival for all 89 was 19%, a median 11.9 months. 81 hospital survivors were analyzed in an effort to determine factors influencing long-term survival. Negative lymph nodes and absence blood vessel invasion both favored strongest predictive factor negative node status 55.8 months, compared 11 months involved tumor (p less than 0.05). Blood transfusions also predictive, receiving two or fewer units having 24.7 10.2 those three more most important determinant after pancreaticoduodenectomy pancreatic cancer is biology (lymph status, invasion). However, performance resection (units transfused) appears be

参考文章(15)
C A Hubay, N H Gordon, J M Shuck, J P Crowe, D E Fry, Breast cancer survival and perioperative blood transfusion. Surgery. ,vol. 106, pp. 836- 841 ,(1989)
David R. Cox, Regression Models and Life-Tables Springer Series in Statistics. ,vol. 34, pp. 527- 541 ,(1992) , 10.1007/978-1-4612-4380-9_37
E. L. Kaplan, Paul Meier, Nonparametric Estimation from Incomplete Observations Springer Series in Statistics. ,vol. 53, pp. 319- 337 ,(1992) , 10.1007/978-1-4612-4380-9_25
RYOICHI TSUCHIYA, TSUTOMU TOMIOKA, KUNIHIDE IZAWA, TAKATOSHI NODA, KENSUKE YAMAMOTO, TSUKASA TSUNODA, NOBORU HARADA, TAKASHI YAMAGUCHI, RYOZO YOSHINO, TOSHIMITSU MIYAMOTO, TOSHIFUMI ETO, Collective review of small carcinomas of the pancreas. Annals of Surgery. ,vol. 203, pp. 77- 81 ,(1986) , 10.1097/00000658-198601000-00013
Pierce A. Grace, Henry A. Pitt, Ronald K. Tompkins, Lawrence DenBesten, William P. Longmire, Decreased morbidity and mortality after pancreatoduodenectomy American Journal of Surgery. ,vol. 151, pp. 141- 149 ,(1986) , 10.1016/0002-9610(86)90024-3
DAVID W. CRIST, JAMES V. SITZMANN, JOHN L. CAMERON, Improved hospital morbidity, mortality, and survival after the Whipple procedure. Annals of Surgery. ,vol. 206, pp. 358- 365 ,(1987) , 10.1097/00000658-198709000-00014
MICHAEL TREDE, B. Chir, Hon, GUNTHER SCHWALL, HANS-DETLEV SAEGER, Survival after pancreatoduodenectomy. 118 consecutive resections without an operative mortality. Annals of Surgery. ,vol. 211, pp. 447- 458 ,(1990) , 10.1097/00000658-199004000-00011
KEITH R. STEPHENSON, SETH M. STEINBERG, KEVIN S. HUGHES, JOHN T. VETTO, PAUL H. SUGARBAKER, ALFRED E. CHANG, Perioperative blood transfusions are associated with decreased time to recurrence and decreased survival after resection of colorectal liver metastases Annals of Surgery. ,vol. 208, pp. 679- 687 ,(1988) , 10.1097/00000658-198812000-00002
ÅKE ANDRÉN-SANDBERG, INGEMAR IHSE, Factors influencing survival after total pancreatectomy in patients with pancreatic cancer. Annals of Surgery. ,vol. 198, pp. 605- 610 ,(1983) , 10.1097/00000658-198311000-00008