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Morbidity and mortality of pancreatic tumors undergoing surgical treatment

BACKGROUND: Pancreatic cancer has a high mortality rate due to late diagnosis and aggressive behavior. The prognosis is poor, with 5-year survival occurring in less than 5% of cases. AIM: To analyze demographic characteristics, comorbidities, type of procedure and early postoperative complications o...

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Autores principales: ZENI, Luiza Bueno, RUSSI, Ricardo Fantazzini, FIALHO, Alexandre Faleiro, FONSECA, Ana Luiza Pagani, SOMBRIO, Lyara Schaefer, ROCHA, Igor Cunha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743221/
https://www.ncbi.nlm.nih.gov/pubmed/25626938
http://dx.doi.org/10.1590/S0102-67202014000400011
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author ZENI, Luiza Bueno
RUSSI, Ricardo Fantazzini
FIALHO, Alexandre Faleiro
FONSECA, Ana Luiza Pagani
SOMBRIO, Lyara Schaefer
ROCHA, Igor Cunha
author_facet ZENI, Luiza Bueno
RUSSI, Ricardo Fantazzini
FIALHO, Alexandre Faleiro
FONSECA, Ana Luiza Pagani
SOMBRIO, Lyara Schaefer
ROCHA, Igor Cunha
author_sort ZENI, Luiza Bueno
collection PubMed
description BACKGROUND: Pancreatic cancer has a high mortality rate due to late diagnosis and aggressive behavior. The prognosis is poor, with 5-year survival occurring in less than 5% of cases. AIM: To analyze demographic characteristics, comorbidities, type of procedure and early postoperative complications of patients with pancreatic cancer submitted to surgical treatment. METHODS: Cross-sectional study with analysis of 28 medical records of patients with malignant tumors of the pancreas in a 62 month. Data collection was performed from the medical records of the hospital. RESULTS: Of the total, 53,6% were male and the mean age was 60.25 years. According to the procedure, 53,6% was submitted to duodenopancreactectomy the remainder to biliodigestive derivation or distal pancreatectomy. The ductal adenocarcinoma occurred in 82,1% and 92,9% of tumors were located in the pancreatic head. Early postoperative complications occurred in 64,3% of cases and the most prevalent was intra-abdominal abscess (32,1%). Among duodenopancreactectomies 77,8% had early postoperative complications. CONCLUSION: Its necessary to encourage early detection of tumors of the pancreas to raise the number operations with curative intent. Refinements in surgical techniques and surgical teams can diminish postoperative complications and, so, operative morbimortality can also decrease over time.
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spelling pubmed-47432212016-02-24 Morbidity and mortality of pancreatic tumors undergoing surgical treatment ZENI, Luiza Bueno RUSSI, Ricardo Fantazzini FIALHO, Alexandre Faleiro FONSECA, Ana Luiza Pagani SOMBRIO, Lyara Schaefer ROCHA, Igor Cunha Arq Bras Cir Dig Original Article BACKGROUND: Pancreatic cancer has a high mortality rate due to late diagnosis and aggressive behavior. The prognosis is poor, with 5-year survival occurring in less than 5% of cases. AIM: To analyze demographic characteristics, comorbidities, type of procedure and early postoperative complications of patients with pancreatic cancer submitted to surgical treatment. METHODS: Cross-sectional study with analysis of 28 medical records of patients with malignant tumors of the pancreas in a 62 month. Data collection was performed from the medical records of the hospital. RESULTS: Of the total, 53,6% were male and the mean age was 60.25 years. According to the procedure, 53,6% was submitted to duodenopancreactectomy the remainder to biliodigestive derivation or distal pancreatectomy. The ductal adenocarcinoma occurred in 82,1% and 92,9% of tumors were located in the pancreatic head. Early postoperative complications occurred in 64,3% of cases and the most prevalent was intra-abdominal abscess (32,1%). Among duodenopancreactectomies 77,8% had early postoperative complications. CONCLUSION: Its necessary to encourage early detection of tumors of the pancreas to raise the number operations with curative intent. Refinements in surgical techniques and surgical teams can diminish postoperative complications and, so, operative morbimortality can also decrease over time. Colégio Brasileiro de Cirurgia Digestiva 2014 /pmc/articles/PMC4743221/ /pubmed/25626938 http://dx.doi.org/10.1590/S0102-67202014000400011 Text en http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
ZENI, Luiza Bueno
RUSSI, Ricardo Fantazzini
FIALHO, Alexandre Faleiro
FONSECA, Ana Luiza Pagani
SOMBRIO, Lyara Schaefer
ROCHA, Igor Cunha
Morbidity and mortality of pancreatic tumors undergoing surgical treatment
title Morbidity and mortality of pancreatic tumors undergoing surgical treatment
title_full Morbidity and mortality of pancreatic tumors undergoing surgical treatment
title_fullStr Morbidity and mortality of pancreatic tumors undergoing surgical treatment
title_full_unstemmed Morbidity and mortality of pancreatic tumors undergoing surgical treatment
title_short Morbidity and mortality of pancreatic tumors undergoing surgical treatment
title_sort morbidity and mortality of pancreatic tumors undergoing surgical treatment
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743221/
https://www.ncbi.nlm.nih.gov/pubmed/25626938
http://dx.doi.org/10.1590/S0102-67202014000400011
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