This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Outcome after surgical resection for duodenal adenocarcinoma in the UK. BJS 2015; 102: 676-681.
Published: 16th March 2015
Authors: L. Solaini, N. B. Jamieson, M. Metcalfe, M. Abu Hilal, Z. Soonawalla, B. R. Davidson et al.
Background
Factors influencing long‐term outcome after surgical resection for duodenal adenocarcinoma are unclear.
Method
A prospectively created database was reviewed for patients undergoing surgery for duodenal adenocarcinoma in six
Results
Resection with curative intent was performed in 150 (84·3 per cent) of 178 patients. The postoperative morbidity rate for these patients was 40·0 per cent and the in‐hospital mortality rate was 3·3 per cent. Patients who underwent resection had a better median survival than those who had a palliative surgical procedure (84
Conclusion
Resection of duodenal adenocarcinoma in specialist centres is associated with good long‐term survival. Lymphovascular invasion and nodal metastases are independent prognostic indicators.
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