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M. Scott Beall, MD; Gary A. Dyer, MD; Hugh E. Stephenson, Jr, MD

AMA Arch Surg. 1970;101(4):461-465.

Abstract
Only 8% of cancers of the pancreas, duodenum, and common bile ducts, in patients admitted over a 14-year period, qualified for curative resections. To date, among 275 cases, there is but one five-year survivor. In spite of these disappointments, a nihilistic approach to pancreaticoduodenal malignancy is not warranted. Patients receiving palliative procedures survived longer than those without surgery, and pancreaticoduodenectomy generally afforded a longer survival than patients undergoing palliative procedures. Among the patients with resectable lesions of the ampulla of Vater, there were no postoperative deaths even though all but two were in the seventh decade. These patients represent survivals so far from 9 to 74 months. The increasing incidence of cancer of the pancreas makes apparent an increased need for the training of the surgeon well versed in the performance of pancreatic resection.

Author Affiliations
Ann Arbor, Mich; Columbia, Mo

From the departments of surgery, University of Michigan Medical Center, Ann Arbor, Mich (Dr. Beall), and University of Missouri School of Medicine, Columbia, Mo (Drs. Dyer and Stephenson).

Footnotes
Accepted for publication May 21, 1970.

Reprint requests to Department of Surgery, University of Missouri, N 323 University Medical Center, Columbia, Mo. 65201 (Dr. Stephenson).

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