Second pancreatectomy for recurrent pancreatic ductal adenocarcinoma in the remnant pancreas : A pooled analysis

Copyright © 2016 IAP and EPC. Published by Elsevier B.V. All rights reserved..

OBJECTIVES: The aim of this study was to examine the outcomes of second pancreatectomy for the treatment of recurrent pancreatic ductal adenocarcinoma (PDAC) in the remnant pancreas.

METHOD: Search of the PubMed database was undertaken to identify relevant English language studies. Pooled individually data were examined for clinical outcomes after second pancreatectomy for recurrent PDAC.

RESULTS: A total of 19 articles involving 55 patients were eligible for inclusion. The median disease-free interval after initial resection was 33 (range 7-143) months. Of the 55 patients reported, 52 (94.5%) patients underwent completion total pancreatectomy in the second operation for recurrences, including 15 patients who developed recurrences more than 5 years after the initial operation. There was no perioperative death. The 1-, 3- and 5-year overall survival rate after the second pancreatectomy was 82.2%, 49.2% and 40.6% respectively.

CONCLUSION: Second pancreatectomy for recurrent PDAC can be performed safely with long-term survival in selected patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al. - 16(2016), 6 vom: 15. Nov., Seite 1124-1128

Sprache:

Englisch

Beteiligte Personen:

Zhou, Yanming [VerfasserIn]
Song, Ailing [VerfasserIn]
Wu, Lupeng [VerfasserIn]
Si, Xiaoying [VerfasserIn]
Li, Yumin [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Meta-Analysis
Pancreatectomy
Pancreatic ductal adenocarcinoma
Prognosis
Recurrence
Review

Anmerkungen:

Date Completed 04.04.2017

Date Revised 01.12.2017

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.pan.2016.09.015

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM265116015