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  • Title: [Surgical treatment of malignant neoplasms of the pancreatoduodenal zone].
    Author: Shalimov AA, Shalimov SA, Zemskov VS, Radzikhovskiĭ AP.
    Journal: Vestn Khir Im I I Grek; 1978 Jul; 121(7):6-11. PubMed ID: 211689.
    Abstract:
    The experience with surgical treatment of 866 patients with malignant neoplasms of the pancreato-duodenal zone is analyzed. Radical operations were carried out upon 220 (25.4%) patients, palliative ones-upon 459 (52.8%) and laparotomies-upon 187 (22.7%) patients. The authors draw the conclusion that a one-stage pancreato-duodenal resection is the operation of choice for cancer of the Vater's papilla, distal portion of the common bile duct and of the head of the pancreas. Extended pancreato-duodenal resections with excision of a segment of the portal or the superior mesenteric veins are indicated when adhesion of tumor and the venous wall makes the only contraindication to the radical operation.
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