Pancreatic Cancer-Clinical Analysis of 122 Cases from 1975 to 1982

Abstract

The clinical course of 122 patients with pancreatic cancer seen at Seoul National University Hospital were analysed dividing into two periods: 1975-78 and 1979-82. In respect to the more imporved diagnostic tools such as ultrasonography(US) and computed tomography(CT), the sensitivity of US behind CT, as 65% for US and 90% for CT. We didn't find any significant change of survival between two periods. For the resectable cases we prefer Whipple's operation rather than total pancreatectomy, because the latter produces more morbidity and no significant prologation of survival. We did not routinely perform dual bypass procedure when doing bypass surgery in patients with non-resectable tumor. As for the prognostic factors, tumor size below 2 ern, negative capsular and major vessels invasion showed a trend toward a good prognosis.