[Indications for right-sided and total pancreatectomy].

Abstract

The files were studied of 362 patients hospitalized in the Surgical Clinic from Tg. Mureş in the last 20 years with various primary or secondary pancreatic affections, and for whom curative, palliative or exploratory surgery was indicated. Of the total 307 had pancreatic cancers, 16 had Vater ampulomas, 23 had gastric cancers, and 5 had primary duodenal tumours. In six patients pseudotumoral chronic pancreatitis was found, 2 had retroperitoneal tumours, and 3 had pancreatic cysts, lymphoma of the spleen, and mesenteric tumour. A total of 212 palliative surgical interventions were performed, 75 radical interventions (pancreatic reactions), and in another 75 patients simple laparotomies were done. In 45 of the pancreatic resections the duodenum was also removed. The other 30 cases included 6 total resections, 6 subtotal pancreatic resections and 18 resections of the left part of the pancreas.