Surgical treatment for periampullary carcinoma: a study of 129 patients.

The results of operations on 129 cases of periampullary carcinoma performed in our department during the period from January 1969 to June 1983 were studied. The rates of resection in ampullary carcinoma and inferior bile duct carcinoma were high, while the rate in pancreas head carcinoma was low. The operative mortality in resected cases was as low as 4. 3%. The number of longer survival for over five years was 1 case of inferior bile duct carcinoma (33. 3 %) and 6 cases of ampullary carcinoma (60. 0%), all showing no serosal infiltration and non-presence of metastasis to lymphnodes. The five-year survival case of pancreas head carcinoma was only 1 (10. 0 %) which was found by chance, and its prognosis was poor. The curative resectability of pancreaticoduodenectomy for ampullary caricnoma and inferior bile duct carcinoma was recognized, but the resectability of pancreaticoduodenectomy for pancres head carcinoma was low. This is our problem to solve in future.