Tratamiento quirúrgico del cáncer de la ampula de Vater
Abstract
Se analizan 9 casos de cáncer de ámpula de Vater, intervenidos en el Hospital Carlos Andrade Marín, en el año 1994. A ocho enfermos se les realizó, duodenopancreatectomía con preservación del píloro más linfadenectomía retroperitoneal, a un paciente se efectuó pancreaticoduodenectomía cefáUca con la clásica técnica de Whipple. Cuatro pacientes son hombres; 5 mujeres; los síntomas son de ictericia obstructiva más pérdida de peso, y se inician entre 5 y 1 mes antes de su ingreso. El diagnóstico se realizó mediante la biopsia del tumor con la endoscopia digestiva alta y la calingiografía retrógrada en todos los casos. Cuatro pacientes presentaron complicaciones postoperatorias; un hemoperitoneo que necesitó reintervención quirúrgica a las 48 horas, 2 fístulas de la anastomosis biliodigestiva, 1 úlcera en la neoboca duodenoentérica; en estos 3 enfermos hubo ectasia gástrica transitoria. En ocho enfermos el tumor invadía el páncreas. En el postoperatorio todos los pacientes recuperaron peso.
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
References
1. Süverberg E . American Cáncer Society Cáncer Statistiens 1986; 36: 9-16.
2. Jochimsen PR; Nathan W; Pearlman. Course and-Treatment results of young patients with carcinoma of the páncreas. Surgery Obs 1977; 144: 132-34.
3. INEC Anuarios de estadísticas hospitalarias 1985 a 1993.
4. INEC Anuarios de estadísticas vitales, nacimientos y defunciones 1985 a 1993.
5. Cáncer en Quito. Registro Nacional de tumores 1992.
6. Monge J . J ; Judd E . S ; Gage R.P. Radical pancreatoduodenectomy. Anri Surg. 1964. 160: 711-22.
7. Neoptolemus J.P; Talbot IC, Carr locke D. L Treatment and outcome in 52 consecutive cases of ampulary carcinoma. Br. J . Surgery 1987; 74: 957-61.
8. Whipple AO. Parsons WB; Mullen CR. Treatment of carcinoma of the ampuUa of Vater. Ann Surg; 1935, 102: 763-79.
9. Whipple AO. Pancreaticoduodenectomy for islot carcinoma a five year follow up. Ann. Surg; 1945; 847-52.
10. Watson K; Carcinoma of ampulla of Vater; Sucessful radical resection Br. J . Surg. 1944, 31: 368-73.
11. Traverso LW; longmire LW. Preservation of the pylorus in pancreaticoduodenectomy Sur. Ginecol. Obstet. 1978; 146: 959-62.
12. Itani, K.M; Coleman R E . Pylorus preserving pancreaticoduodenectomy. A clinical and physiological appraisal. Ann. Surg. 1986; 204: 655-66.
13. Warschaw A L ; Torchiana D L Delayed gastric emptying after pylorus preserving pancreatoduodenectomy. Surg. Ginecol. Obstet 1985; 160: 1-4
14. Newman KD; Braasch JW, Rossi R L Pibric and gastric preservation with pancreatoduódenectomy. Am. J . Surgery 1983; 145: 152-6.
15. Martin FM; Rossi R L ; Braasch JW. Pylorus-preserving pancreatoduódenectomy. Results with 126 consecutive patients. Neth J . Surg. 1988. World Congress on HPB Surgery (Suppl) 194.
16. Moossa AR; Surgical treatment of cronic pancreatitis: an overview. Br. J . Surg. 1987, 74: 661-7.
17. Grace P. A. Pitt, HA; Ix)ngmijre WP. Ia pancreatoduodenectomía con conservación del píloro, una visión de conjunto. Br. J . Surg (Ed. Esp) Volumen 4 No. 6 1990^ 495-99.
18. Moossa AR; Pancreatic Cáncer. Approach to diagnosis selection of surgery and choice of operation Cáncer 1982; 50: 2689-98.
19. Sharp Kw; Ross CB; Falter S.A. et.al. Pancreatoduódenectomy with pilarle preservation for carcinoma of the páncreas A cautionary note. Surgery 1989; 105:645-53.
20. Mosca F; Guüianot; PE; Arganini M; Brand IS. Pancreaticoduodenectomy with pylorus preservation It. J . Surg. Sei 1984; 14: 313-20.
21. Braasch JW; Pancreaticoduodenal resection. Curr. Probl. Surg. 1988; 25: 323-63.
22. Tarazi R Y; F£rman R E ; Vogh DP; et al Results of surgical treatment of periampulary tumours 35 years experience. Surgery 1986; 100 : 716-22.
23. Connolly MM; Dawson P.J.; Michelassi F . Moosa AR. Lowenstein F . Survival in 1001 patiaits with carcinoma of the páncreas Ann. Surg. 1987; 206: 366-73. 2
24. Crist D.W; Sitzmann JV; Cameron J L Improved hospital morbidity, mortality and survival after the Whipple procedure. Ann Surg. 1987 : 358-65.
25. Braasch JW; Rossi R L ; Watkins E ; Pilory and patrie preserving pancreatic resection Ann. Surg. 1986; 204: 411-8.
26. Japan Páncreas Society. General Rules for surgei-y and pathological studies on cáncer of the páncreas (abstract in English) 3ra Ed. Tokyo: Kanehara 1986: 2-5.
27. Desjardius A. Technique de la pancreatectomie Rev. Chir 1907; 35: 945-73.
28. Flautner L Tihanyi, T. Szecseny, A. Pancreatogastrostomy an ideal complement to pancreatic head resection with preservation of the pylorus in the treatment of cronic pancreatitis Ann. J . Surg. 1985; 150: 608-11.
29. Nagakawa, T; Kobayashi H; Ueno, K; Ohta, K; Kayahara m; et al. Clinical study of limphatic flow to the paraaortic limph'nodes in carcinoma of the head of the páncreas. Cáncer 1994; 73: 1155-62.
30. Cubilla A L Fortner J.G; Fitzgerald P.J; Limph node involvement in carcinoma of head of the páncreas área. Cáncer 1978; 41: 880-7.
31. Eagihara, K ; experimental and clinicopathological studies on limphatic flow of the páncreas. Igaku Kenkyu 1982; 52: 61-85 (in japanese).
32. Nakao, A; Takeda, N ; Kasuga, T ; Significance of dissection of paraortic limph nodes in pancreatic cáncer. Jpn. J . Surg. Ass. 1990, 21: 23-6 (in Ja-panesej.
33. Kim, ¥€; Suzuki T, Kajiwara, T; Miyasiiita, T; Tobe, T; Exocrine and endocrine stomacha after gastro bulbar preserving pancreatoduonenectomy. Ann. Surg. 1987; 206: 717-27.
34. Braash, J.W, Rossi R L , Walkings, E , Winter PF. Piloric and gastric preserving pancreatic resection Ann. Surg. 1986; 205: 411-8.
35. Williamson, RCN; Cooper, MJ; Resection in cronic pancreatitis Br. J Surg. 1987; 74: 807-12.
36. Braasch, JW; Gongliang Y; Rossi, R, Pancreatoduódenectomy with preservation of the püorus. World J . Surg. 1984, 8: 900-5.
37. Braasch JW; Rossi R. Pyloric and gastric preserving pancreatic resection. Experience with 87 patients Ann. Sui^. 1988; 204: 411-5.
38. Belli, U Riólo, F; Romani, F, et.al. Pylorus preserving pancreaticoduodenectomy, versus Whipple procedure for adenocarcinoma of the head of the páncreas H.P.B. Surg. 1989; 1: 195-200.
39. Kairaluoma, M.I; Stahlberg, M; Kiwimieni, H; Pancreatic resection for carcinoma of the pancreas and periampullar región HPB. Surg. 1990; 2: 57-67.
40. Fortner J.G. Regional pancreatectomy for cáncer of the páncreas ampulla, and other related sites. Ann. Surg. 1984; 199: 418-425.
2. Jochimsen PR; Nathan W; Pearlman. Course and-Treatment results of young patients with carcinoma of the páncreas. Surgery Obs 1977; 144: 132-34.
3. INEC Anuarios de estadísticas hospitalarias 1985 a 1993.
4. INEC Anuarios de estadísticas vitales, nacimientos y defunciones 1985 a 1993.
5. Cáncer en Quito. Registro Nacional de tumores 1992.
6. Monge J . J ; Judd E . S ; Gage R.P. Radical pancreatoduodenectomy. Anri Surg. 1964. 160: 711-22.
7. Neoptolemus J.P; Talbot IC, Carr locke D. L Treatment and outcome in 52 consecutive cases of ampulary carcinoma. Br. J . Surgery 1987; 74: 957-61.
8. Whipple AO. Parsons WB; Mullen CR. Treatment of carcinoma of the ampuUa of Vater. Ann Surg; 1935, 102: 763-79.
9. Whipple AO. Pancreaticoduodenectomy for islot carcinoma a five year follow up. Ann. Surg; 1945; 847-52.
10. Watson K; Carcinoma of ampulla of Vater; Sucessful radical resection Br. J . Surg. 1944, 31: 368-73.
11. Traverso LW; longmire LW. Preservation of the pylorus in pancreaticoduodenectomy Sur. Ginecol. Obstet. 1978; 146: 959-62.
12. Itani, K.M; Coleman R E . Pylorus preserving pancreaticoduodenectomy. A clinical and physiological appraisal. Ann. Surg. 1986; 204: 655-66.
13. Warschaw A L ; Torchiana D L Delayed gastric emptying after pylorus preserving pancreatoduodenectomy. Surg. Ginecol. Obstet 1985; 160: 1-4
14. Newman KD; Braasch JW, Rossi R L Pibric and gastric preservation with pancreatoduódenectomy. Am. J . Surgery 1983; 145: 152-6.
15. Martin FM; Rossi R L ; Braasch JW. Pylorus-preserving pancreatoduódenectomy. Results with 126 consecutive patients. Neth J . Surg. 1988. World Congress on HPB Surgery (Suppl) 194.
16. Moossa AR; Surgical treatment of cronic pancreatitis: an overview. Br. J . Surg. 1987, 74: 661-7.
17. Grace P. A. Pitt, HA; Ix)ngmijre WP. Ia pancreatoduodenectomía con conservación del píloro, una visión de conjunto. Br. J . Surg (Ed. Esp) Volumen 4 No. 6 1990^ 495-99.
18. Moossa AR; Pancreatic Cáncer. Approach to diagnosis selection of surgery and choice of operation Cáncer 1982; 50: 2689-98.
19. Sharp Kw; Ross CB; Falter S.A. et.al. Pancreatoduódenectomy with pilarle preservation for carcinoma of the páncreas A cautionary note. Surgery 1989; 105:645-53.
20. Mosca F; Guüianot; PE; Arganini M; Brand IS. Pancreaticoduodenectomy with pylorus preservation It. J . Surg. Sei 1984; 14: 313-20.
21. Braasch JW; Pancreaticoduodenal resection. Curr. Probl. Surg. 1988; 25: 323-63.
22. Tarazi R Y; F£rman R E ; Vogh DP; et al Results of surgical treatment of periampulary tumours 35 years experience. Surgery 1986; 100 : 716-22.
23. Connolly MM; Dawson P.J.; Michelassi F . Moosa AR. Lowenstein F . Survival in 1001 patiaits with carcinoma of the páncreas Ann. Surg. 1987; 206: 366-73. 2
24. Crist D.W; Sitzmann JV; Cameron J L Improved hospital morbidity, mortality and survival after the Whipple procedure. Ann Surg. 1987 : 358-65.
25. Braasch JW; Rossi R L ; Watkins E ; Pilory and patrie preserving pancreatic resection Ann. Surg. 1986; 204: 411-8.
26. Japan Páncreas Society. General Rules for surgei-y and pathological studies on cáncer of the páncreas (abstract in English) 3ra Ed. Tokyo: Kanehara 1986: 2-5.
27. Desjardius A. Technique de la pancreatectomie Rev. Chir 1907; 35: 945-73.
28. Flautner L Tihanyi, T. Szecseny, A. Pancreatogastrostomy an ideal complement to pancreatic head resection with preservation of the pylorus in the treatment of cronic pancreatitis Ann. J . Surg. 1985; 150: 608-11.
29. Nagakawa, T; Kobayashi H; Ueno, K; Ohta, K; Kayahara m; et al. Clinical study of limphatic flow to the paraaortic limph'nodes in carcinoma of the head of the páncreas. Cáncer 1994; 73: 1155-62.
30. Cubilla A L Fortner J.G; Fitzgerald P.J; Limph node involvement in carcinoma of head of the páncreas área. Cáncer 1978; 41: 880-7.
31. Eagihara, K ; experimental and clinicopathological studies on limphatic flow of the páncreas. Igaku Kenkyu 1982; 52: 61-85 (in japanese).
32. Nakao, A; Takeda, N ; Kasuga, T ; Significance of dissection of paraortic limph nodes in pancreatic cáncer. Jpn. J . Surg. Ass. 1990, 21: 23-6 (in Ja-panesej.
33. Kim, ¥€; Suzuki T, Kajiwara, T; Miyasiiita, T; Tobe, T; Exocrine and endocrine stomacha after gastro bulbar preserving pancreatoduonenectomy. Ann. Surg. 1987; 206: 717-27.
34. Braash, J.W, Rossi R L , Walkings, E , Winter PF. Piloric and gastric preserving pancreatic resection Ann. Surg. 1986; 205: 411-8.
35. Williamson, RCN; Cooper, MJ; Resection in cronic pancreatitis Br. J Surg. 1987; 74: 807-12.
36. Braasch, JW; Gongliang Y; Rossi, R, Pancreatoduódenectomy with preservation of the püorus. World J . Surg. 1984, 8: 900-5.
37. Braasch JW; Rossi R. Pyloric and gastric preserving pancreatic resection. Experience with 87 patients Ann. Sui^. 1988; 204: 411-5.
38. Belli, U Riólo, F; Romani, F, et.al. Pylorus preserving pancreaticoduodenectomy, versus Whipple procedure for adenocarcinoma of the head of the páncreas H.P.B. Surg. 1989; 1: 195-200.
39. Kairaluoma, M.I; Stahlberg, M; Kiwimieni, H; Pancreatic resection for carcinoma of the pancreas and periampullar región HPB. Surg. 1990; 2: 57-67.
40. Fortner J.G. Regional pancreatectomy for cáncer of the páncreas ampulla, and other related sites. Ann. Surg. 1984; 199: 418-425.
Downloads
Published
2017-06-29
How to Cite
1.
Chávez Estrella J, Chávez Guerrero M. Tratamiento quirúrgico del cáncer de la ampula de Vater. Rev Fac Cien Med (Quito) [Internet]. 2017 Jun. 29 [cited 2024 Dec. 19];20(1-2):10-21. Available from: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/793
Issue
Section
ARTÍCULOS ORIGINALES
