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      • Management of a Surgical Treatment of Patients with Pancreatic Cancer

        ( Marat Kuzikeyev ),( Timur Nasritdinov ),( Abay Jumanov ),( Sergey Lashkul ),( Innara Turkpenova ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1

        Aims: In this study our purpose is analysis of retrospective patients with I-III stages which went to the surgery and postoperative chemo - and radiotherapy in Kazakh Scientific Research Institute of Oncology and Radiology. Methods: Totally 64 patients between 2009 and 2016 underwent surgical treatment of pancreatic cancer and follow-up. Which of them: pancreatoduodenal resection was performed in 37 patients, corpocaudal resection in 12 patients, distal pancreas resection in 12 patients, total pancreatectomy performed to 3 patients. Resequence in pancreatic head cancer was 25.5%, with carcinoma of the body and tail - 10.1%. Results: Postoperative mortality for pancreatoduodenal resection was 8.7% (in the last 5 years - 3.5%), distal resection was 13.3%. The average life expectancy after pancreatoduodenal resection was 17.4 months, pancreatectomy - 8 months, distal subtotal pancreas resection - 11.2 months. Three years after pancreatoduodenal resections, 14.7% lived, and the 5-year survival rate was 4.4%. After palliative surgery, the average life expectancy was 5.2 months. The best long-term results were observed when applying a complex and combined treatment. In distal pancreas resection postoperative use of SBRT/IMRT radiation therapy or induced chemotherapy, give almost same results. In this way, improvement of the treatment results of pancreatic cancer is possible with early diagnosis and applying of complex and combined treatment. Patients should be classified and treated with a multidisciplinary approach at specialized centers. Conclusions: In this way, improvement of the treatment results of pancreatic cancer is possible with early diagnosis and applying of complex and combined treatment. Patients should be classified and treated with a multidisciplinary approach at specialized centers.

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