期刊
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
卷 23, 期 7, 页码 432-441出版社
SPRINGER JAPAN KK
DOI: 10.1002/jhbp.362
关键词
Adenocarcinoma of pancreas; Distal pancreatectomy; Left pancreatectomy; RAMPS; Standardized tabular reporting
BackgroundThe purpose of this report is to present results of the radical antegrade modular pancreatosplenectomy (RAMPS) procedure in 78 patients from a single center. MethodsSeventy-eight patients had RAMPS procedure over 13 years. A database dealing with RAMPS for adenocarcinoma of the pancreas was constructed so that it could be converted into a set of tables. Each table covered one element of the subject. The database was populated from clinical records of patients who had a RAMPS procedure from 1999 to 2013. ResultsFifty-six patients had anterior RAMPS and 22 had posterior RAMPS. Negative tangential margins were obtained in 94% of specimens. Overall the R0 rate was 85%. Mean lymph node count was 20. There were no 30-day or in-hospital mortalities but two patients died within 90 days. Pancreatic fistula and need for postoperative transfusion were the most common complications. Median survival was 24.6 months and 5-year overall actuarial survival was 25.1%. ConclusionsThe RAMPS technique resulted in high negative tangential margin rates and good lymph node retrieval. The long-term survival result in 78 patients is probably an accurate reflection of what is possible with this tumor using this technique at this time.
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