Prognostic factors of survival for patients with duodenal papilla carcinoma after pancreaticoduodenectomy

中华普通外科杂志 Pub Date : 2019-12-25 DOI:10.3760/CMA.J.ISSN.1007-631X.2019.12.002

Xueliang Fu, JianYu Yang, De-Jun Liu, Y. Huo, Wei Liu, Jun-Feng Zhang, R. Hua, Yong-wei Sun

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Abstract

Objective To investigate the prognostic factors of survival for patients with duodenal papilla carcinoma (DPC) after pancreaticoduodenectomy. Methods 98 DPC patients undergoing pancreaticoduodenectomy with follow-up from Jan 2010 to Dec 2017 at Renji Hospital, School of Medicine, Shanghai Jiao Tong University were analyzed retrospectively. Results 80 Cases were followed up. The 1, 3, and 5 year survival rates of 80 patients were 89.9%, 72.4%, and 66.6%, respectively. Univariate analysis showed tumor size, T stage, N stage, TNM stage, tissue differentiation degree were related to postoperative survival(all P<0.05). Multivariate analysis showed that tumor size, N stage, TNM stage, and tissue differentiation degree were independent factors influencing postoperative prognosis(all P<0.05). Conclusions Tumor size, N stage, TNM stage and tumor tissue differentiation degree were independent factors influencing the prognosis of DPC after pancreaticoduodenectomy, suggesting that early diagnosis, early treatment and radical resection were the key to improve the postoperative prognosis of DPC. Key words: Duodenal neoplasms; Pancreaticoduodenectomy; Prognosis

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胰十二指肠切除术后十二指肠乳头癌患者生存预后因素分析

目的探讨影响十二指肠乳头癌（DPC）患者胰十二指肠切除术后生存的预后因素。方法对2010年1月至2017年12月在上海交通大学医学院仁济医院接受胰十二指肠切除术并随访的98例DPC患者进行回顾性分析。结果随访80例。80例患者的1年、3年和5年生存率分别为89.9%、72.4%和66.6%。单因素分析显示肿瘤大小、T分期、N分期、TNM分期、组织分化程度与术后生存率相关（均P<0.05）。多因素分析显示，肿瘤大小、N分期，TNM分期和肿瘤组织分化程度是影响胰十二指肠切除术后DPC预后的独立因素，提示早期诊断、早期治疗和根治性切除是改善DPC术后预后的关键。关键词：十二指肠肿瘤；胰十二指肠切除术；预后

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中华普通外科杂志

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