Indications for and the technique of local resection of tumors of the papilla of Vater.

Journal Article (Journal Article)

Local resection of tumors of the papilla of Vater was performed in six cases (three benign adenomas and three adenocarcinomas). Pathology was suggested in all cases by endoscopic biopsy and confirmed by operative excision. A method of excision of the tumor and reconstruction of the pancreaticobiliary apparatus was used that eliminated all gross and microscopic disease. Only one of the patients with benign disease (familial polyposis) suffered from local recurrence. All three patients with malignant tumors developed local recurrences within 2 years of resection. Local resection seems to be a viable alternative to Whipple's resection in patients with benign tumors. In malignant cases, local resection should be considered only a palliative procedure and confined to elderly patients with severe concomitant disease and patients in whom a more radical procedure would incur an undue surgical risk.

Full Text

Duke Authors

Cited Authors

  • Farouk, M; Niotis, M; Branum, GD; Cotton, PB; Meyers, WC

Published Date

  • May 1991

Published In

Volume / Issue

  • 126 / 5

Start / End Page

  • 650 - 652

PubMed ID

  • 2021350

International Standard Serial Number (ISSN)

  • 0004-0010

Digital Object Identifier (DOI)

  • 10.1001/archsurg.1991.01410290128026


  • eng

Conference Location

  • United States