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. Author manuscript; available in PMC: 2012 Jun 1.
Published in final edited form as: Arch Surg. 2011 Jun;146(6):724–732. doi: 10.1001/archsurg.2011.129

Table 4.

Type and result of surgery, follow-up and complications

Result Number (%)
Tumor resected 42 (95%)(a)
 Primary only 12 (27%)
 With lymph node metastases 30 (68%)
 With liver metastases 18 (41%)
Type Primary surgery
 Enucleation 5 (12%)
 Resection 36 (86%)
 Partial pancreatectomy 23 (55%)
 Whipple resection 10 (23%)
 Total pancreatectomy 2 (5%)
Liver resection 19 (45%)
 Wedge resection 10 (23%)
 Lobectomy 9 (21%)(b)
Vascular reconstruction 9 (21%)
 SMV-portal vein 9 (21%)
 SMA 1 (2%)
Surgical complications
 Surgical death 0 (0%)
 Complications 12(28%)(c)
Surgical result
 Immediate tumor free 18 (42%)(d)
 Recurrence 5 (12%) (d)
 Time to recurrence years
  Mean ± SEM 1.7 ± 0.6
  [range] [0.5-3]
 Long term disease-free 14 (33%)(d)
Status Last follow-up
 Alive 34 (77%)
 Dead 10 (23%)
 Years surgery to death
  Mean ± SEM 5.5 ± 0.3
  [range] [3-8]
Duration of follow-up (yrs)
 Time from surgery
  Mean ± SEM 5.7 ± 1.0
  [range] [1.3-21.2]
 Time from diagnosis
  Mean ± SEM 12.7 ± 1.2
  [range] [3.9-25.8]
 Other anti-tumor treatment 18 (43%)
  Chemotherapy 12 (28%)
  Other 10 (23%)(e)
(a)

Percentage based on 24 patients who underwent surgical exploration. Two patients had unresectable disease. See Table 3 footnote.

(b)

Include a trisegmentectomy (n=1), l hepatic lobe resection(n=4), and segmentectomy (n=4)

(c)

Complications include postoperative pancreatitis (n=1), abscess (n=4), wound infection (n=3), bile duct injury (n=1), leak at pancreaticojejunostomy (n=2) and ischemic bowel (n=1).

(d)

Disease free status and recurrence based on serial imaging studies as described in Methods

(e)

Patients treated with alpha-interferon (n=2), somatostatin analogues (n=9) or PRRT (n=1). Two that received alpha-interferon also got somatostatin analogues