TABLE 1.
Published series on surgical resection of duodenal adenocarcinoma
Study | Study period | Total no. patients resected | PD, n (%) | 5-year survival (%) | Predictors of survival
|
||
---|---|---|---|---|---|---|---|
Nonpredictors | Univariate | Multivariate | |||||
Alwmark et al.11 | 1958–1973 | 19 | 12 (63) | 25 | – | – | – |
Ouriel et al.6 | 1950–1981 | 19 | 11 (58) | 30/65a | – | Histologic grade, nodal metastasis | – |
Lowell etal.12 | 1970–1991 | 17 | 8 (47) | 45 | – | First/second portion of duodenum | – |
Barnes et al.7 | 1967–1991 | 36 | 27 (75) | 54 | Nodal metastasis | Stage | – |
Delcore et al.13 | 1960–1990 | 28 | 21 (75) | 60 | – | GI bleeding, symptomatic >4 months, nodal metastasis | – |
Rotman et al.14 | 1978–1988 | 46 | 38 (83) | 45 | Gender, age, weight loss, jaundice, T stage, tumor size, pancreatic invasion nodal metastasis, location of metastatic nodes | – | – |
Sexe et al.20 | 1987–1991 | 34 | 31 (91) | 23 | AJCC stage | – | – |
Sohn et al.21 | 1984–1996 | 48 | 35 (73) | 53 | Nodal metastasis, adjuvant chemoradiation, tumor size, histologic grade | Positive margins, segmental resection, tumor in Third/fourth portion of duodenum | – |
Bakaeen et al.15 | 1976–1996 | 68 | 50 (74) | 54 | Histologic grade, tumor size, location in duodenum, adjuvant chemoradiation | Age, weight loss, T stage, nodal metastasis, AJCC stage | Weight loss, positive margins, nodal metastasis, AJCC stage |
Kaklamanos et al.8 | 1978–1998 | 37 | 26 (70) | 30/60a | Age, gender, grade, T stage | Nodal metastasis | Nodal metastasis |
Ryder et al.9 | 1957–1998 | 31 | 27 (87) | 43 | Nodal metastases, location in duodenum, type of resection, adjuvant chemoradiation | Tumor size, histologic grade, transmural invasion | |
Sarela etal.10 | 1983–2000 | 72 | 56 (78) | 71 | Gender, grade, T stage | Age, nodal metastasis | Age, nodal metastasis |
Hurtuk et al.16 | 1984–2005 | 35 | 24 (69) | 45 | Grade, positive margins, nodal metastasis, venous or perineural invasion | T4, tumor ≤ 3.5 cm | – |
Lee et al.19 | 1995–2007 | 28 | 27 (96) | 44 | Age, gender, weight loss, CA19-9, grade, tumor size | T stage, nodal metastasis, AJCC stage | Nodal metastasis |
Han et al.17 | 1990–2006 | 22 | 18 (82) | 30 | – | Positive margins | – |
Struck et al.18 | 1989–2006 | 30 | 25 (83) | 33 (3 y) | Positive margins, T stage, adjuvant therapy | – | Nodal metastasis, stage |
Current study | 1984–2006 | 112 | 112 (100) | 48 | T stage, tumor size | Grade, positive margins, perineural invasion, nodal metastasis, vascular invasion | Nodal metastasis, |
PD pancreaticoduodenectomy, GI gastrointestinal
After segmental resection/pancreaticoduodenectomy