Radioactive

Liver metastases Pancreatic cancer Permanent implantation Radioactive 125I seeds Radiotherapy Therapeutic effect

Journal

World journal of clinical cases
ISSN: 2307-8960
Titre abrégé: World J Clin Cases
Pays: United States
ID NLM: 101618806

Informations de publication

Date de publication:
06 Feb 2021
Historique:
received: 16 11 2020
revised: 03 12 2020
accepted: 11 12 2020
entrez: 15 2 2021
pubmed: 16 2 2021
medline: 16 2 2021
Statut: ppublish

Résumé

Preoperative diagnosis rate of pancreatic cancer has increased year by year. The prognosis of pancreatic cancer patients with unexpected liver metastasis found by intraoperative exploration is very poor, and there is no effective and unified treatment strategy. To evaluate the therapeutic effect of radioactive The demographics and perioperative outcomes of patients who underwent Preoperative imaging evaluation of all patients in this study showed that the tumor was resectable without liver metastasis. There were 26 patients in this study, including 18 males and 8 females, aged 60.5 ± 9.7 years. The most common tumor site was the pancreatic head (17, 65.4%), followed by the pancreatic neck and body (6, 23.2%) and pancreatic tail (3, 11.4%). Fourteen patients (53.8%) underwent palliative surgery and postoperative pain relief occurred in 22 patients (84.6%). The estimated blood loss in operation was 148.3 ± 282.1 mL and one patient received blood transfusion. The postoperative hospital stay was 7.6 ± 2.8 d. One patient had biliary fistula, one had pancreatic fistula, and all recovered after conservative treatment. After operation, 7 patients received chemotherapy and 19 did not. The 1-year survival rate was significantly higher in patients who received chemotherapy than in those who did not (68.6% Radioactive

Sections du résumé

BACKGROUND BACKGROUND
Preoperative diagnosis rate of pancreatic cancer has increased year by year. The prognosis of pancreatic cancer patients with unexpected liver metastasis found by intraoperative exploration is very poor, and there is no effective and unified treatment strategy.
AIM OBJECTIVE
To evaluate the therapeutic effect of radioactive
METHODS METHODS
The demographics and perioperative outcomes of patients who underwent
RESULTS RESULTS
Preoperative imaging evaluation of all patients in this study showed that the tumor was resectable without liver metastasis. There were 26 patients in this study, including 18 males and 8 females, aged 60.5 ± 9.7 years. The most common tumor site was the pancreatic head (17, 65.4%), followed by the pancreatic neck and body (6, 23.2%) and pancreatic tail (3, 11.4%). Fourteen patients (53.8%) underwent palliative surgery and postoperative pain relief occurred in 22 patients (84.6%). The estimated blood loss in operation was 148.3 ± 282.1 mL and one patient received blood transfusion. The postoperative hospital stay was 7.6 ± 2.8 d. One patient had biliary fistula, one had pancreatic fistula, and all recovered after conservative treatment. After operation, 7 patients received chemotherapy and 19 did not. The 1-year survival rate was significantly higher in patients who received chemotherapy than in those who did not (68.6%
CONCLUSION CONCLUSIONS
Radioactive

Identifiants

pubmed: 33585625
doi: 10.12998/wjcc.v9.i4.792
pmc: PMC7852643
doi:

Types de publication

Journal Article

Langues

eng

Pagination

792-800

Informations de copyright

©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict-of-interest statement: All authors declare no conflicts of interest related to this article.

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Auteurs

Cheng-Gang Li (CG)

Second Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China. lcgang301@126.com.

Zhi-Peng Zhou (ZP)

Second Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China.

Yu-Ze Jia (YZ)

Second Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China.

Xiang-Long Tan (XL)

Second Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China.

Yu-Yao Song (YY)

Second Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China.

Classifications MeSH