Treatment of Pancreatic and Periampullary Cancers at a Community Hospital: Successful Application of Tertiary Care Treatment Standards

Autor: Robert C. Moesinger, Jan W. Davis, Britani Hill, W. Cory Johnston, Carl Gray, Harold Johnson, Leslye Ingersoll, Gary Whipple, Mark Reilly, Robert Harris, Vincent Hansen
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: International Journal of Surgical Oncology, Vol 2011 (2011)
Druh dokumentu: article
ISSN: 2090-1402
2090-1410
DOI: 10.1155/2011/936516
Popis: Background. The treatment of pancreatic cancer and other periampullary neoplasms is complex and challenging. Major high-volume cancer centers can provide excellent multidisciplinary care of these patients but almost two-thirds of pancreatic cancer patients are treated at low volume centers. There is very little published data from low volume community cancer programs in regards to the treatment of periampullary cancer. In this study, a review of comprehensive periampullary cancer care at two low volume hospitals with comparison to national standards is presented. Methods. This is a retrospective review of 70 consecutive patients with periampullary neoplasms who underwent surgery over a 5-year period (2006–2010) at two community hospitals. Results. There were 51 successful resections of 70 explorations (73%) including 34 Whipple procedures. Mortality rate was 2.9%. Comparison of these patients to national standards was made in terms of operative mortality, resectability rate, administration of adjuvant therapy, clinical trial participation and overall survival. The results in these patients were comparable to national standards. Conclusions. With adequate commitment of resources and experienced surgical and oncologic practitioners, community cancer centers can meet national tertiary care standards in terms of pancreatic and periampullary cancer care.
Databáze: Directory of Open Access Journals
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