{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T23:40:02Z","timestamp":1723074002412},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":3652,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1990,1]]},"abstract":"<jats:p>410 patients were treated for pancreatic and periampullary carcinoma in 1968\u20131987 of whom 89 (21.5%)\n            underwent resection. Hospital mortality decreased from 33% in 1968\u20131972 to 0% in 1983\u20131987, but the\nmorbidity rate remained unchanged. The trends were similar in patients \u2265 70 and &lt; 70 years of age. The\npylorus\u2010saving technique did not increase mortality, morbidity, operative blood loss or the incidence of\ndelayed gastric emptying, but it did reduce the operative time by one hour (p&lt; 0.01). The real 5 year survival\nfor periampullary cancer was 52%, but none of the patients with pancreatic carcinoma survived for 5\nyears.<\/jats:p><jats:p>It is concluded that age as such is not a limiting factor for pancreatic resection. Resection can be\nperformed with acceptable mortality and survival rates even in patients over 70 years of age if enough\nattention is paid to careful patient selection and proper preparation. The long\u2010term prognosis is nevertheless\nrelated to tumour histology. The recent decline in operative mortality is mostly due to the resections\nbeing performed by the same group of surgeons. The best biopsy, and also palliation, is radical removal of\nthe suspicious mass, provided that this can be performed with minimal risk.<\/jats:p>","DOI":"10.1155\/1990\/35325","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"57-67","source":"Crossref","is-referenced-by-count":5,"title":["Pancreatic Resection for Carcinoma ofthe Pancreas and the PeriampullaryRegion. A Twenty\u2010Year Experience"],"prefix":"10.1155","volume":"2","author":[{"given":"M. I.","family":"Kairaluoma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"St\u00e5hlberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Kiviniemi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1990,1]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1990\/035325.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1990\/35325","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:34:38Z","timestamp":1723070078000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1990\/35325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1990,1]]}},"alternative-id":["10.1155\/1990\/35325"],"URL":"https:\/\/doi.org\/10.1155\/1990\/35325","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"type":"print","value":"0894-8569"},{"type":"electronic","value":"1607-8462"}],"subject":[],"published":{"date-parts":[[1990,1]]}}}