[Diagnosis and surgical treatment of XXXX ].

@entity1 @entity3123 @entity788 @entity5 @entity189
The aim of the study was presentation of our experiences in the diagnostics and treatment of @entity3123 in confrontation with current opinions. Between 1983 and April 1998 308 @entity1 (198 males and 110 females with mean age 61 years) were treated at our department. In 211 cases @entity5 was primarily localized in the head and in 97 cases (31.5%) in the body or tail of pancreas. The diagnosis was determined on the basis of clinical symptoms and laboratory investigations. Diagnostic accuracy of performed investigations was as following. Ultrasonography-86%, CT-scan-95%, and ERCP-94%. Ultrasonography or CT guided biopsy and serodiagnostics improved detectability of resectionable @entity189 in the last past years. Among 308 @entity1 , 292 underwent surgery. Since 1997 an intraoperative ultrasonography and cholangioscopy of common bile duct and Virsung were performed as a routine. The procedures depended on the localization and the grade of advance of the @entity5 . UICC classification of @entity788 , pTNM (4th edition 1987) it was used. Only in 25 @entity1 (8%) ( @entity5 pT1a-bN0M0) it was possible to perform radical operation (resection of the pancreas). However in 172 @entity1 (56%) only palliative procedures were done (pT2N1M0). In 95 @entity1 (31%) only laparotomy and biopsy were performed ( @entity5 pT2N1M1). The study shows that although diagnostic methods are improved, the @entity5 of the pancreas are diagnosed in stages making unable the radical procedures. Only about 10% of @entity189 are resectable. It is caused by with non-characteristic picture of the disease in its early stage.
