Evaluation of resection of the papilla of Vater for the treatment of XXXX in the papilla of Vater.

@entity1 @entity82 @entity5 @entity420 @entity1779
We evaluated the resection of the papilla of Vater performed in @entity1 with @entity5 in the papilla of Vater. The subjects were 6 @entity1 who underwent resection of the papilla of Vater between January 1969 and December 2001. The @entity1 aged 57-87 years consisted of 3 males and 3 females. The maximal diameter of the @entity5 was 0.5 cm in 1 @entity1 , 1.5 cm in 3 @entity1 , and 2.0 cm in 2 @entity1 . Macroscopically, the @entity5 were of the protruded type (exposed) in 3 @entity1 , of the mixed type (predominant protruded type) in 2 @entity1 , and of the ulcerative type in 1 @entity1 . The histological depth of the @entity5 was up to the mucosa in 1 @entity1 , up to the oddi in 1 @entity1 , up to the panc0, du1 in 1 @entity1 , up to the panc1, du2 in 1 @entity1 , and unknown in 2 @entity1 . Histologically, the @entity5 were @entity420 ( @entity420 ) in 4 @entity1 and @entity420 of the well-differentiated type (tub1) in 2 @entity1 . Resection of the papilla of Vater was chosen because of high risk factors such as advanced age in 2 @entity1 , complicated severe @entity82 and confinement to bed due to poor systemic conditions after @entity1779 in 3 @entity1 , and hepatic metastasis observed during surgery in 1 @entity1 . @entity5 cells around the excised region were positive in 4 @entity1 and unknown in the remaining 2 @entity1 . Of the 6 @entity1 , 5 died within 2 years after surgery, but 1 is alive without symptoms of recurrence 7 years after surgery. The death causes were the primary disease in 3 of the 5 @entity1 . From the viewpoint of radical treatment, resection of the papilla of Vater cannot be chosen as a reduced surgery for @entity5 in the papilla of Vater. However, resection of the papilla of Vater can be applied to very elderly @entity1 and @entity1 under poor systemic conditions, for whom pancreatoduodenectomy (PD) is considered excessively invasive due to a small diameter of @entity5 .
