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Cirugía paraguaya

versión On-line ISSN 2307-0420


MONTIEL ROA, Arnaldo José; FLEITAS OVIEDO, Diego Julián  y  VARGAS VELAZQUEZ, Jessica María Angélica. FREQUENCY IN CURATIVE SURGICAL TREATMENT OF PERIAMPULLARY TUMORS. EXPERIENCE BASED ON 122 CASES. Rev. Cir. Parag. [online]. 2016, vol.40, n.2, pp.12-18. ISSN 2307-0420.


Periampullary tumors are most often localizated in a 2 cm area next to the ampulla of Vater, and this group included the head of pancreas carcinoma, Vater´s ampulla carcinoma, intrapancreatic cholangiocarcinoma and duodenal carcinoma.


to define the frequency of curative surgical treatment in tumors of periampullar region at the Service of General Surgery of Instituto de Previsión Social.

Patients and Method

: a retrospective, observational and descriptive study between 2009 and 2015.


In 122 cases, 47 of them (38,5%) had a resectability criteria and was performed a CDP surgery in these cases. There wasn´t difference of presentation according to gender. The average age was 64,67 years old. Jaundice was the first symptom showed and the most common. It was performed ultrasonography and CT scan in all patients. The most common histological type was the pancreatic ductal adenocarcinoma in 89 patients


The staging of the periampullar tumors and the resectabilty criteria are very important parameters to avoid an unnecessary surgical procedure. Ultrasonography and CT scan are important tools to clarify the resectability criteria, even better if they are accompanied by endoscopic ultrasound.

Palabras clave : pancreas; periampullary tumors; respectability..

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