| Avtor/Urednik | Potrč, Stojan; Koren, Zoran; Šturm, Maja; Horvat, Matjaž; Gadžijev, Eldar | |
| Naslov | Paliativni kirurški posegi pri bolnikih s karcinomom trebušne slinavke | |
| Prevedeni naslov | Surgical paliations in patients with pancreatic cancer | |
| Tip | članek | |
| Vir | Gastroenterolog | |
| Vol. in št. | Letnik 5, št. 1 | |
| Leto izdaje | 2001 | |
| Obseg | str. 53-5 | |
| Jezik | slo | |
| Abstrakt | There have been some encouraging reports concerning potentially curative pancreatic resection and expected long-term survival in patients with pancreatic cancer in last decade. Since resection with intention for cure is possible only in 15-20% of patients (1,2,3 ) the majority of patients with pancreatic cancer have advanced unresectable disease where only palliative treatment is possible. The intention of such paliative procedures is to maximise the quality of live. Palliative procedures are directed primarily at three symptoms: obstructive jaundice, duodenal obstruction and pain. Beside surgical palliation, there are also alternative nonsurgical (rentgenologicaly or ultrasound guided procedures) and minimally invasive methods (laparoscopy). It is of paramount importance to choose the less aggressive and most effective method for palliation of symptoms to achieve the basic goal - improvement of the patients quality of live. | |
| Izvleček | V zadnjern desetletju sicer poročajo o izboljšanih rezultatih potencialno kurabilnih resekcij trebušne slinavke in pričakovanem 5-letnem preživetju po teh operacijah pri bolnikih s karcinomom trebušne slinavke (1, 2, 3j. Vendar pa je kurabilna resekcija možna le pri 15-20 % takih bolnikov. Pri ostalh bolnikih z rakom trebušne slinavke ima bolezen zaradi prikrite in neznačilne klinične slike v zgodnjih fazah obolenja že dokaj napredovalo obliko obolenja, ko je možna le še paliativna kirurška intervencija, katere namen je omiliti simptome in tako kolikor je mogoče izboljšati kakovost življenja. Kirurška paliacija je namenjena v glavnem trem simptomom: obstukcijskemu ikterusu, obstrukciji na nivoju dvanajstnika in bolečini. Alternative kirurškim metodam so endoskopske, rentgenološko in ultrazvočno vodene in minimalno invazivne metode (laparoskopija). Zato je pomembno, da izberemo metodo, ki bo za bolnika najbolj učinkovita glede paliacije simptomov, obenem pa najmanj obremenjujoča in bo lahko dosežen osnovni namen paliacije - izboljšanje kakovosti življenja. | |
| Deskriptorji | PANCREATIC NEOPLASMS PALLIATIVE CARE CARCINOMA QUALITY OF LIFE |