Pancreaticoduodenal Cancer

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Abstract
IN 1953, McDermott and Bartlett1 analyzed the results at the Massachusetts General Hospital of pancreaticoduodenectomy for cancer of the head of the pancreas, ampulla of Vater, common bile duct, and duodenum for the ten-year period 1941 to 1950. In comparing their findings with the clinical course of the same types of carcinoma during the preceding decade (1931 to 1940) during which time only palliative surgery was used, they concluded that little or nothing had been accomplished by pancreaticoduodenectomy if the results were evaluated in terms of overall salvage. It was felt desirable then to review the subsequent decade, 1951 to 1960, and compare it with these two previous decades to see if with continued efforts at resective surgery any change had occurred in the salvage rate. There were 152 patients with proved pancreaticoduodenal cancer admitted to the Massachusetts General Hospital from Jan 1, 1951, through Dec 31, 1960. No

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