Combined right nephrectomy and pancreaticoduodenectomy. Indications and outcomes

Mehrdad Nikfarjam, Niraj J. Gusani, Eric T. Kimchi, Rickhesvar Mahraj, Kevin F. Staveley-O'Carroll

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Context: Nephrectomy and pancreaticoduodel tomy are operations often performed for the treatment of malignancy. However, the combination of both procedures is rarely reported. Objectives: The indications and outcomes of combined right nephrectomy and pancreaticoduodenectomy were assessed. Study design: Patients were identified from a prospective operative database between 2002 and 2008. Setting: A tertiary care center. Patients: One-hundred and 80 patients undergoing pancreaticoduodenectomy. There were 5 (2.8%) patients treated by combined right nephrectomy and pancreaticoduodenal resection. Main outcome measure: Description of these 5 patients. Results: Three patients had retroperitoneal sarcomas adherent to the right kidney and duodenum, one patient had a locally advanced transitional-cell carcinoma and the remaining patient presented with an ampullary malignancy and concurrent right renal tumor All patients underwent en bloc resection with clear margins. Median operating time was 13 hours (range: 9-21 hours). There was no penoperative mortality in this series. Complications were noted in 3 (60%) patients related to pancreaticoduodenal resection and all were managed. conservatively without significant clinical impact. Median post-operative hospital stay was 8 days (range: 7-11 days): At a median follow-up of 14 months (range: 3-36 months) all patients were alive without evidence of disease recurrence. Conclusion: En bloc right nephrectomy combined with pancreaticoduodenal resection can be performed in selected patients with malignant tumors with acceptable morbidity to achieve clear resection margins.

Original languageEnglish (US)
Pages (from-to)449-455
Number of pages7
JournalJournal of the Pancreas
Volume9
Issue number4
StatePublished - Aug 13 2008

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Pancreaticoduodenectomy
Nephrectomy
Neoplasms
Kidney
Transitional Cell Carcinoma
Duodenum
Tertiary Care Centers
Sarcoma
Length of Stay
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

Cite this

Nikfarjam, Mehrdad ; Gusani, Niraj J. ; Kimchi, Eric T. ; Mahraj, Rickhesvar ; Staveley-O'Carroll, Kevin F. / Combined right nephrectomy and pancreaticoduodenectomy. Indications and outcomes. In: Journal of the Pancreas. 2008 ; Vol. 9, No. 4. pp. 449-455.
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abstract = "Context: Nephrectomy and pancreaticoduodel tomy are operations often performed for the treatment of malignancy. However, the combination of both procedures is rarely reported. Objectives: The indications and outcomes of combined right nephrectomy and pancreaticoduodenectomy were assessed. Study design: Patients were identified from a prospective operative database between 2002 and 2008. Setting: A tertiary care center. Patients: One-hundred and 80 patients undergoing pancreaticoduodenectomy. There were 5 (2.8{\%}) patients treated by combined right nephrectomy and pancreaticoduodenal resection. Main outcome measure: Description of these 5 patients. Results: Three patients had retroperitoneal sarcomas adherent to the right kidney and duodenum, one patient had a locally advanced transitional-cell carcinoma and the remaining patient presented with an ampullary malignancy and concurrent right renal tumor All patients underwent en bloc resection with clear margins. Median operating time was 13 hours (range: 9-21 hours). There was no penoperative mortality in this series. Complications were noted in 3 (60{\%}) patients related to pancreaticoduodenal resection and all were managed. conservatively without significant clinical impact. Median post-operative hospital stay was 8 days (range: 7-11 days): At a median follow-up of 14 months (range: 3-36 months) all patients were alive without evidence of disease recurrence. Conclusion: En bloc right nephrectomy combined with pancreaticoduodenal resection can be performed in selected patients with malignant tumors with acceptable morbidity to achieve clear resection margins.",
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Nikfarjam, M, Gusani, NJ, Kimchi, ET, Mahraj, R & Staveley-O'Carroll, KF 2008, 'Combined right nephrectomy and pancreaticoduodenectomy. Indications and outcomes', Journal of the Pancreas, vol. 9, no. 4, pp. 449-455.

Combined right nephrectomy and pancreaticoduodenectomy. Indications and outcomes. / Nikfarjam, Mehrdad; Gusani, Niraj J.; Kimchi, Eric T.; Mahraj, Rickhesvar; Staveley-O'Carroll, Kevin F.

In: Journal of the Pancreas, Vol. 9, No. 4, 13.08.2008, p. 449-455.

Research output: Contribution to journalArticle

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T1 - Combined right nephrectomy and pancreaticoduodenectomy. Indications and outcomes

AU - Nikfarjam, Mehrdad

AU - Gusani, Niraj J.

AU - Kimchi, Eric T.

AU - Mahraj, Rickhesvar

AU - Staveley-O'Carroll, Kevin F.

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N2 - Context: Nephrectomy and pancreaticoduodel tomy are operations often performed for the treatment of malignancy. However, the combination of both procedures is rarely reported. Objectives: The indications and outcomes of combined right nephrectomy and pancreaticoduodenectomy were assessed. Study design: Patients were identified from a prospective operative database between 2002 and 2008. Setting: A tertiary care center. Patients: One-hundred and 80 patients undergoing pancreaticoduodenectomy. There were 5 (2.8%) patients treated by combined right nephrectomy and pancreaticoduodenal resection. Main outcome measure: Description of these 5 patients. Results: Three patients had retroperitoneal sarcomas adherent to the right kidney and duodenum, one patient had a locally advanced transitional-cell carcinoma and the remaining patient presented with an ampullary malignancy and concurrent right renal tumor All patients underwent en bloc resection with clear margins. Median operating time was 13 hours (range: 9-21 hours). There was no penoperative mortality in this series. Complications were noted in 3 (60%) patients related to pancreaticoduodenal resection and all were managed. conservatively without significant clinical impact. Median post-operative hospital stay was 8 days (range: 7-11 days): At a median follow-up of 14 months (range: 3-36 months) all patients were alive without evidence of disease recurrence. Conclusion: En bloc right nephrectomy combined with pancreaticoduodenal resection can be performed in selected patients with malignant tumors with acceptable morbidity to achieve clear resection margins.

AB - Context: Nephrectomy and pancreaticoduodel tomy are operations often performed for the treatment of malignancy. However, the combination of both procedures is rarely reported. Objectives: The indications and outcomes of combined right nephrectomy and pancreaticoduodenectomy were assessed. Study design: Patients were identified from a prospective operative database between 2002 and 2008. Setting: A tertiary care center. Patients: One-hundred and 80 patients undergoing pancreaticoduodenectomy. There were 5 (2.8%) patients treated by combined right nephrectomy and pancreaticoduodenal resection. Main outcome measure: Description of these 5 patients. Results: Three patients had retroperitoneal sarcomas adherent to the right kidney and duodenum, one patient had a locally advanced transitional-cell carcinoma and the remaining patient presented with an ampullary malignancy and concurrent right renal tumor All patients underwent en bloc resection with clear margins. Median operating time was 13 hours (range: 9-21 hours). There was no penoperative mortality in this series. Complications were noted in 3 (60%) patients related to pancreaticoduodenal resection and all were managed. conservatively without significant clinical impact. Median post-operative hospital stay was 8 days (range: 7-11 days): At a median follow-up of 14 months (range: 3-36 months) all patients were alive without evidence of disease recurrence. Conclusion: En bloc right nephrectomy combined with pancreaticoduodenal resection can be performed in selected patients with malignant tumors with acceptable morbidity to achieve clear resection margins.

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