The objective of this study was to evaluate the long-term results of panceaticoduodenectomy and to analyze the related prognostic factors following surgery for ductal adenocarcinoma of the pancreatic head for 10 years (2002-2012) at the Department of Digestive Surgery at the Viet Duc Hospital. This is a retro-observational study of 159 patients diagnosed with pancreatic head cancer treated by pancreaticoduodenectomy. Clinico-pathological features were described and long-term results of patients following surgery were analyzed and presented. Mean of tumor size: 38.8 +/- 7.29 mm (20-50). Stage T4 encountered in 62.9 percent; regional LN invaded (N1): 90.6 percent, mean of LN harvested for each patient: 13.3 +/- 3.96 nodes (2 - 21), mean of LN invaded: 3.8 :t 2.06 nodes (0 - 8), LN ratio (LN invaded divided by LN harvested): 0.29 :t 0.13 nodes (0.00 0.60). The median survival time (KM method): is 19 months; the survival rate (actuariel method) for 1 year is 64 percent, 3-year is 19 percent and 5-year is 10 percent. Ductal adenocarcinoma has a better survival time for the last 10 years than ten years before (10 percent vs 4 percent). LN ratio was considered as the strongest prognostic factor after surgical resection of pancreatic cancer.
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