Abstract
Due to the progress in anesthesiology and with the control of body metabolism pre- and postoperatively, surgical removal of the pancreas head which has hitherto been regarded as nearly impossible has become a possibility.
The death rate due to this condition has gradually decreased and where, until recently gallbladder, stomach or duodenalanastomosis was the only operative method and was performed only to prolong life, the fact that chanses of permanent cure may be obtained through this operation is a progress of recent years. Although there are still points for improvement in operation procedures and in pre- and postoperative treatments and the long term evaluation presents a pessimistic view, an opinion is held that early diagnosis and early operation would improve the results. It is believed that there is no fear of functional disturbances post-operatively at least in those cases localized in the head of pancreas.