This region is the boundary between curative intent of laterally extended endopelvic resection as described by Hockel (12) and palliative surgery
In two patients with malignant insulinoma, distal pancreatic resections were performed as palliative surgery
. In both of them, the disease progressed, and the patients died 1.3 years and 4.2 years after surgery.
Therefore, the role for palliative surgery
remains controversial and should only be considered in patients with more favourable disease factors and therapeutic options for their disease.
The overall survival of patients who underwent R0 resection was better than those who were treated with only palliative surgery
for advanced disease at diagnosis (median survival time: 57 months versus 7 months, p < 0.001; see Figure 1).
Our experience demonstrates that, although palliative surgery
in the form of a simple closure with an omental patch has been recommended in cases with diffuse peritonitis and poor general condition, the patients had a better long-term postoperative survival period when curative resection was performed.
Till date accurate staging for hepatobiliary malignancy is important, as there is no role for laparotomy or palliative surgery
in the presence of metastatic disease.
Management included radical surgery (R0, no microscopic evidence of residual disease), palliative surgery
(R1, microscopic evidence of residual disease and R2, residual tumor visible to the naked eye), adjuvant chemotherapy, and palliative chemotherapy.
While providing a better understanding of this tumor's metastasis through a review of the literature, our report describes the role of palliative surgery
for metastases to the paranasal sinuses.
is usually considered in patients with advanced age and presence of distant metastases and when primary carcinoma cannot be completely resected .
. A widely accepted definition is central to the evolution of the discipline, as this would enable the development of standards, audits, research, and outcome measures, which in turn lead to improved patient care.