Downloads
Abstract
Objective: This study aims to explore the characteristics of periampullary cancer and laparoscopic pancreaticoduodenectomy procedure.
Methods: We prospectively examined data of 11 patients who underwent laparoscopic pancreaticoduodenectomy at Hue Central Hospital from november, 2018 to november, 2021.
Results: The mean age was 53.7 ± 9.5 years (30 - 78) and the male/Female ratio was 8:3. The Body mass index of patients was 54.5% and normal level was 45.5%.patients with ampulla of Vater cancers accounted for 81.8% and duodenal tumor accounted for 9.1% and distal common bile duct tumor accounted for 9.1%. Dilatation of the common bile duct was 90.9% and the pancreatic duct was 72.7%. There were 36,4% the tumor size less than 2 cm and from 2 - 3 cm was 54.5% and less than 4 cm was 9.1%. We was always used in 5 trocars and the dissection lymphadenectomy ratio from 7 - 14 lymph nodes accounted for 81.8%. Bleeding complications during surgery was 27.3% and death was 18.2% patients.
Conclusion: The ampulla of Vater and tumor size less than 3 cm was often selected for laparoscopic pancreaticoduodenectomy. Dissection lymphadenectomy also performed well. Less pain after pancreaticoduodenectomy surgery and short
hospital stay times.
References
Dokmak S, Ftériche FS, Aussilhou B, Bensafta Y, Lévy P, Ruszniewski P, et al. Laparoscopic pancreaticoduodenectomy should not be routine for resection of periampullary tumors. Journal of the American College of Surgeons. 2015. 220: 831-838.
Nguyễn Ngọc Bích. Nghiên cứu chỉ định và đánh giá kết quả phẫu thuật cắt đầu tụy tá tràng tại khoa Ngoại bệnh viện Bạch Mai. Tạp chí y học Lâm sàng - Bệnh viện Bạch Mai. 2014. 82: 89-97.
Phan Minh Trí, Võ Trường Quốc. Các yếu tố liên quan đến biến chứng sớm của phẫu thuật cắt khối tá tụy điều trị ung thư quanh bóng Vater. Tạp chí Y học TP Hồ Chí Minh. 2017. 21: 111-115.
Hồ Văn Linh. Đánh giá kết quả phẫu thuật cắt đầu tụy - tá tràng trong điều trị ung thư bóng Vater, in Luận án Tiến sỹ y học. 2016, Đại học Y dược Huế.
Yoo D, Song KB, Lee JW, Hwang K, Hong S, Shin D, et al. A Comparative Study of Laparoscopic versus Open Pancreaticoduodenectomy for Ampulla of Vater Carcinoma. Journal of Clinical Medicine. 2020. 9: 2214.
Kamarajah SK. Pancreaticoduodenectomy for periampullary tumours: a review article based on Surveillance, End Results and Epidemiology (SEER) database. Clinical Translational Oncology. 2018. 20: 1153-1160.
Boggi U, Amorese G, Vistoli F, Caniglia F, De Lio N, Perrone V, et al. Laparoscopic pancreaticoduodenectomy: a systematic literature review. Surgical endoscopy. 2015. 29: 9-23.
Pancreas ESGoCTot. European evidence - based guidelines on pancreatic cystic neoplasms. Gut. 2018. 67: 789-804.
Lee JS, Han JH, Na GH, Choi HJ, Hong TH, You YK, et al. Laparoscopic pancreaticoduodenectomy assisted by mini-laparotomy. Surgical Laparoscopy Endoscopy Percutaneous Techniques. 2013. 23: e98-e102.
Cho A, Yamamoto H, Nagata M, Takiguchi N, Shimada H, Kainuma O, et al. Comparison of laparoscopy-assisted and open pylorus-preserving pancreaticoduodenectomy for periampullary disease. The American journal of surgery. 2009. 198: 445-449.
| Published | 09-01-2025 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | No. 77 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.77.2 | |
| Keywords | Cắt khối tá tụy, nội soi Laparoscopic pancreaticoduodenectomy, periampullary cancer |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2022 Journal of Clinical Medicine Hue Central Hospital