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LONG TERM SURVIVAL FOLLOWING PANCREATICODUODENECTOMY AND THE FACTORS RELATED
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Abstract
Objective: Long term survival following pancreaticoduodenectomy and identifying the factors related for patients with periampullary tumors. Subjects and research methods: records collected over a five-year period from 84 patients that underwent pancreaticoduodenectomy at Bach Mai Hospital from 2016 to 2020. Results: Eighty-four patients aged 26–80 years were included, 47 men and 37 women. Ambullary adenocarcinoma 52,4%, pancreatic adenocarcinoma 23,8%, cholangiocarcinoma 19,0%. The average survival after surgery is 36,2 months, 12 months after surgery 92,1% patients still alive, in 36 months 45,6%, 60 months 24,7%. The factors associated with the risk of death following surgery were tumors at the N1 stage, an age > 65 years. Conclusion: Pancreaticoduodenectomy procedure for the treatment of periampullary tumors were performed safely, the factors associated with an increased risk of death following surgery included tumors at the N1 stage, an age greater than 65 years old.
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References
2. Nimura, Y., Nagino, M., Takao, S., et al, (2012), Standard versus extended lymphadenectomy in radical pancreatoduodenectomy for ductal adenocarcinoma of the head of the pancreas: long-term results of a Japanese multicenter randomized controlled trial. Journal of hepato-biliary-pancreatic sciences, 19, 3, 230-241.
3. Nguyễn Ngọc Bích (2012), ‘phẫu thuật cắt đầu tụy tá tràng, kinh nghiệm trên 160 trường hợp” Ngoại khoa 61, số 1 – 2 – 3 tr 34- 42
4. Nguyễn Tấn Cường Võ Tấn Long, Nguyễn Minh Hải (2004) Ung thư nhú Vater: Kết quả điều trị phẫu thuật tại Bệnh viện Chợ Rẫy", Y học Thành phố Hồ Chí Minh , 8(3), tr. 125 - 133.
5. Hồ Văn Linh (2016), “Đánh giá kết quả phẫu thuật cắt đầu tụy tá tràng trong điều trị ung thư bóng Vater”, Luận án Tiến sĩ Y học, Trường đại học Y Dược, Đại học Huế
6. Juan Fabregat, Juli Busquets, Nuria pela, et al (2010), “Surgical treatment of pancreatic adenocarcinoma using cephalic duodenocarcinoma. Long term follow upter 204 cases”, Published by Elsivier Esparia, 88 (6) 374-382.
7. Tol, J. A., Gouma, D. J., Bassi, C., et al, (2014), Definition of a standard lymphadenectomy in surgery for pancreatic ductal adenocarcinoma: a consensus statement by the International Study Group on Pancreatic Surgery (ISGPS). Surgery, 156, 3, 591-600.
8. Jang, J. Y., Kang, M. J., Heo, J. S., et al, (2014), A prospective randomized controlled study comparing outcomes of standard resection and extended resection, including dissection of the nerve plexus and various lymph nodes, in patients with pancreatic head cancer. Annals of surgery, 259, 4, 656-664.
9. Song KB, Kim SC, Lee W, Hwang DW, Lee JH, Kwon J, et al. (2020), Laparoscopic pancreaticoduodenectomy for periampullary tumors: lessons learned from 500 consecutive patients in a single center. Surgical endoscopy, 34(3): 1343-52.