ĐẶC ĐIỂM LÂM SÀNG VÀ TỈ LỆ BIẾN CHỨNG SAU MỔ CẮT KHỐI TÁ TỤY ĐIỀU TRỊ UNG THƯ VÙNG TÁ TRÀNG ĐẦU TỤY TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: Evaluation of clinical features and complication of pancreaticoduodenectomy for pancreatic cancer at Hanoi Medical University. Subjects and Methods: Retrospective, cross-sectional descriptive method of 32 pancreatic cancer patients undergoing pancreaticoduodenectomy at Hanoi Medical University Hospital. Results: average age is 60.4 ± 3.7 years. The average surgical time was 250 ± 30.7 minutes. Tumors in the head of the pancreas are mainly located at 56.2%. The rate of lymph node metastasis is 53.1%. Complications after surgery included 15/32 cases, accounting for 46.9%. Among them, 3 patients had bleeding from the gastropancreatic anastomosis, accounting for 9.4%, 1 case of intra-abdominal bleeding required re-operation, accounting for 3.1%, and the complication rate of pancreatic fistula was 37.5% (12 patients). There were 8 cases of intraabdominal abscesses, accounting for 25%, of which 1 case required drainage of the abscess under ultrasound guidance. Classification of the complications according to Clavien-Dindo level III, accounting for 25%. There was 1 case of re-operation due to intra-abdominal bleeding (3.1%), 1 case requiring embolization (3.1%), 1 case of gastopancreatic anastomosis bleeding requiring endoscopic intervention (3.1%) and 1 case requiring drainage of an intra-abdominal abscess under ultrasound guidance (3.1%), the mortality rate 30 days after surgery was no case. Conclusion: pancreatico duodenectomy to treat the tumors in periumpullary and pancreatic carcinoma is a procedure with a low mortality rate, but postoperative complications are still high and the main complication is pancreatic fistula.