KẾT QUẢ PHẪU THUẬT CẮT KHỐI TÁ TỤY ĐIỀU TRỊ KHỐI U VÙNG QUANH BÓNG VATER

Abstract

The objective of the study was to assess the prandeliminary outcomes of pancreaticoduodenectomy for the management of Vater's periampullary tumor. A cross-sectional descriptive study was conducted on 77 patients who underwent open surgery at the Department of Hepatobiliary and Pancreatic Surgery, Nghe An General friendship Hospital, between January 2020 and December 2023 to treat periampullary tumors of Vater. Results: We performed surgery for 77 patients including 43 male (55.8%), 34 (44.2%) female; mean age 59.8 (19-76), tumors located in the ampulla of Vater, in the distal part of common bile duct, in the pancreatic head accounted anh the duodenal tumor for 22.1%, 35.1%, 37.6%, 5.2%. 5 cases of pancreatic fistula (6.5%) in there 3 case grade 1, 1 case grade 2 and 1 case grade 3 with re-surgery, 2 case with biliary fistula treated medically (2.6%), 1 case of death (1.3%). Conclusions: pancreaticoduodenectomy is a safe and effective surgery. Blumgart anastomosis was performed to help prevent pancreatic fistula complications after surgery.