KẾT QUẢ PHẪU THUẬT CẮT LÁCH THÂN ĐUÔI TỤY TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: Evaluating the early outcomes of distal pancreatectomy with splenectomy at Ha Noi Medical University. Subjects and methods: A retrospective descriptive study on 28 patients with distal pancreatectomy with splenectomy at Ha Noi Medical University for 4 years from 2020 to 2024. Results: We perform distal pancreatectomy with splenectomy for 28 patients. The mean age was 54,7 ± 12,5. The proportion of female patients was 67.8%. The main symptom that prompted patients to seek medical attention was epigastric pain, accounting for 96.4%. The average surgical time was 170 ± 17 minutes. The average tumor size was 5.4 ± 2.1 cm. The rate of open surgery was 71.4%. The average hospital stay was 9.4 ± 3.4 days. The rate of postoperative pancreatic fistula was 85.7%, of which grade A pancreatic fistula accounted for 83.3% and grade B pancreatic fistula accounted for 16.7%. Among the 28 patients, no case required intraoperative blood transfusion. There was no case requiring reoperation due to postoperative bleeding, and no case of death. Postoperative pathology results showed 10 cases of pancreatic adenocarcinoma, 6 cases of mucinous cystadenomas, 3 cases of solid pseudopapillary tumors, 4 cases of neuroendocrine tumors, 2 cases of serous cystadenomas, 1 case of pancreatic injury, 1 case of pancreatic trauma with pancreatic body separation, and 1 case of infected pseudocyst in the tail of the pancreas. Conclusion: Pancreatectomy with splenectomy is safe and feasible, and can be applied to diseases of the body and tail of the pancreas, including trauma and pancreatic injuries with pancreatic duct rupture. However, this is a difficult technique, with a high rate of postoperative pancreatic leakage, requiring the surgeon to have a lot of experience and adequate equipment and instruments.