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Date Published: 08/06/2021
Abstract Views: 366
Views PDF: 271
DOI: https://doi.org/10.51298/vmj.v500i1.305
Issue
Vol. 500 No. 1 (2021)
Section
Các bài báo
How to Cite
Mạnh Hùng, T. . (2021). PYLORUS PRESEVING PANCREATICODUODENECTOMY AT BACH MAI HOSPITAL. Vietnam Medical Journal, 500(1). https://doi.org/10.51298/vmj.v500i1.305

PYLORUS PRESEVING PANCREATICODUODENECTOMY AT BACH MAI HOSPITAL

Trần Mạnh Hùng

Main Article Content

Abstract

Subject: Pylorus preserving pancreaticoduodenectomy. Aims: the results of Pylorus preserving pancreaticoduodenectomy for diseases of the head of pancreas and periambulla at Bach Mai hospital. Material and methods: descriptive retrospective study of 75 patients were underwent pylorus preserving pancreatic coduodenectomy at the General Surgery Department, Bach  Mai Hospital in the period from 2015 – 2020. Results: 75 cases with diseases of the head pancreas and periampullary area that male/female 49/26 and mean age: 56,5 (26- 80). In 75 patients that Pylorus preserving pancreatic coduodenectomy were performed, there are tumor of pancreatic head 31 cases (41,3%), of  Vater ampullary 30 cases (40%)  of the lower commen bill duct 11 cases (14,7%), of the duodenum 3 cases (4,0%) . The mean operative time was 265 ±32,3 minutes, the mean hospital stay was 12,7 days.The perioperative mortality rate was 4,0 % due to pancreatic fistula. The perioperative morbidity rate was 18,6%. among those biliary fistula 5,3%, delayed gastric emptying 6,6% and abcess intrabdoment 2,6%. Conclusion: Pyloris-preserving pancreatic codoudenectomy is a safe technique to shorten surgery time, do not have post-gastrointestinal syndrome, fast recovery after surgery. Pancreatic fistula was major problem with mortality after Pylorus preserving pancreatic coduodenectomy. Pre- op preparation with good selected cases and expert surgeon could help to reduce the perioperative morbidity rate.

Article Details

Keywords

Pylorus preserving pancreaticoduodenectomy, pancreticoduodenectomy Traverso-longmire

References

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