KẾT QUẢ PHẪU THUẬT 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 results of pancreaticoduodenectomy for pancreatic cancer at Hanoi Medical University Hospital from September 2016 to September 2020. Subjects and Methods: Retrospective, cross-sectional descriptive method of 32 pancreatic cancer patients undergoing pancreaticoduodenectomy at Hanoi Medical University Hospital from September 2016 to September 2020. Results: In the pancreatic head and duodenum, the majority were adenocarcinoma (75.1%), ductal adenocarcinoma (12.5%). Tumor invasion at T3 level accounted for a higher rate than other levels (accounting for 86.7%). General complications after surgery included 19/32 cases: 6 patients had more than one complication, 6 patients had wound infection (18.8%), 8 patients had postoperative fluid retention (25%), 3 patients with gastrointestinal bleeding, 4 patients with late bleeding, 1 patient with incisional bleeding and 1 case of gastric stasis. The average surgical time was 250 ± 30.7 minutes (180-240 minutes). Survival time after surgery according to the degree of invasion: T2 level: 35±0.7 months, T3 level: 45.7±3.2 months, T4: 27.7±6.8 months. Conclusion: The pancreaticoduodenectomy for pancreatic cancer was performed at Hanoi Medical University Hospital with good results, contributing to improving the quality of cancer treatment.