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Date Published: 26/05/2023
Abstract Views: 168
Views PDF: 130
DOI: https://doi.org/10.51298/vmj.v526i1B.5439
Issue
Vol. 526 No. 1B (2023)
Section
Các bài báo
How to Cite
Lê, V. T. ., & Hồ , V. L. . (2023). THE ROLE OF MULTI-SLICE COMPUTED TOMOGRAPHY IN MEASURING BEFORE PANCREATICODUODENECTOMY WITH STANDARD LYMPHADENECTOMY FOR CANCERS IN PANCREATIC HEAD AREA. Vietnam Medical Journal, 526(1B). https://doi.org/10.51298/vmj.v526i1B.5439

THE ROLE OF MULTI-SLICE COMPUTED TOMOGRAPHY IN MEASURING BEFORE PANCREATICODUODENECTOMY WITH STANDARD LYMPHADENECTOMY FOR CANCERS IN PANCREATIC HEAD AREA

Văn Thành Lê1,, Văn Linh Hồ 1
1 108 Military Central Hospital

Main Article Content

Abstract

Objective: The aim of the study is to evaluate the value of multi-slice computed tomography in grading and prognogis before radical operation treatment of cancers in pancreatic head area. Subject and method: A prospective, descriptive study up on patients with cancer in pancreatic head area who underwent pancreaticoduodenectomy with standard lymphadenectomy in Military Centre Hospital 108 from July 2016 to Jan 2023. Results: Multi-slice computed tomography discovered the tumors in 95,1%, detects pancreatic ductal dilatation in 75.3% of patients, and detects anatomical variations of hepatic arteries with a rate of 20.7% (common hepatic artery, replacement right hepatic artery or right accessory liver originates from the superior mesenteric artery was obsered in 18.8%). Multi-slice computed tomography diagnosed venous invasion with a sensitivity of 73.8%, a specificity of 96.9%, in the diagnosis of preoperative lymph node metastasis had a sensitivity and specificity of 53.1%, and 63.1% respectively. Conclusion: In preoperative diagnosis of cancers at pancreatic head area, multi-slice computed tomography had hight value discovering tumors location and veins invasion, but its ability in meassuring lympho nodes metastasis was limited.

Article Details

Keywords

multi-slice computed tomography, pancreaticoduodenectomy, lymphadenectomy

References

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