ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT U ĐẶC GIẢ NHÚ TỤY ĐẦU TUỴ

Abstract

Objectives: To evaluate the clinical, paraclinical characteristics and surgical results of pancreatic head pseudopapillary tumor. Methods: Retrospective study of 32 patients with solid pseudopapillary neoplasm who were surgically treated at Viet Duc hospital from January 2014 to December 2018. Results: The mean age was 32,54 ± 14,65 (9 - 65), the most common age was 20 - 39 years old (42,4%). Abdominal pain is the most common symptom (60,6%), no symptoms 33.3%. On computed tomography scan, in the phase of no contrast, the proportion in the mixture accounted for 43,7%, in the contrast enhanced phase, the rate of the tumor strongly enhanced of 59,4%. There were 32 patients with pancreaticoduodenectomy, accounting for 96,9%, there was 1 patient with tumor resection accounting for 3,1%, the average operation time was 307.72 ± 86.16 minutes (90 - 580). Slow gastric circulation is the most common complication accounting for 18,2%, pancreatic fistula accounted for 12.1%, no patient died after surgery. Conclusion: Pseudopapillary tumor is a rare pathological lesion with unclear clinical symptoms. Pancreaticoduodenectomy is the most commonly used method to treat this lesion.