SHORT-TERM OUTCOMES OF EXTENDED LYMPHADENECTOMY IN PANCREATICODUODENECTOMY FOR PANCREATICODUODENAL CANCERS

Thế Anh Phạm , Mạnh Cường Trương

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Abstract

Objectives: To evaluate the short-term outcomes of extended lymphadenectomy in pancreaticoduodenectomy. Subject and method: This was a combined retrospective and prospective descriptive study of the cases who underwent extended lymphadenectomy in pancreaticoduodenectomy for pancreaticoduodenal cancers at VietDuc University Hospital and National Cancer Hospital from July 2009 to July 2018. Results: Elective surgery was performed for 24 patients. Sex ratio was 1 male per 1.67 female. The average age was 53.4 ± 15.1 years. Postoperative pathology: ampullary carcinoma (66.67%), head of pancreatic carcinoma (16.67%), solid pseudopapillary tumor (12.5%), distal of common bile duct cancer (4.16%). The length of resuscitation stay was 4.2 ± 2.0 days. There was one patient having metastasis of lymph node around the common hepatic artery (number 8) (4,16%). Early postoperation complications were pancreatic leakage (12.5%), abscess (8.3%). The length of hospital stay was 26.1 ± 12.0 days. Conclusions: Extended lymphadenectomy pancreaticoduodenectomy for pancreaticoduodenal cancers is a feasible operation, must be performed by experienced and specialized surgeons. This technique requires more time to evaluate long-term survival compared with standard lymphadenectomy.

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References

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