KẾT QUẢ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ U VÙNG THÂN ĐUÔI TỤY TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC TỪ THÁNG 1/2015 ĐẾN THÁNG 12/2022

Abstract

Surgery related to the treatment of pancreatic tumors is always a challenge for surgeons, not only in terms of technical aspects but also in managing postoperative complications. laparoscopic surgery for tumors in the tail region of the pancreas is a difficult procedure; however, according to some studies, it offers several advantages such as reducing pain, bleeding, and infections. Objective: To evaluate the outcomes of endoscopic surgery for tumors in the tail region of the pancreas. Subjects and methods: A retrospective study of 35 patients who underwent endoscopic surgery for tumors in the pancreatic tail at Huu Nghi Viet Duc Hospital from January 2015 to December 2022. Results: The male-to-female ratio was 1:11. The average age was 49±16 years (range:13-76). The average surgery duration was 186.3 minutes (from 100 to 240). Most patients (33 out of 35 cases) had the tail of the pancreas removed along with the spleen, while 2 cases had preservation of the spleen. The success rate of endoscopic surgery was 28 out of 35 cases, accounting for 80%, with 10 cases having complications. Postoperative complications included pancreatic fistula in 6 cases, of which 1 case was a Grade B fistula managed with imaging-guided drainage and 5 cases were Grade A fistulas treated conservatively. There were 9 cases of residual pancreatic pseudocysts postoperatively, with no cases of postoperative bleeding or reoperation, and no deaths within 30 days after surgery. The average postoperative hospital stay was 9.9±3.4 days. Conclusion: Laparoscopic treatment of tumors in the pancreatic tail is a feasible and safe method, but it requires experienced surgeons.