Pancreaticoduodenectomy, Early experience in Nan hospital
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Abstract
BACKGROUND:Nan Hospital is the beginning of liver and pancreas surgery by a single surgeon. Pancreaticoduodenectomy is the only procedure used to operate on periampullary cancer, but it is a very difficult and complicated surgery.
OBJECTIVE:To report short-term surgical results and early surgical experience inpancreaticoduodenectomysurgery at Nan Hospital.
METHODS:A retrospective study of 10 patients undergoing pancreaticoduodenectomy at Nan Hospital by single surgeon. The patients were evaluated preoperatively with computed tomography scans of the thorax and abdomen. The short-term follow-up was 3 months.
RESULTS:10 patientswith periampullary cancer, 4 males and 6 females, diagnosed with pancreatic head cancer in 6 patients, ampulla of vater cancer in 3 patients, and bile duct cancer in 1 patient. Portal vein resection was performed in 6 out of 10 patients. Blood loss was 200-600 ml (mean 360±134 ml). All patients had free margin and adequate lymph node dissection. There was no post operative pancreatic fistula. 1 patient has intra-abdominal collection.
CONCLUSIONS AND RECOMMENDATIONS:Pancreaticoduodenectomy in Nan Hospital has surgical outcomes, blood loss and complications in range of international reporting standards. Completion of training courses or having experienced surgeons to guide can help achieve the surgical goal.
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