Standard lymphadenectomy in pancreatic head cancer: Early post-operative results

  • Ha Pham Hoang Viet Duc University Hospital
  • Tuan Anh Do Viet Duc University Hospital
  • Lan Nguyen Thi Viet Duc University Hospital

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Keywords

Pancreatic head cancer, pancreaticoduodenectomy, standard lymphadenectomy, lymph node ratio, post-operative outcome

Abstract

 Objective: To investigate the characteristics of lymph node metastasis and to evaluate the postoperative outcome of pancreaticoduodenectomy with standard lymphadenectomy. Subject and method: The research was conducted retrospectively with convenient sampling, recruited 38 patients who underwent operation at Viet Duc Hospital from April 2014 to December 2018. Result: 71.1% of patients had lymph node metastases (N1). LN 13, 17 had the highest rate of resected LN and the highest positive LN. The average operation time was 317 minutes, approx. 20% of patients had pancreatic fistula, 3 had intraabdominal bleeding and 3 others had complications of delayed gastric emptying and postoperative infection. The average length of hospital stay was 13.9 days. More than 90% of patients was discharged without any complications or with complications but using medication only, the 30-day mortality rate was 0%. Conclusion: Pancreaticoduodenectomy combined with standard lymphadenectomy is a safe, effective procedure and should be widely applied.

Article Details

References

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