ISSN: 1859 - 2872
Outcome of pancreaticoduodenectomy with lymphadenectomy in treatment of cancers in panceatic head area
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Abstract
Objective: To evaluate the surgical outcome and long-term survival of lymphadenectomy during pancreaticoduodenectomy for cancers in pancreatic head area. Subject and method: A prospective, descriptive study on patients with cancer in pancreatic head area who underwent radical operation in 108 Military Central Hospital from July 2016 to July 2019. Result: There were 61 cases with the average age was 60.2 ± 7.7 years, lymphadenectomy was feasible in almost cases. Surgical outcome were good 44.3%, fair 41%, average 11.5% and bad 3.3%. Postoperative complications according to Dindo classification was 55.7% (16.3% servere complication), 39.3% pancreatic fistula, 16.4% intraluminal bleeding, 11.5% abdominal cavity bleeding and 6.6% delayed gastic emptying. Postoperative mortality was 1.6% and postoperative hospital stay was 18.6 ± 7.2 days. The average survival time was 29.98 ± 2.54 months, the 1 and 3-years overall survival rates were 79.2% and 39.5% respectively. Pancreatic adenocarcinoma, radical surgery R1 and lympho node metastasis were prognosis factors for long-term survival. Conclusion: Lymphadenectomy during pancreaticoduodenectomy was acceptably safe and feasible. However, the long-term outcome needed to be improved and its prognosis factors were pancreatic cancer, radical surgery R1 and lympho node metastasis.
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References
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