ISSN: 1859 - 2872
Outcome of pancreaticoduodenectomy with standard lymphadenectomy in treatment of tumors in panceatic head area
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Abstract
Objective: To evaluate the outcome of standard lymphadenectomy during pancreaticoduodenectomy in treatment patients with tumors in pancreatic-head area. Subject and method: A prospective, descriptive study on 173 patients who underwent pancreaticoduodenectomy with standard lymphadenectomy for tumors in pancreatic head area from July 2015 to July 2020 in 108 Military Central Hospital. Result: The average age was 60.3 ± 8 years, jaundice was the most common symptom (82.7%), histological showed 14.6% benign lesions, the average number of lympho node dissected was 12.9 ± 5.2, lympho node metastasis rate was 44.7%. The average operative time was 229.4 ± 42.5 minutes, mortality rate was 3.5% and postoperative hospital stay was 14.9 ± 6.5 days. Major complications included: Pancreatic fistula (20.8%), intraluminal bleeding (13.9%), abdominal cavity bleeding (9.2%) and delayed gastic emptying (8.1%). The average survival time was 36 months and the 3, 5-years overall survival rates were 42.2%, 38.9% respectively. Conclusion: Standard lymphadenectomy during pancreaticoduodenectomy is safe and effective procedure in treatment of lesions in pancreatic-head area
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References
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