Introduction: Surgery is the mainstay of treatment for pancreatic head cancer for improvement of patient survival. Studies in Vietnam have focused less on survival after surgery. Therefore, we conducted a study to evaluate the results of surgical treatment of pancreatic head cancer at Viet Duc Hospital. Patients and methods: A Retrospective study of patients with pancreatic head cancer have been operated at Viet Duc University Hospital from 01/2014 to 12/2015. Results: There were 83 pancreatic head cancer patients operated at Viet Duc hospital. The mean age was 57.7 ± 11.5 (age), male and female were 57.8% and 42.2%, respectively. 18.1% of patients had malnutrition before surgery; The rate of tumor resection (Whipple procedure) was 57.9%. The rate of bypass was 36.1%, the rate of exploratory surgery was 6%. The postoperative complications were bleeding, pancreatic leak, Choledochojejunostomy leak accounted for 6%; 3.6% and 1.2%, respectively. The postoperative mortality rate was 2.4%. The mean overall survival time was 12.35 ± 1.36 months; survival rate after 2 years is 20.3%. Factors such as resection of pancreatic head tumor, no lymph node metastasis, and no distant metastasis all increased the patient's survival time (p<0.05) Conclusion: Surgical treatment of pancreatic head cancer is feasible and safe; and pancreaticoduodenectomy increase the patient's survival time Keywords: pancreatic head cancer, whipple procedure, pancreaticoduodenectomy
Thoát vị bịt là loại thóat vị rất hiếm gặp, thường ở phụ nữ cao tuổi, gầy với biểu hiện lâm sàng nghèo nàn. Chẩn đoán thóat vị bịt trước mổ khó khăn do các triệu chứng không đặc hiệu. Chẩn đoán muộn thường dẫn đến hoại tử ruột do nghẹt, làm tăng tỷ lệ tử vong. Chúng tôi thông báo 2 trường hợp thóat vị bịt nghẹt, biểu hiện lâm sàng bởi hội chứng tắc ruột và được chẩn đoán trước mổ nhờ chụp cắt lớp vi tính ổ bụng.
TÓM TẮTThoát vị bịt là loại thoát vị rất hiếm gặp, thường ở phụ nữ cao tuổi, gầy với biểu hiện lâm sàng nghèo nàn. Chẩn đoán thoát vị bịt trước mổ khó khăn do các triệu chứng không đặc hiệu. Chẩn đoán muộn thường dẫn đến hoại tử ruột do nghẹt, làm tăng tỉ lệ tử vong. Chúng tôi thông báo 2 trường hợp thoát vị bịt nghẹt, biểu hiện lâm sàng bởi hội chứng tắc ruột và được chẩn đoán trước mổ nhờ chụp cắt lớp vi tính ổ bụng.
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