Result of surgical treatment for pancreatic head cancer

Abstract

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