Pancreatic cancer whipple. Pancreatic cancer whipple, METABOLIC DISORDERS IN PATIENTS OPERATED FOR PANCREATIC CANCER


Apr-Jun ; 2 Popa" Iaşi.

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Buţureanu" Iaşi. From the first pancreaticoduodenectomy PD performed by Kausch inthe value of the resection in the treatment of pancreatic head cancer was disputed.

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Aim: To assess the PD with or without pylorus preservation as surgical treatment for pancreatic cancer.

Methods: Retrospective review of the clinical records of patients undergoing PD for pancreatic cancer.

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From these, 54 cases were histologic diagnosed with pancreatic cancer; 23 cases underwent pylorus preserving pancreatico-duodenectomy PPPD and 31 patients, classical Whipple procedure PDW.

Mean age was Jaundice was presented in 51 cases Fever was observe only in 4 cases 7. Other biological and imaging parameters e.

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Mean operating time and mean blood loss in the PDW group were After PPPD, these figures were Postoperative morbidity rate excluding DGE was Pancreatic leak has a rate of 5. Hospital stay pancreatic cancer whipple Postoperative mortality rate was 5.

Histological exam diagnosed ductal pancreatic adenocarcinoma in 51 cases Mean long-term survival rate was Conclusion: PD should be performed for any pancreatic tumor even without preoperative histologic confirmation.

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The results after PPPD postoperative morbidity and mortality, long-term survival are similar to that following conventional Whipple procedure, if the principles of viable and tumor free margins are observed.

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