دورية أكاديمية
Modified Whipple-Child pancreaticoduodenectomy with anastomosis on jejunal loop in continuity. Presentation of surgical technique and preliminary observations on 45 patients.
| العنوان: | Modified Whipple-Child pancreaticoduodenectomy with anastomosis on jejunal loop in continuity. Presentation of surgical technique and preliminary observations on 45 patients. |
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| المؤلفون: | Creţu OM; Hepato-Biliary-Pancreatic Center, Department IX - Surgery I, 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania; florin_hut@yahoo.com., Huţ EF, Dan RG, Sima LV, Blidişel CIA, Lighezan DF, Munteanu M, Raţiu IM |
| المصدر: | Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie [Rom J Morphol Embryol] 2017; Vol. 58 (4), pp. 1295-1299. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Editura Academiei Române Country of Publication: Romania NLM ID: 9112454 Publication Model: Print Cited Medium: Internet ISSN: 2066-8279 (Electronic) Linking ISSN: 12200522 NLM ISO Abbreviation: Rom J Morphol Embryol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Bucuresti, România : Editura Academiei Române, [1990- |
| مواضيع طبية MeSH: | Anastomosis, Surgical/*methods , Jejunum/*surgery , Pancreaticoduodenectomy/*methods, Female ; Humans ; Male ; Prospective Studies |
| مستخلص: | Introduction: Cephalic pancreaticoduodenectomy (CPD) is the only current treatment method that can provide long-term survival in patients with periampullary tumors. Case Presentation: This study is a prospective study conducted between 2010 and 2016 in Hepato-Biliary-Pancreatic Center of "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania, where 57 modified Whipple-Child CPDs with anastomoses on jejunal loop in continuity were performed, in patients with periampullary tumors. Twelve patients, who had undergone prior biliodigestive derivations or biliary drainage using endoscopic retrograde cholangio-pancreatography (ERCP), with stenting of the common bile duct, were excluded from the study. In 45 patients with modified Whipple-Child CPDs with anastomosis on jejunal loop in continuity, which were included in the study, overall morbidity rate was 22.22%. Postoperative mortality (within 30 days after the surgery) was 6.66% and six months and one year survival rates, excluding the four patients who died postoperatively, were 91.11% and 80%, respectively, with a median survival of 32 months. The mean operative time was 300 minutes, ranging between 240 and 390 minutes. Conclusions: Modified Whipple-Child CPD with anastomoses on jejunal loop in continuity seems to be a therapeutic method promising a decreased overall morbidity rate and a good quality of life and offering a distant survival rate, which is consistent, so far, with data reported in the literature. |
| تواريخ الأحداث: | Date Created: 20180321 Date Completed: 20180905 Latest Revision: 20180905 |
| رمز التحديث: | 20240628 |
| PMID: | 29556620 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2066-8279 |
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