Cắt đầu tụy tá tràng nội soi: Báo cáo 11 trường hợp

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Tác giả: Văn Linh Hồ

Ngôn ngữ: Vie

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Thông tin xuất bản: Tạp chí Y học lâm sàng - Bệnh viện Trung ương Huế 2022

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ID: 410316

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Nghiên cứu đặc điểm tổn thương ung thư quanh bóng Vater và đặc điểm kỹ thuật của phẫu thuật cắt đầu tụy - tá tràng nội soi. Phương pháp: Gồm 11 bệnh nhân được phẫu thuật cắt đầu tụy tá tràng nội soi tại Bệnh viện Trung ương Huế từ 01-2018 đến 11- 2021. Kết quả: Tuổi trung bình: 53,7 ± 9,5 (30 - 78). Nam/nữ = 8/3. Chỉ số khối cơ thể ở mức gầy 54,5% và mức bình thường 45,5% bệnh nhân. Khối u bóng Vater chiếm đa số 81,8%, u tá tràng 9,1% và u đoạn cuối ống mật chủ 9,1%
Ống mật chủ giãn 90,9%, ống tụy giãn 72,7%. Kích thước khối U ˂ 2 cm: 36,4%, 2 ≤ U ˂ 3 cm: 54,5% và U ≤ 4 cm: 9,1%. Sử dụng 5 trocar thường quy, tỷ lệ vét hạch từ 7 -14 hạch chiếm phần lớn 81,8%. Tai biến chảy máu trong phẫu thuật 27,3% và tử vong 18,2%. Kết luận: U bóng Vater và kích thước dưới 3 cm thường được lựa chọn cho phẫu thuật nội soi cắt đầu tụy tá tràng. Nạo vét hạch hệ thống cũng thực hiện được tốt như trong mổ mở. Ít đau sau phẫu thuật và thời gian nằm viện ngắn., Tóm tắt tiếng anh, This study aims to explore the characteristics of periampullary cancer and laparoscopic pancreaticoduodenectomy procedure. We prospectively examined data of 11 patients who underwent laparoscopic pancreaticoduodenectomy at Hue Central Hospital from november, 2018 to november, 2021. The mean age was 53.7 ± 9.5 years (30 - 78) and the male/Female ratio was 8:3. The Body mass index of patients was 54.5% and normal level was 45.5%.patients with ampulla of Vater cancers accounted for 81.8% and duodenal tumor accounted for 9.1% and distal common bile duct tumor accounted for 9.1%. Dilatation of the common bile duct was 90.9% and the pancreatic duct was 72.7%. There were 36,4% the tumor size less than 2 cm and from 2 - 3 cm was 54.5% and less than 4 cm was 9.1%. We were always used in 5 trocars and the dissection lymphadenectomy ratio from 7-14 lymph nodes accounted for 81.8%. Bleeding complications during surgery was 27.3% and death was 18.2% patients. : The ampulla of Vater and tumor size less than 3 cm was often selected for laparoscopic pancreaticoduodenectomy. Dissection lymphadenectomy also performed well. Less pain after pancreaticoduodenectomy surgery and short hospital stay times.

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