Different approaches for pancreaticoduodenectomy rather than the conventional Whipple procedure

Document Type : Original Article

Authors

1 General surgery department, faculty of medicine, Cairo university, egypt

2 General surgery, faculty of medicine, Minia university, egypt

3 Department of general surgery, faculty of medicine, Minia university, egypt

4 General surgery department, faculty of medicine, Minia university, egypt

5 General surgery , faculty of medicine , Minia university

Abstract

Introduction: Pancreatico duodenectomy (PD) is the only potentially curative therapy for malignancies of the pancreatic head and periampullary region. Despite this complicated surgical operation is mature, the low R0 resection rate remains the major obstacle to improving the prognosis of pancreatic cancer [1].

Patients and methods: This prospective descriptive study was performed on all patient’s candidate for PD for pancreatic head and duodenal cancers in the NCI, and ELMENIA University Hospital during the period from January 2021 till January 2023.

Results

Our study showed that, the operating time ranged from 220 to 340 minutes (mean 277.70 ± 37.70 minutes), the mean Blood loss (ml) were 725.75 ± 291.68, the PRBC transfusion requirement (units) ranged from 0 to 6 with mean 3.05 ± 1.74, the ICU stays (days) ranged from 4 to 12 with mean 8.95 ± 2.40 and the mean hospital stay (days) were 17.03 ± 6.81. Our study showed that, there were 40 (100.0%) of Patients had Pseudo-aneurysm, 10 (25.0%) of Patients had complication and 4 (10.0%) of Patients were with re-exploration. Our study showed that, there were 3 (7.5%) of Patients had Pulmonary complications, one patient with cardiac complications and 6 (15.0%) patients with Other Complication.



Conclusion

Pancreaticoduodenectomy (PD) is the only potentially curative therapy for malignancies of the pancreatic head and periampullary region. Despite this complicated surgical operation is mature, the low R0 resection rate remains the major obstacle to improving the prognosis of pancreatic cancer

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 14 January 2023

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