ABSTRACT
Radical surgery for tumors of the left anatomical and surgical segment of the pancreas proved for distal resection in various versions, central resection and enucleation of tumors. The causes of early postoperative complications and mortality in 129 patients aged from 14 to 81 years, operated on for neoplastic lesions of the left anatomical segment of the pancreas in the period from 2009 to 2014 were analysed. The influence of various factors of risk of complications and mortality were studied in particular, extended resection, for tumor invasion of adjacent organs, and adjacent vessels.
Subject(s)
Adenocarcinoma/surgery , Liver Neoplasms/surgery , Pancreatic Neoplasms/surgery , Postoperative Complications , Splenic Neoplasms/surgery , Vascular Neoplasms/surgery , Adenocarcinoma/blood supply , Adenocarcinoma/mortality , Adenocarcinoma/secondary , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Liver Neoplasms/blood supply , Liver Neoplasms/mortality , Liver Neoplasms/secondary , Male , Middle Aged , Pancreas/blood supply , Pancreas/pathology , Pancreas/surgery , Pancreatectomy/methods , Pancreatic Neoplasms/blood supply , Pancreatic Neoplasms/mortality , Pancreatic Neoplasms/pathology , Postoperative Period , Retrospective Studies , Risk Factors , Splenic Neoplasms/blood supply , Splenic Neoplasms/mortality , Splenic Neoplasms/secondary , Survival Analysis , Vascular Neoplasms/blood supply , Vascular Neoplasms/mortality , Vascular Neoplasms/secondaryABSTRACT
Results of treatment in 114 patients with duodenal big papilla (DBP) tumor were adduced. Radical operations were performed in 63 patients, including in 27--pancreatoduodenal resection, in 36--local resection of DBP. Postoperative complications were occurred in 14% of patients. Postoperative lethality was 0.9%. Indexes of five-year survival were higher in patients, in which local resection of DBP was performed.
Subject(s)
Digestive System Surgical Procedures/methods , Duodenal Neoplasms/surgery , Adult , Aged , Aged, 80 and over , Duodenal Neoplasms/diagnostic imaging , Female , Humans , Male , Middle Aged , Postoperative Complications/mortality , UltrasonographyABSTRACT
The experience was summarized concerning the treatment of 5 patients with chronic pancreatitis and ductal hypertension, complicated by retropancreatic pseudocyst. One-stage internal draining of pseudocyst and the pancreatic duct, using the method elaborated in the clinic, was performed. There were no postoperative complications. Late follow-up result is good.
