Venöz rezeksiyonlu pankreatikoduodenektomi sonuçları: 11 olgu ile tek merkez deneyimi

Abstract

Amaç: Kliniğimizde venöz rezeksiyonlu pankreatikoduodenektomi (PD) uygulanan hastalarda morbidite ve mortalite oranlarının ve prosedürün güvenilirliğinin retrospektif olarak değerlendirilmesi. Gereç ve Yöntem: XXX Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı'nda Mayıs 2016-Mayıs 2021 tarihleri arasında venöz rezeksiyon ile PD uygulanan 11 hastanın kayıtları retrospektif olarak incelendi. Bulgular: On bir hasta (beş kadın, altı erkek) çalışmaya dahil edildi. Hastaların yaş ortalaması 64,09 ± 9.27 (47-78) idi. Dört (%36,36) hastaya tip 1, bir (%9,09) hastaya tip 2, beş (%45,45) hastaya tip 3 ve bir (%9,09) hastaya tip 4 rekonstrüksiyon uygulandı. Histopatoloji raporlarına göre sekiz (%72,73) hastada venöz invazyon saptandı. Tanı ile operasyon arasındaki ortalama süre 14,91 ± 11,33 gün, ortalama takip süresi 17,64 ± 13,31 aydı. Postoperatif 17. günde exitus olan bir hastada (%9,09) Grade C pankreas fistülü izlendi. Takipte hiçbir hastada nüks veya metastaz saptaanmadı. Sonuç: Venöz rezeksiyon-rekonstrüksiyonlu PD, pankreas kanseri ve venöz invazyonu olan hastalarda güvenli ve tek küratif seçenektir.

Keywords

• Venöz rezeksiyonlu pankreatikoduodenektomi
• Portal ven rezeksiyonu
• Pankreatikoduodenektomi

Outcomes of pancreaticoduodenectomy with venous resection: a single center experience with 11 cases

Abstract

Aim: To perform a retrospective evaluation of the morbidity and mortality rates and reliability of venous resection with pancreaticoduodenectomy (PD) procedures in our clinic. Material and Method: The records of 11 patients who underwent PD with venous resection between May 2016 and May 2021 in the Eskişehir Osmangazi University Faculty of Medicine Department of General Surgery were analyzed retrospectively. Results: Eleven patients (five women and six men) were included. The patients’ mean age was 64.09±9.27 years (range 47-78). Four (36.36%) patients underwent type 1 reconstruction, one (9.09%) type 2 reconstruction, five (45.45%) type 3 reconstruction and one (9.09%) type 4 reconstruction. Eight (72.73%) patients experienced venous invasion according to the histopathology reports. Mean time between diagnosis and surgery was 14.91±11.33 days, and the mean follow-up time was 17.64±13.31 months. Grade C pancreatic fistula was observed in one (9.09%) patient, who died on the 17th postoperative day. No patients experienced recurrence or metastasis during surveillance. Conclusion: Pancreaticoduodenectomy with venous resection-reconstruction is safe and the only curative option in patients with pancreatic cancer and venous invasion.

Keywords

• Pancreaticoduodenectomy with venous resection
• Portal vein resection
• Pancreaticoduodenectomy

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