[Distal duodenectomy: a new option of surgical treatment for duodenal tumors].

Autor:	Stilidi IS; Blokhin National Medical Research Centre of oncology of the Health Ministry of the Russia, Moscow, Russia; Russian Medical Academy of Continuous Professional Education of the Health Ministry of the Russia, Moscow, Russia, Nered SN; Blokhin National Medical Research Centre of oncology of the Health Ministry of the Russia, Moscow, Russia; Russian Medical Academy of Continuous Professional Education of the Health Ministry of the Russia, Moscow, Russia, Nikulin MP; Blokhin National Medical Research Centre of oncology of the Health Ministry of the Russia, Moscow, Russia, Egenov OA; Blokhin National Medical Research Centre of oncology of the Health Ministry of the Russia, Moscow, Russia, Petrosyan AP; Blokhin National Medical Research Centre of oncology of the Health Ministry of the Russia, Moscow, Russia, Arkhiri PP; Blokhin National Medical Research Centre of oncology of the Health Ministry of the Russia, Moscow, Russia; Russian Medical Academy of Continuous Professional Education of the Health Ministry of the Russia, Moscow, Russia
Jazyk:	English; Russian
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2019 (9), pp. 5-12.
DOI:	10.17116/hirurgia20190915
Abstrakt:	Objective: To assess severity, safety and functional advisability of distal pancreatectomy using original surgical technique developed in the Blokhin National Medical Research Centre of Oncology. Material and Methods: There were 10 patients with duodenal malignancies who have undergone distal pancreatectomy in the Blokhin National Medical Research Centre of Oncology for the period 2006-2018. Distal pancreatectomy for primary duodenal tumors was performed in 8 patients, 2 patients underwent surgery for external invasion of the duodenum. Results: Postoperative complications Clavien-Dindo grade 1 and 2 occurred in 4 (40%) patients. Surgical complication grade 2 occurred in 1 (10%) patient (pancreatic fistula with effective conservative management). There were no cases of leakage of duodenal stump and duodenojejunostomy, impaired bile flow and stenosis of anastomosis with delayed stomach emptying. Conclusion: Distal duodenectomyis associated with low postoperative morbidity, good functionality and quality of life. This procedure is preferred for non-epithelial and neuroendocrine tumors, as well as with secondary malignant duodenal invasion.
Databáze:	MEDLINE
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