PANCREATICODUODENECTOMY : CLINICAL EXPERIENCE IN A TERTIARY CARE CENTRE

Dr. Himanshu Patidar; Dr. Deepak Agrawal; Dr. Sanjay Desai

Volume : VII, Issue : IV, April - 2017

PANCREATICODUODENECTOMY : CLINICAL EXPERIENCE IN A TERTIARY CARE CENTRE

Dr. Himanshu Patidar, Dr. Deepak Agrawal, Dr. Sanjay Desai

Abstract :

Aim: The aim of the study is to evaluate the clinical features, intra–operative parameters, pathology, complication and outcomes of 42 patients undergoing pancreaticoduodenectomy at a tertiary care center.

Material and methods: This was a retrospective study of 42 patients who undergone pancreaticoduodenectomy. Those patients, whose tumor had invaded the superior mesenteric artery, had portal vein involvement, or distant metastasis were excluded. Outcomes were analyzed in detail.

Results: Analysis have shown the mean age of 56 years. The percentage of alcohol consumers was 42.85%, and 47.61% of patients were smokers. 11.90% of cases had benign lesions, but the main indication for pancreaticoduodenectomy was malignancy (88.10%). The mean operation time was 282 min, and intra–operative/post–operative blood transfusion was approximately 1.76 pack cells each operation. The mean admission length was 12 days and the most common complication after surgery was wound infection.

Conclusion: Pancreaticoduodenectomy is one of the most complex surgery and better outcomes can only be met with proper patient selection, high volume centres for the surgery, surgeons experience, favourable pathology, intraoperative and postoperative care.