KẾT QUẢ ĐIỀU TRỊ TẠM THỜI U QUANH BÓNG VATER BẰNG PHẪU THUẬT NỐI MẬT RUỘT VÀ NỐI VỊ TRÀNG NĂM 2021-2023

Abstract

Background: Periampullary tumors, which have a small proportion in gatrointestinal tumor, have a tendency to increase. Biliary and gastroenterostomy double bypass is palliative surgery, used commonly for patients found to be unresectable. However, there is inadequate evidence of its effectiveness in Vietnam. Therefore, this study was conducted more research into this particular solution. Objectives: (1) To determine the clinical and paraclinical characteristics in patient with periampullary tumors; (2) To evaluate the results of the palliative treatment for periampullary tumors by biliary and gastroenterostomy double bypass at Can Tho Central General Hospital and Can Tho General Hospital. Materials and methods: A prospective, cross-sectional study was conducted to assess the palliative treatment for 35 patients with periampullary tumors by biliary and gastroenterostomy double bypass at Can Tho Central General Hospital and Can Tho General Hospital in 2021-2023. Results: The average age of subjects was 61.4±10; the male:female ratio was approximately 1.2:1. The most common symptoms were jaundice (88.6%), abdominal pain (77.1%), weight loss (45.7%), pruritus (42.9%) and indigestion (31.4%). 85.3% of tumors were detected by CT scan. Warren biliary and gastric bypasses were performed in 74.3% and Roux-en-Y bypasses in 25.7%. Postoperative complications included wound infection accounting for 14.3%, delayed gastric emptying (17.1%), gastrointestinal bleeding (2.9%) and pancreatic fistula (2.9%). The postoperative time was 7.7±1.8 days. Conclusions: Biliary and gastric double bypass is a safe procedure but not curative, which reduces symptoms in patients with advanced periampullary tumors as a palliative treatment.