Articolul precedent |
Articolul urmator |
329 4 |
Ultima descărcare din IBN: 2021-11-08 21:27 |
SM ISO690:2012 FILIMON, Vlad. Particularități de tratament chirurgical al pacienților cu cancer de cap de pancreas și papila duodenală mare . In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 408. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 408-408 | ||||||
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Rezumat | ||||||
The pancreatic neoplasm is on the fourth place among the mortality due to neoplastic diseases, and after localization in 43% it is at the level of the pancreatic head. The diagnosis of pancreatic cancer is often established late, and surgical excision of the tumor is the radical treatment. Objective of the study. Determining the particularities of surgical treatment of patients with cancer of the head of pancreas and large duodenal papilla. Material and Methods. The study included 45 patients were treated in 2019-2020 in RCH, of which 57,7%- men and 42,3%- women. Abdominal echo - at 55,81% was hypoechoic mass with dilated bile ducts upstream, at 44,18% - diffuse changes in the liver and pancreas and at 4,65% - hypoechoic mass in the pancreas head without dilation of the bile ducts. The presence of the tumor was confirmed on abdominal CT. Results. Radical surgical treatment was performed in 24,4%, but in 4,44% was determined venous vascular invasion (in 2,2% diagnosed by CT in angiography and in 2,2% - intraoperatory). Radical interventions were performed by cephalic duodenopancreatectomy (Whipple procedure - 20% and Child procedure- 4,44%). In 4,44% vascular resection was performed due to vascular invasion of the tumor in the portal vein. Palliative surgical treatment benefited 75,5% of the general study group, of which 42,2% underwent internal bilio-digestive bypass, 24,4% underwent endoscopic stenting of the biliary tract and 8,88% performed external biliodigestive bypass. Conclusion. In patients with cancer of the head of pancreas and large duodenal papilla, surgical treatment can have a radical curative, but also palliative aspect that leads to increased life expectancy and improved quality of life in these patients |
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Cuvinte-cheie cancer of the head of pancreas and large duodenal papilla, cancer de cap de pancreas și papila duodenală mare |
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