Primary outcomes of ampullary resection, bile ductoplasty and pancreatic ductoplasty through incision of D2 duodenum
- Author:
Trinh Hong Son
- Publication Type:Journal Article
- Keywords:
tumor of Vater’s ampulla
- MeSH:
Ampulla of Vater;
Duodenum;
Therapeutics;
Surgery
- From:Journal of Practical Medicine
2005;510(4):35-37
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Study on 4 cases of malignant tumor of Vater’s ampulla operated at Viet-Duc Hospital and 1 case treated at University of Medicine and Pharmacy at Ho Chi Minh City between August 2003 and December 2004. Results: clinical sign is biliary obstruction jaundice. Gastroduodenoscopy with flexible tube found that papilla of Vater with the diameter lower than 3cm (histological finding: carcinomas), without metastasis to adjacent duodenum. Tumor invasion into head of pancreas and the lower of choledochous duct was determined by pancreatic and liver ultrasound, CT scanner or MRI examinations, in combination with intraoperative balance, immediate biopsy of lymph nodes in group 14 and group 8, sections of bile duct, pancreatic duct and duodenum in order to ensure the elimination of surgery. Initial outcomes showed that there wasn’t post-operative complication or death.