Prediction of Resectability and Surgical Outcome of Periampullary Tumors

Mohammed Faisal, Hamada Fathy, Sameh Tolba B. Abu-Elela and Mohamed E. Shams

Department of Surgery-Faculty of Medicine, Suez Canal University, Ismailia, Egypt

^*Correspondance to: Mohammed Faisal 

 PDF  Full Text DOI: 10.25107/2474-1647.1969

Abstract

Background: Pancreatic cancer is a devastating malignancy with nearly as many deaths as newly diagnosed cases each year with 5-years overall survival rate approximately 7%. Our aim was to assess prediction of resectability of patients with periampullary tumors to avoid unnecessary laparotomy in inoperable patients and evaluation of early outcome of surgical intervention.Methods: 23 patients were included in this study. All the patients were subjected to assessment by contrast enhanced triphasic MDCT abdomen and who were probably resect able were operated and in patients that had resect able tumor, Whipple’s operation was done and in patients that had un resect able tumor, double bypass was done.Results: Twelve patients (52.8%) were considered per able with un resected tumor, the remaining 11 patients (47.8%) were considered unsuitable for tumor resection according to MDCT criteria.Conclusion: Early surgical intervention for periampullary tumors using accurate preoperative diagnosis has an accepted early morbidity and mortality related to its advantages.

Keywords

Periampullary tumors; Resectability; Multi detector CT; Pancreatic tumors

Cite the article

Faisal M, Fathy H, Abu-Elela STB, Shams ME. Prediction of Resectability and Surgical Outcome of Periampullary Tumors. Clin Surg. 2018; 3: 1969.