Summary of referat PhD “The improvement of pre- and intraoperative management in patients with periampullary neoplasms undergoing pancreatoduodenectomy”
In generally, the management of periampullary neoplasms requires a complex approach, including surgery and chemo-radiotherapy. However, pancreatoduodenectomy remains the only curative option leading to the relatively satisfactory outcomes. At the same time, the review of the relevant literature revealed a presence of significant controversy concerning such perioperative issues, as preoperative management of patients with jaundice, extent of surgery and technical approaches towards the reconstruction phase.
Technical aspects of pancreatoduodenectomy for periampullery lesions
Pancreatoduodenectomy (PD) is associated with considerable morbid, ranging from 35 to 40%. Thereby, endeavors to improve surgical technique remain highly relevant. The objective of the study was to analyze different technical approaches to crucial steps of PD, such as an extent of surgery, pancreatic anastomosis and external drainage of pancreatic duct (EDPD).
Risk factors of the pancreatic fistula following pancreatoduodenectomy
Pancreatjduodebectomy is the mine curative option for patients with periampullary malignancies. Pancreatic fistula is the most common complication after pancreatoduodenectomy, leading to an increase in severe postoperative morbidity, mortality and prolonged length of hospital stay.
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Department of general and abdominal surgery “ARTMED” MRC
The department was founded in 2004 after the formation of the "Kanaker-Zeytun" Medical Center on the grounds of the former city hospital No. 8. Since June 2009, the department has been functioning as "ArtMed" Medical Rehabilitation Center (MRC). The department has 11 wards with 26 beds. It is staffed with highly skilled specialists - 5 surgeons and а chemotherapist. The department also provides chemotherapeutic consultation.