Prediction of Resectability and Surgical Outcome of Periampullary Tumors

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 respectability 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 Multidetector Computed Tomography abdomen and who were probably respectable were operated and in patients that had respectable tumor, Whipple’s operation was done and in patients that had unresectable tumor, double bypass was done. Results: Twelve patients (52.8%) were considered parable with unresected tumor, the remaining 11 patients (47.8%) were considered unsuitable for tumor resection according to Multidetector Computed Tomography 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 this Article

Mohammed Faisal, Hamada Fathy, Sameh Tolba B. Abu-Elela et al. Prediction of Resectability and Surgical Outcome of Periampullary Tumors. Research & Reviews: Journal of Surgery. 2018; 7(1): 14–21p.