Aim: To retrospectively evaluate the results our pancreaticoduodenectomy surgeries in terms of morbidity and mortality rates as well as safety.
Materials and methods: Medical records of 71 patients, who underwent pancreaticoduodenectomy surgery between January 2007 and September 2012 at Department of General Surgery, Kocaeli University School of Medicine, were examined retrospectively. Age, sex, the type and localization of the lesion, surgical properties and postoperative complications were studied.
Results: A total of 71 patients (48 male, 23 female) with a mean age of 59.9 years who underwent pancreaticoduodenectomy were included in the study. Forty two patients (59%) had pancreatic head malignancies, 19 patients (27%) had ampulla malignancies, 4 patients (5.5%) had duodenum malignancies and 4 patients (5.5%) had common bile duct malignancies. Two of our cases (3%) underwent surgery for pancreatitis. Surgery related mortality rate was 2.8% (2 cases). The most frequently encountered complications were delay in gastric emptying (19%), pancreatic fistula (14%) and wound infection (10%). Postoperative morbidity rate was detected to be 28%.
Conclusion: Pancreatic and other periampullary tumors are serious clinical problems that cause morbidity. Traditionally, these patients have a dark prognosis but correct staging and appropriate patient selection allow better results. Surgical resection, the one reason for long-term survival, should be preferred whenever possible. In conclusion, we have found out that pancreaticoduodenectomy surgery is an effective and safe surgical method in the treatment of pancreas and common bile duct problems. This surgical procedure can be performed with low morbidity and mortality rates in experienced but low-density centers.
Key Words: Pancreaticoduodenectomy; Pancreas tumors; Periampullar region tumors; Mortality; Morbidity.
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