Predicting Patient Survival after Pancreaticoduodenectomy for Malignancy Based on Histopathological Criteria, Minia University Hospital Experience | ||||
Minia Journal of Medical Research | ||||
Article 46, Volume 30, Issue 4, October 2019, Page 301-305 PDF (237.24 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.221741 | ||||
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Authors | ||||
Michael R. Roshdy1; Abu Bakr M. Mohie EL-Din2; Khaled A. Abou El-Ella3; Nasser M. Zaghloul4; Motassem M. Ali2 | ||||
1Department of General Surgery; Faculty of Medicine-Minia university; Egypt | ||||
2Department of general surgery and hepato pancreato biliary surgery, Faculty of MedicineMinia University; Egypt | ||||
3Department of hepato pancreato biliary surgery; National liver institute- Menoufiya University; Egypt | ||||
4Department of general surgery and laparoscopy; Faculty of Medicine-Minia University; Egypt | ||||
Abstract | ||||
This study aimed to identify histopathological variables that might contribute to survival, mortality of patients, and serious complications after pancreaticoduodenectomy. Patients and methods: This is prospective hospital based study that been done on all patients who underwent pancreaticoduodenectomy in National Liver Institute and Minia university hospital. between the first of January 2015 till the end of December 2016. in the surgical department, National Liver Institute, Menoufiya University, and Minia university hospital. Results: We found that perineural infiltration and lymphovascular invasion were independently significant in multivariate analysis, the effects of combining them in terms of predicting long-term survival is very important. Smaller and well-differentiated tumors were associated with significantly better patient survival (P < 0.03 and P < 0.01, respectively). Positive lymph nodes were associated with reduced survival (P < 0.003). Conclusion: The analyze the histopathological parameters influencing long-term patient survival after pancreaticoduodenectomy focusing on perineural infiltration and lymphovascular invasion as predictors of long-term survival. | ||||
Keywords | ||||
Pancreaticoduodenectomy; histopathological; tumours | ||||
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