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J Coll Physicians Surg Pak · Dec 2021
Clinical Analysis of Pancreaticoduodenectomies for Benign Pathologies.
- Arif Atay, Feyyaz Gungor, Nihan Acar, Yunus Sur, Fatma Husniye Dilek, and Osman Nuri Dilek.
- Department of General Surgery, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Izmir, Turkey.
- J Coll Physicians Surg Pak. 2021 Dec 1; 31 (12): 1473-1477.
ObjectiveTo evaluate the clinical, laboratory and imaging data of patients who underwent pancreatoduodenectomy (PD) for proven benign pathologies.Study DesignDescriptive study.Place And Duration Of StudyDepartment of General Surgery, İzmir Katip Celebi University, School of Medicine, Turkey between January 2015 and June 2020.MethodologyAll patients who underwent PD, and were found to be benign histopathologically, were included in the study. Patients who had to undergo PD due to trauma during operations performed for other reasons, were also included in the study. The data was collected as per objective.ResultsDiagnosis of benign pathologies was made histopathologically in 27 of the 248 patients (10.89%). It was found that 8 of 17 patients, who had biopsy in the preoperative period, were operated with a pre-diagnosis of malignancy, nine were performed PD due to accompanying clinical findings despite the detection of non-diagnostic cytology, and ten patients were taken into surgery; because of the malignancy risk could not be ruled out.ConclusionPatients with benign pathology were found to have better parameters of CRP and total bilirubin. PD was performed in patients with mass in the pancreas; and whose cancer risk could not be ruled out. To reduce PD due to benign causes, patients with undiagnosed lesions should be evaluated with a multidisciplinary approach, and diagnostic tools should be cross-checked. PET/CT may also be useful in the differential diagnosis. Key Words: Benign, Diagnosis, Pancreas, Pancreaticoduodenectomy, Pathology.
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