سرطان مجل فاتر تشخيص وتدبير

Authors

  • أكثم قنجراوي

Abstract

شملت الدراسة 71 مريضاً قبلوا في مشفى الأسد الجامعي باللاذقية بين عامي 1992-2007، اليرقان الصامت المتموّج المترقي كان الشكاية الأكثر شيوعاً بنسبة 96%. تم تقسيم المرضى لأربع مجموعات حسب التدبير: استئصال المعثكلة والعفج عند 11 مريضاً، واستئصال المجل موضعياً عند 9 مرضى،وإجراءات جراحية تلطيفية عند 30 مريضاً ، وأجري الـ ERCP العلاجي مع وضع Stent عند 21 مريضاً.

36% من المرضى الذين خضعوا للجراحة كانوا في المرحلة ( Stage III) حسب تصنيف TNM.

السرطانة الغدية هي الأكثر توارداً بالتشريح المرضي بنسبة 81.9%.

كانت النواسير المعثكلية من أهم المضاعفات ما بعد الجراحة. وحدثت حالتا وفاة.

الكبد هو الموضع الأول للنكس البعيد ( النقائل البعيدة) .

الاستئصال  المعثكلي العفجي ( ويبل وتعديلاتها) هو إجراء آمن وذو نتائج جيدة ومعدل بقيا جيد.

This study includes 71 patients admitted to Al-Assad University Hospital in Lattakia between 1992 and 2007. The most common symptom has been silent fluctuant jaundice 96%. According to management, patients are divided into four groups: pancreaticodnodnodenctomy is done on 11 patients, local resection of Vater's ampulla  procedure is carried out on 9 patients, palliative operations on 30 patients, and ERCP +Stent is performed on 21 patients. 36% of patients who have undergone surgery are classified as Stage III. Pathologically, 81.9 % of  patients have Adenocarcinoma. Pancreatic fistulas are the most common post-operation complications; two patients are reported dead. The liver is the most common place for metastasis. Pancreaticodnodnodenctomy is a safe procedure with good results and high rescue rate.

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Published

2019-01-16

How to Cite

1.
قنجراوي أ. سرطان مجل فاتر تشخيص وتدبير. Tuj-hlth [Internet]. 2019Jan.16 [cited 2024May3];30(2). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6520

Issue

Vol. 30 No. 2 (2008): العلوم الصحية

Section

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