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Scholars Journal of Applied Medical Sciences | Volume-10 | Issue-08
Clinical Pattern and Histological Variation of Different Pancreatic Tumors Treated by Whipple’s Operation at Bangabandhu Sheikh Mujib Medical University
Dr. Anharur Rahman, Dr. Zulfiqur Rahman Khan, Dr. Md. Saief Uddin, Dr. Abu Taher
Published: Aug. 30, 2022 | 330 136
DOI: 10.36347/sjams.2022.v10i08.035
Pages: 1378-1383
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Abstract
Introduction: The Whipple’s Operation was first described in the 1930s by Allan Whipple. In the 1960s and 1970’s the Mortality rate for the Whipple Operation was very high. Pancreatic tumors are one of the important indications for Whipple’s operation. Approximately 85% of patients have a very aggressive type of tumor called adenocarcinoma of the pancreas. About 15% of patients’ other tumors in the pancreas are found in the head region which is a less aggressive type of tumor (Benign) which are curable by Whipple’s operation. Aim of the Study: The aim of the study was to compare preoperative findings, postoperative complications, and prognosis of different benign and malignant pancreatic tumors of patients who underwent Whipple’s surgery. Methods: This cross-sectional observational study was conducted at the Department of Hepatobiliary and Pancreatic Surgery, Bangabandhu Sheikh Mujib Medical University (B.S.M.M.U), Dhaka, Bangladesh. The study duration was 2 years, from August 2010 to July 2012. During this period, a total of 20 cases were selected through the purposive sampling technique following the inclusion and exclusion criteria for the purpose of this study. Result: In our series 80% of tumors were adenocarcinoma and 20% of tumors were benign Tumors. In this series post, operatively 60% of the total patient had developed wound infections, 40% had wound gaps, 15% had a chest infection, and 10% had pancreatic fistula, and gastroparesis, postoperatively, the death rate was 0%. Conclusion: Most pancreatic tumors were located in the head of the pancreas which can be treated by Whipple’s operation. Adenocarcinoma of the head is the most common indication of surgery and is surgically resect able. Other large benign tumors which are situated in the pancreatic head region are cystic tumors, including mucinous cystadenoma and serous cyst adenoma, solid pseudo papillary tumors, and papillary cystic neoplasms. The most common complications of surgery include wound ......