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Register a new userRole of Surgery in theManagement of Cancer of Body and Tail of Pancreas
دور المعالجة الجراحية في تدبير سرطان جسم و ذيل البنكرياس
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Damascus University ورقة بحثية
Publication date
2009
fields
Medicine
and research's language is
العربية
Authors
حمود نصر( باحث )
Created by
Shamra Editor
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تسليط الضوء على التدبير المتبع في سرطان جسم و ذيل البنكرياس مع تحديد دور المعالجة الجراحية في تدبير هذه الأورام. أجريت الدراسة بالطريق الراجع إِذ شملت جميع المرضى المقبولين في مستشفى الأسد الجامعي بتشخيص سرطان في جسم أو ذيل البنكرياس بين عامي 2003 و 2008 و جمعت المعلومات من خلال مراجعة ملفات المرضى، و التقارير الشعاعية، و تقارير الجراحة.
Evaluation of the management of cancer in the body and tail of the pancreas with determining the role of surgery in the management of these tumors. The study was performed retrospectively. It included all patients who were admitted in Al Assad University Hospital in Damascus between 2003 and 2008 in the diagnosis of cancer in the body or tail of the pancreas. The data were collected by reviewing the hospital files, radiological reports, and surgical reports of these patients.
Artificial intelligence review:
Research summary
تناقش هذه الدراسة دور المعالجة الجراحية في تدبير سرطان جسم وذيل البنكرياس، حيث تم إجراء دراسة رجعية شملت 66 مريضًا تم قبولهم في مستشفى الأسد الجامعي بدمشق بين عامي 2003 و2008. أظهرت النتائج أن 53% من الحالات كانت غير قابلة للاستئصال الجراحي، بينما خضع 47% من المرضى للجراحة، وتم إجراء الاستئصال الجذري للورم في 35% من هؤلاء المرضى، أي بنسبة 17% من إجمالي المرضى. بلغت نسبة الوفيات بعد الجراحة 8%، ونسبة المضاعفات الكبرى 20%. تشير الدراسة إلى أهمية التصنيف المرحلي الدقيق قبل الجراحة لتحديد إمكانية الاستئصال الجراحي، كما تؤكد على دور المعالجة التلطيفية في الحالات غير القابلة للاستئصال.
Critical review
دراسة نقدية: تعتبر هذه الدراسة مهمة لأنها تسلط الضوء على تحديات علاج سرطان جسم وذيل البنكرياس، ومع ذلك، هناك بعض النقاط التي يمكن تحسينها. أولاً، كان من الممكن أن تشمل الدراسة عددًا أكبر من المرضى لزيادة قوة النتائج. ثانيًا، لم تتناول الدراسة بشكل كافٍ تأثير العلاجات المساعدة مثل العلاج الكيميائي والإشعاعي على نتائج المرضى. وأخيرًا، كان من المفيد تقديم تحليل أكثر تفصيلًا للعوامل التي تؤثر على نجاح الجراحة والمضاعفات.
Questions related to the research
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ما هي نسبة الحالات التي كانت غير قابلة للاستئصال الجراحي في الدراسة؟
كانت نسبة الحالات غير القابلة للاستئصال الجراحي 53%.
-
ما هي نسبة الوفيات بعد الجراحة وفقًا للدراسة؟
بلغت نسبة الوفيات بعد الجراحة 8%.
-
ما هي أهمية التصنيف المرحلي قبل الجراحة وفقًا للدراسة؟
التصنيف المرحلي قبل الجراحة مهم لتحديد إمكانية الاستئصال الجراحي.
-
ما هي نسبة المرضى الذين خضعوا للاستئصال الجذري للورم؟
تم إجراء الاستئصال الجذري للورم في 35% من المرضى الذين خضعوا للجراحة، أي بنسبة 17% من إجمالي المرضى.
References used
Brennan MF, Moccia RD, Klimstra D. Management of adenocarcinoma of the body and tail of the pancreas. Ann Surg 1996; 223:506-12
Falconi M, Mantovani W, Bettini R, Talamini G, Bassi C, Cascinu S, et al. Carcinoma of pancreatic body and tail: are there improvements in diagnosis and treatment modalities over the past decade? Dig Liver Dis 2003; 35:421-7
Dalton, RR; Sarr, MG; van Heerden, JA; Colby, TV. Carcinoma of the body and tail of the pancreas: is curative resection justified? Surgery. 1992May;111(5):489–494
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