Chirurgia Bucur ; 3 :May-Jun. Article En MEDLINE ID: mdl Introduction: National databases for pancreaticoduodenectomies PD have contributed to better postoperative outcomes after such complex surgical procedure because the multicentre collection of data allowed more reliable analyses with quality assessment and further improvement of technical issues and perioperative management.
It is important to distinguish between primary ovarian cancer and metastatic tumors in the ovary because their management is different, in terms of ovarian cancer peritoneal dissemination and follow-up. We report the perioperative management of a year-old female patient with bilateral Krukenberg tumors. Este important să se facă distincţia între cancerul ovarian primar şi tumorile metastatice ale ovarului, deoarece managementul lor este ovarian cancer peritoneal dissemination în ceea ce priveşte tratamentul şi urmărirea. Raportăm managementul perioperator al unei paciente de 40 de ani, cu tumori bilaterale Krukenberg. Cuvinte cheie tumora Krukenberg cancer gastric imunohistochimie Introduction Ovarian tumors comprise a heterogeneous group of lesions, displaying distinct tumor pathology and oncogenic potential and being subclassified into several categories based on two criteria: the degree of epithelial proliferation and invasion and the histotype of the epithelium composing the tumors 1.
The current practice and outcomes after PD are ovarian cancer peritoneal dissemination known in Romania because there was no national database for these patients. Thus, in a national-intent electronic registry for PD was proposed for all Romanian surgical centers.
The study aims to present the preliminary results of this national-intent registry for PD after one-year enrollment.
Patients Methods: The database was started on October 1st, Data were prospectively collected with an electronic online form including items for each patient. The registry was opened to all the Departments can hpv cause brain cancer Surgery from Romania performing PD, with no restriction.
Results: During the first year of enrollment were collected the data of patients with PD performed by 24 surgeons from ovarian cancer peritoneal dissemination surgical centers. The age of patients was 64 years 28 - 81 yearswith slightly male predominance Computed tomography was the main preoperative imaging investigation All the PDs were performed by an open approach.
A posterior approach PD was considered in The stomach was used to treat the distal remnant pancreas in The operative time was min - minand the estimated blood loss was ml 80 - ml.
The overall morbidity rate was The overall pancreatic fistula, delayed gastric emptying and hemorrhage rates were Periampullary malignancies were the main indications for PD Conclusions: To build a prospective electronic online database for PD in Romania appears to be a feasible project and a useful tool to know the current practice and outcomes after PD in our country. However, improvements are still required to encourage a larger number of surgical centers to introduce the data of patients ovarian cancer peritoneal dissemination PD.