Complicaciones post-pancreatoduodenectomía de tumores periampulares en una unidad de cirugía hepatopancreatobiliar

Introduction:
Periampullary tumors are defined as lesions that are located in a radius of 2 centimeters
around the ampulla of Vater, constituted by 4 types of neoplasms with a high rate of malignancy originated
in the pancreas, ampulla, distal bile duct or duodenum. Surgical management through the pancreatoduode
-
nectomy remains the best choice in terms of curative resection.
Objetive:
To characterize periampullary
tumors treated in our institution with pancreatoduodenectomy, associating the relationship between tumor
type and postoperative complications.
Material and Method:
Cross-sectional, retrospective, observational
study with a follow-up of 45 patients underwent pancreatoduodenectomy in the Hospital Internacional
de Colombia - Fundación Cardiovascular between January 2011 and March 2020 with histopathological
diagnosis of periampullary tumor.
Results:
Were performed 75 pancreatoduodenectomies, 45 patients
presented with Periampullary tumor, 44% being of pancreatic origin, followed by ampulla 40%, distal
bile duct 8.8% and duodenal 6.6%. Most frequent postoperative complications were pancreatic fistula and
delayed gastric emptying. Mortality was of 1 patient.
Conclusion:
Pancreatoduodenectomy is a procedure
with a high morbidity rate. Thanks to technological advances, the diagnosis of periampullary pathology is
increasingly accurate. The type of periampullary tumor may influence not only in its prognosis, but also
in its post-surgical morbidity