Pancreatoduodenectomy lapaau a me complications

I ka lā, pancreatic Ka maʻi 'aʻai o kekahi e like me ka ano o ka maʻi' aʻai. Ma ka hapanui o na hihia, ke kēla mea nani ino hopena. Iloko o ka hookolokolo ana, kauka huai ae i ke alo o nā haumāna metastases, a hoouka aku ola'aʻaʻa o'ē aʻe nā loko.

I ka papa kuhikuhiE drawback o keia maʻi mea i ka mea, ua i malama kekahi symptoms o ka mai symptoms. Ma keia hihia, i ka maʻi 'aʻai keena hoʻomaka e ulu me ka ikaika. Ma ka loaʻaʻana o ka helu nui o nā mea maʻi me ka metastases i hanaʻoki lāʻau lapaʻau manipulation.

pancreatoduodenectomy Technology

I pancreatoduodenal resection hiki ke paipai? ʻoki kino ua hōʻike wale no ka poe e hoomanawanui i kona hikoko i he okoa IIeEeAIEUAA i loko o ka pancreas. Kēiaʻoki kino hana like me ka pākōlea kaʻina.

Ma mua o ka hana i ke kauka e lawelawe ai i ka hulinaʻike, o ka loli hui,. Mahalo i ka ultrasound examinations a kālailai i kekahiʻano o ka maʻi kumu hoʻohālike Hōʻike i ke 'ano o keʻoki kino.

Inā i ka maʻi 'aʻai ua aia i loko o ke poo o ka pancreas paha i loko o ka wahi o ka puka ana o ka pancreatic leki uea, na kumu hanaʻoki kino Whipple. Ma ke alo o ka malignant kaʻina hana i loko o ka wahi o ka kino a me ka huelo o ka pancreas surgeons hana pancreatectomy.

Hana (pancreatoduodenal resection aʻoki kino Whipple) i mua paʻa i loko o kakahiaka 1930. Alan kauka Whipple. Ma ka hopena o 60-ies o ke 'ākeʻakeʻa make ua kiʻekiʻe lawa' ikepili helu.

I ka lā pancreatoduodenal resection ua manaoia e e loa palekana. Make holo 'awelika emi mai a hiki i ke kiʻekiʻe o ka 5%. I ka hope loa hopena o ke kākoʻo a ua pono e kaukaʻi ma o ka 'oihana hana o ka surgeon.

He aha ka ke kaʻina

E mākou noonoo ana i ka paka pancreatoduodenal resection. Kahua o ka hoʻonaʻauao o ka hana i ho'ākāka 'ia ma lalo nei. I ka holo ana o ia mau hana hoomanawanui hana ana pancreatic poo māhele 'āina. I loa mai lawe hapa ana o ka bile leki uea a me ka duodenum. Inā i ka maʻi 'aʻai ua IIeEeAIEUIeXAIIUE i loko o ka opu, ka mea, ua hana i ka hapa moʻolelo holoi.

Ma hope o pancreatoduodenectomy kauka hoʻohui koe pancreatic Hoʻohana. Bile leki uea pololei i pili i ka naʻau liʻiliʻi. I ka manawa o keia hana mea e pili ana i 8 hola. Ma hope o ka hana i ka hoʻomanawanui mea he outpatient lapaʻau, i lawe ma kahi o 3 pule.

Laparoscopy Whipple

Kēia hana o ka lapaʻau ua lawe mai no ka helu ana i ka wahi o ka maʻi 'aʻai. Laparoscopy Whipple me ka nui loa ho'ēmi i kā ka hoʻopulapula wā o ka hoʻomanawanui. Kēiaʻano o kaʻoki kino ua lawe mai i loko o ke alo o nā mea maʻi ampullary Ka maʻi 'aʻai.

Laparoscopicʻoki kino ua hana ma incisions liʻiliʻi i loko o ka abdomen. Ua ua i ka hoao ana i ka surgeons me kūikawā 'inikua lako a pan. Ma maʻamau hana Whipple alakai abdominal incisions kilakila nui.

I ka laparoscopicʻoki kino, surgeons aku nei au i ka mea uuku ke koko poho maʻoki lāʻau lapaʻau kaʻina hana. Lakou i nana i ka palena iki pilikia o ke komo nāʻano likeʻole o nā mea palahēhē.

A hiki aku ka mea e pono ai hana Whipple

Aia nō i ka nui o nā mea kiko'î a ma lalo i ka hana i hiki ke loa koho i ka hoʻomanawanui ka kulana. Mau nā:

• Cancerous lesions o ke poo o ka oihana o ka pancreas (paʻa pancreatoduodenal pancreatectomy).
• Malignancy i loko o ka wahi o ka duodenum.
• Cholangiocarcinoma. Ma keia hihia i kaʻeho e loli ai ola keena o ke akepaʻa bile ala.
• Ampullar Ka maʻi 'aʻai. Eia ka maʻi 'aʻai o Nyos i loko o ka pancreatic leki uea, i lawe bile i loko o ka duodenum.

ʻoki kino o kēiaʻano mea i hoʻohana no kāna hana o benign hikoko. O nā mea maʻi i maʻi pancreatitis.

Kahi o 30% o nā mea maʻi undergo i kēiaʻano o ka nohoʻana. Ka mea, diagnose kaʻeho wahi i loko o ka pancreas. Aie i ka nele o kūlike loa symptoms i loko o ka hapa nui o ka hihia ana i loko o nā mea maʻi me ka metastasis i nā nā loko. E lawe mai i ka hana i loko o ia o ka papa o ka maʻi, aole ia i hana pono.

Pancreatoduodenectomy hoʻomaka me ka pololeiʻike, o ka loli hui, Oihana. Ka hoʻokuʻuʻole i pili kālailai, e hōʻike i kekahi kiʻi o ka maʻi.

Ke uuku ka nui o ka cancerousʻeho ae laparoscopic kaʻina hana. E like me ka hopena, surgeons hiki ole loa wehe i ka hoʻohuli ai i nā 'āpana, pela me ā' inoʻino kekahi i ka 'ē aʻe nā loko o ka abdominal lua.

Hopena o ka lapaʻau

Loa nā mea maʻi e noi i ka ia nīnau: He aha ka hopena pankreatoduodnalnoy resection? Over ka 10 makahiki i hala, i ka hoʻomanawanui make ana, haule iho i ka 4%. Ka mea i ka maikaʻi result ua loaʻa i loko o ke alo o ka nui hana o ka surgeon lawelawe i ka hana.

I ka pancreatic adenocarcinoma Whipple hana e leie aku i ka hoola i ka ola e pili ana i 50% hoʻomanawanui iki mai. I ka piha kaawale o hikoko i loko o ka lymphatic'ōnaehana, e like ana hoomahuahua i ke ola o nā mea maʻi kekahi mau manawa.

Ma hope o ka hana i ka hoʻomanawanui ua häʻawi mai ai i ka papa o ka radiotherapy a me ka chemotherapy. He mea pono i ka mea e luku i ka maʻi 'aʻai keena, e halii mai i nā nā loko.

E möakäka hou lapaʻau ma hope oʻoki kino ua contraindicated i loko o nā mea maʻi i ke alo o ka benignʻeho, e like me me ka neuroendocrine hoololi.

Pancreatoduodenectomy:ʻoki lāʻau lapaʻau 'ana i kūpono

Iloko o kaʻoki lāʻau lapaʻau kaʻina hana lawe aku oe i ka hapanui o ka kino, i mea kuleana no ka secretion o insulina. Ma hoʻi, ka mea e kokua mana i ka nui o ke kō i loko o ke koko nenoaiu. Hapa resection me ka nui loa ho'ēmi i kā ka? Iecaianoaaiiie o insulina. E like me ka hopena, i ka hapanui o nā mea maʻi dramatically maoli i ka pilikia o ka ulu i na maʻi like mimikō.

Nā mea maʻi me ka kiʻekiʻe koko kō pae i susceptible loa a hiki i kēia 'ano o ka maʻi. Normal monakō koko pae i loko o ka hoomanawanui me ka maʻi pancreatitis wa e kaawale aku a loa ho'ēmi i kā ka hooulu ana o ka mimikō.

I ka pau ana o ka hoʻopulapula kaʻina hana ma ka hele ana i kahuna lapaau e pono ia kekahi o kaʻai. Mai kaʻai e e hoʻokoe 'kekahi momoma a me ka palemo ihoʻai. Pinepine, ma hope o ka 'uao, he nui loa nā mea maʻi i intolerance i ka meaʻai. Ma keia hihia, kona hoʻohana ua contraindicated.

Complications maiʻoki kino Whipple

Kēiaʻano o ka iapaau ana i kekahi i lawa ke kiekie kamepiula o complications. Loaʻa nui o ka 'oihana hana o ka surgeon me ka nui loa ho'ēmi i kā ka hanana o kekahi pilikia. Loaʻaʻia pilikia nā:

• Keʻano o ka pancreatic fistula. Iloko o keʻoki kino i ka surgeon hoʻohuiʻia ka gland i ka intestinal Oihana. Kahi I'aʻaʻa kino ulana pancreatic ole kokololio ho'ōla. I loko o kēia wā, he mea i lilo no pancreatic wai.
• Hapa lōlō o ka'ōpū. Ma hope o ka hana i ka hoʻomanawanui ua ia i ka pahu kui ma ka IV papa. He mea pono i ka mea maʻamau hana o ka'ōpū, e hoihoi.

Meaʻai ma hope o pancreatoduodenectomy e e pololei, a pau nāʻano maikaʻiʻole e pono e hoʻopau. I kaʻaeʻana i nā koi a pau o ke kanaka ua kiʻekiʻe o hoi i ka maʻamau ola.