E-learning Bedah FK UNS

One Year Survival of Resectable Pancreatic Adenocarcinoma in Low Volume Centre Teaching Moewardi Hospital, Surakarta, Indonesia

M. Riskie Aditya Putra*, Ida Bagus Budhi **

*General Surgery Resident, Faculty of Medicine Sebelas Maret University

**Digestive Surgery Consultant Dr.Moewardi Hospital Surakarta

ABSTRACT

Background: Pancreatic adenocarcinoma has poor overall prognosis even after radical surgery, although a few patients may achieve 5 or 10-year survival following radical resection. We reported the short-term period survival (1-year survival) of the patients with Pancreatic Adeno Carcinoma which had been performed resection in our low volume

center. Case report: During 2015, we performed five resections of pancreatic adenocarcinoma (pancreaticoduodenectomy) in our teaching hospital. One patient was male, and the rest were female with the average of age 42 64 years old. Pyloric preserving pancreaticoduodenectomy (PPPD) had been done in 2 cases. The average length of stay (LOS) was 10.2 days. We found two postoperative complications, both of them were classified into Clavien-Dindo 2. R0 resection can be achieved in 4 patients; one patient had an R1 resection. All of the patients received postoperative adjuvant chemotherapy with gemcitabine. After one year follow up, four patients have survived with good quality of life and one patient did not survive due to pneumonia. Conclusion: Resection of pancreatic adenocarcinoma can be performed safely in low volume center with attention in a multidisciplinary approach to get the better outcome.

Keywords: survival, pancreatic adenocarcinoma, low volume center