What is local excision of jugular abdominal tumor

Objective: To improve the surgical resection rate of jugular abdominal tumors and to reduce surgical trauma and risk. Methods: Local resection and reconstruction of the biliopancreaticoduodenal junction were performed in 9 cases of jugular abdominal tumors. Results: 4 males and 5 females, mean age 61 years old, 6 cases had jaundice, mean serum total bilirubin 163.4 mmol/L. 7 patients underwent preoperative ERCP examination and biopsy, 5 of which were confirmed to be malignant tumors of the jugular abdomen. All patients underwent local resection, and the average operation time was 2.5 hours without intraoperative blood transfusion. The average tumor diameter was 2.1 cm, and the postoperative pathology confirmed two cases of benign adenoma, three cases of choriocarcinoma with local carcinoma, and four cases of adenocarcinoma. Intraoperative frozen sections of the bile duct margins confirmed that no cancer cells remained. One case of minor postoperative anastomotic fistula and one case of upper gastrointestinal stress ulcer bleeding occurred, which were cured by conservative treatment. No serious complications such as abdominal infection and abdominal bleeding occurred. There was no reoperation or surgical death in the whole group. The average postoperative hospital stay was 24 days. With a median follow-up of 5 years, the survival rates of the 7 patients with potbelly cancer were 100% (n=7), 71.4% (n=5) and 57.1% (n=4) at 1, 3 and 5 years after surgery, respectively, and the longest survival was 10 years. Conclusion: Selective local resection of jugular abdominal tumors can improve surgical resection rates and reduce surgical risks while achieving a satisfactory long-term survival rate.