Research on the application of laparoscopic surgery to assist in resection of pancreatic head duodenum to treat ampullary tumors - 24

1.□ Yes

2.□ No

Gastric antrum treatment techniques

1.□ Antral resection

2.□ Preservation of the pylorus

Cut the jejunum, remove the cross

1.□ Yes

2.□ No

Pancreatic isthmus resection

1.□ Yes

2.□ No

Pancreatic uncinate process and mesentery

1.□ Yes

2.□ No

1.□ Harmonic

2.□ Ligasure

Pancreatic resection status

1.□ No bleeding

2.□ Bleeding

Pancreatic resection surface treatment

1.□ Pancreatic edge suture

2.□ Electrocautery

3.□ Suture + electrocautery

4.□ No

1.□ Yes

2.□ No

Liver stem

1.□ Yes

2.□ No

Before and after the head of the pancreas

1.□ Yes

2.□ No

Common hepatic artery

1.□ Yes

2.□ No

Along the right border of the superior mesenteric artery

1.□ Yes

2.□ No

1.□ Yes

2.□ No

Superior mesenteric artery severance

1.□ Yes

2.□ No

Superior mesenteric vein tear

1.□ Yes

2.□ No

Rupture of the artery causing right colon necrosis

1.□ Yes

2.□ No

Right gastroepiploic vein tear

1.□ Yes

2.□ No

Pyloric vein tear

1.□ Yes

2.□ No

Gastric duodenal artery injury

1.□ Yes

2.□ No

Mesenteric hemorrhage

1.□ Yes

2.□ No

Posterior inferior pancreaticoduodenal vein tear

1.□ Yes

2.□ No

Other:………………………………………………………………………………

1.□ Yes

2.□ No

Superior mesenteric artery rupture

1.□ Yes

2.□ No

Adhesions after laparoscopic cholecystectomy

1.□ Yes

2.□ No

Gastroduodenal artery adhesion and bleeding

1.□ Yes

2.□ No

Adhesions, bleeding on the upper edge of the pancreas

1.□ Yes

2.□ No

Adhesions, transverse mesenteric adhesions

1.□ Yes

2.□ No

Adhesions around the head of the pancreas after VTC

1.□ Yes

2.□ No

1.□ Yes

2.□ No

Other:………………………………………………………………………………

1.□ Whipple

2.□ Traverso -

Longmire

1.□ Roux-en-Y

Pancreato-enteric anastomosis

1.□ One layer

2.□ Two layers

3.□ Other:…….

4.□ Overlock stitching

5.□ Detachable tip

6.□ Thread type:…

Stent/pancreatic duct drainage

1.□ Internal stent

2.□ DL out

2.□ No

Biliary-enteric anastomosis

1.□ Overlock stitching

2.□ Detachable tip

3.□ Thread type:…

Bile drainage

1.□ Kehr

2.□ Volker type

1.□ No

DD/Duodenum – intestine

1.□ Overlock stitching

2.□ Detachable tip

3.□ Thread type:…

Location of the anastomosis

DD/TTr-Jejunum

1.□ Through

MTĐTN

2.□ Before

MTĐTN

1.□ Above

MTĐTN

1.□ Yes

2.□ No

Reoperation of intestinal adhesions

1.□ Yes

2.□ No

Braun Connector

1.□ Yes

2.□ No

Jejunostomy

1.□ Yes

2.□ No

1.□ Under the liver

2.□ Pancreatic anastomosis edge

1.□ Douglas

Close the muscle

1.□ Detachable tip

2.□ Overlock stitching

(minute)

Time to make the connection:………………………………………

(minute)

Total surgery time: …………………………………………….

(minute)

Amount of blood lost during surgery:……………………………………...

(ml)

Blood transfusion during surgery:

1.□ Yes

2.□ No

1.□ V=…….ml

Complications

BC degree

Treatment

Bile leak

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Pancreatic fistula

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Digestive fistula

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Abdominal bleeding

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

XHTH on

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Anastomotic bleeding

pancreas - intestine

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Slow traffic

stomach

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Bowel obstruction

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Diarrhea

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Narrow anastomosis

stomach - intestines

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Meckel's hernia

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Lymphatic fistula

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

Postoperative acute pancreatitis

1.□ Yes

……….

1.□Domestic phone

2.□Re-operation

1.□Other

2.□ No

……….

(………………………………)

1.□ Yes

2.□ No

7.4. Evaluation of treatment results:

1.□ Good

2.□ Pretty

3.□ Average

4.□ Bad

Day 1 - 2

Day 3 - 4

Day 5 - 8

DISCHARGE

HC

HB

BC

TC

Prothrombin

GLU

URE

CREA

SGOT

SGPT

BIL TP

BIL TT

ALBUMIN

Na

Song

K

CEA

CA 19-9

Day 1

Day 3

Day 5

Other

Amylase (mmol/l)

Bilirubin (mmol/l)

Payment date: ……/.……/…

Doctor reads: …………………………………………………………………………...

Location of specimen collection: …………………………………………………………….

Dyeing method:

……………………………………………………………..

General:…………………………………………………………………………….

……………………………………………………………………………………..

Microscopic:……………………………………………………………………………...

……………………………………………………………………………………..

1.□ Undifferentiated

2.□ Moderate differentiation

3.□ Highly differentiated

Neuroinvasive:

1.□ No

2.□ Yes

3.□ Do not record

Vascular invasion:

1.□ No

2.□ Yes

3.□ Do not record

Pancreatic edge:

1.□ Positive

2.□ Negative

3.□ Do not record

Common bile duct edge:

1.□ Positive

2.□ Negative

3.□ Do not record

Gastric edge:

1.□ Positive

2.□ Negative

3.□ Do not record

Lymph node metastasis:

1.□ Yes

2.□ No

Total number of lymph nodes: ........................................................................................(lymph nodes)

Number of metastatic lymph nodes: ......................................................................................(lymph nodes)

Location of metastasis: ............................................................................................................

TNM classification:.................................................

Stage:........................................

……………………………………..

day

Gastric tube

……………………………………..

day

Oral

……………………………………..

day

Days in hospital

……………………………………..

day

Pancreatic drainage

……………………………………..

day

Biliary drainage

……………………………………..

day

Jejunostomy tube

……………………………………..

day

Postoperative blood transfusion

1.□ Yes

2.□ No

3.□ V=

…..ml

Postoperative plasma transfusion

1.□ Yes

2.□ No

3.□ V=

…..ml

Antibiotic

1.□ Yes

2.□ No

……..

day

Albumin

1.□ Yes

2.□ No

……..

day

Protein

1.□ Yes

2.□ No

……..

day

Lipids

1.□ Yes

2.□ No

……..

day

Three compartment bag

1.□ Yes

2.□ No

……..

day

Sandostatin

1.□ Yes

2.□ No

……..

day

Reduce gastric secretion

1.□ Yes

2.□ No

……..

day

Pain relief

1.□ Yes

2.□ No

……..

day

1.□ Yes

2.□ No

Gastrointestinal bleeding

1.□ Yes

2.□ No

1.□ Yes

2.□ No

Stomach-ache

1.□ Yes

2.□ No

dropsy

1.□ Yes

2.□ No

Recurrence

1.□ Yes

2.□ No

(T/L)

1.□ Yes

2.□ No

Low blood protein:………..

(g/L)

1.□ Yes

2.□ No

Low blood albumin:……...

(g/L)

1.□ Yes

2.□ No

CA 19.9:…………………

(U/L)

1.□ < 37

2.□ >37

9.4. Diagnostic imaging

1.□ Ultrasound

2.□ CLVT

3.□ MRI

Common bile duct:

1.□ Stretch

2.□ No stretch

3.□ Dimensions:……..mm

Pancreatic duct

1.□ Stretch

2.□ No stretch

3.□ Dimensions:……..mm

Pancreatic tumor recurrence

1.□ Yes

2.□ No

Liver metastasis

1.□ Yes

2.□ No

Ascites

1.□ Yes

2.□ No

Abdominal lymph nodes

1.□ Yes

2.□ No

3.□ Location:……….

9.5. Gastroscopy

1.□ Yes

2.□ No

DD-enteric anastomosis

1.□ Yes

2.□ No

3.□ Handling:………

MN DD-intestinal bleeding

1.□ Yes

2.□ No

3.□ Handling:………

Biliary stasis

1.□ Yes

2.□ No

3.□ Handling:………

DD-enteric anastomosis

1.□ Yes

2.□ No

3.□ Handling:………

1.□Alive

2.□ Dead

3.□ Lost information

Gregorian date of death:……./……./……...

(That is, date:……/……../….lunar calendar)

Additional life expectancy:…………………………………………..(months)

Content

Are not

One

bit

Soy sauce

opposite to

Much

1

Do you or your loved one have any problems performing activities that require effort?

strength or not?

1

2

3

4

2

When traveling a long distance , do you or your relatives have any health problems?

Are not

1

2

3

4

3

Do you or your loved one have any health problems when walking a short distance away from home?

or not?

1

2

3

4

4

Are you or your loved one confined to bed or in a

all day or not

1

2

3

4

5

Do you or your loved one need help with activities such as eating, dressing, bathing?

wash or go to the toilet?

1

2

3

4

IN THE PAST

Are not

One

bit

Soy sauce

opposite to

Much

6

Do you or your loved one have any limitations when working at work or at home?

Are not?

1

2

3

4

7

You or your relative

1

2

3

4