Management of Pancreatic Carcinoma at Al-Thawra Modern General Hospital Sana'a, Yemen
DOI:
https://doi.org/10.59167/tujnas.v7i7.1336Keywords:
Cancer pancreas, surgical treatmentAbstract
Objectives: This descriptive study aims to evaluate surgical management of pancreatic cancer at Al-Thawra Modern General Hospital-Sana’a, Yemen and to provide reflection of clinical presentation and risk factors for pancreatic cancer in Yemen. Methodology:The study was a retrospective descriptive study of forty four patients with pancreatic cancer subjected to surgical treatmentat Al-Thawra Modern general hospital, Sana’a, Yemen over a period from July 2009 to January 2012. Results: Total numbers of patients were 26 males and 18 females with mean age of 62 years. Pancreatic cancers were located in the head of pancreas in 84%, periampulary in 9.1% and 6.8% in the body & tail. Pancreatic cancer was found to be more frequent among smokers 75%. Most patients were presented with obstructive jaundice 81.8%, vague abdominal pain 66% and weight loss 27.3%.Abdominal computer tomography (CT) scanning was done for all cases. Clinical presentation and the accuracy of CT scan in diagnosis and staging of pancreatic cancer are approximately similar to that reported in other countries 81% and 82%. Curative surgical resections were done for 26 cases while palliative surgeries were performed for 18 irresectable cases. Most of complications and all mortality cases occurred among patients who underwent pancreaticoduodenectomy (Whipple operation). However, we reported a higher mortality rate (17.4%) after Whipple operation at Al- Thawra Hospital-Sana’a than other high volume centers. Recommendations: This study recommends multidisciplinary approach for managing pancreatic cancers with liberal use of abdominal CT scan for diagnosis and staging of pancreatic cancers in suspected cases. Meticulous surgical techniques are advised in improving the surgical management of pancreatic cancer with minimal complications. Further extended studies to evaluate the different factors affecting surgery for pancreatic cancers and to provide basis for improvement in the surgical management of pancreatic cancers.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Ali L. Al-Amry, Abdul Rahman Shuga'a, Nagi Haomash, Valenzuela, Ahmed Al-Washaly, Ahmed Ateig, Adel Ahmed
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
From July 2025 onward, all TUJNAS publications are licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license. This open license allows anyone to share (copy and redistribute) and adapt (remix, transform, and build upon) the work in any medium or format, for any purpose (even commercially), as long as appropriate credit is given to the original author(s) and source. This permissive framework encourages scholarly innovation, translation, and integration into wider academic outputs by removing unnecessary legal barriers. Users of TUJNAS content must provide proper attribution and indicate if any changes were made to the original work. By enabling unrestricted reuse, the CC BY 4.0 license maximizes the reach and impact of research findings while ensuring that authors receive full recognition for their work. (For complete legal details of the CC BY 4.0 license, please refer to the official Creative Commons website.)
Submissions (from July 2025 onward): By submitting a manuscript to TUJNAS for publication (Volume 10, Issue 2, 2025 and thereafter), authors confirm the following:
- Originality: The submission is original, has not been published elsewhere, and is not under consideration by another journal.
- Copyright Retention: The author(s) retain copyright of the work, but grant TUJNAS a non-exclusive right to publish, reproduce, distribute, and archive the article.
- Open Access License: Upon acceptance, the article will be published open access under the CC BY 4.0 license.
- Repository Deposit: The author(s) agree that the full text and metadata of the article may be deposited in digital archives or repositories, to facilitate indexing and reuse under the CC BY 4.0 license.
- Indexing and Sharing: The author(s) acknowledge that TUJNAS may make the article available to third-party indexing, abstracting, and discovery services under the CC BY 4.0 license, without the need for additional permission.
These submission terms ensure that authors understand and consent to the open-access, licensed nature of TUJNAS publications from the outset.
