Benefit of venous resection for ductal adenocarcinoma of the pancreatic head

The European Journal of Surgery = Acta Chirurgica
Mark HartelStefan Post

Abstract

To find out whether there is any benefit from venous resection during pancreaticoduodenectomy for ductal pancreatic adenocarcinoma. Retrospective study. University Hospital Mannheim/Heidelberg, Germany. 271 patients had resections for ductal adenocarcinoma of the pancreatic head between 1980 and 2001. The outcome of patients who did (n = 68) and who did not (n = 203) have simultaneous resection of major veins (portal vein and/or superior mesenteric vein) were compared. 5 year survival. The groups differed significantly regarding stage, perineural infiltration, lymphangiosis carcinomatosa, operating time, blood loss, and blood transfusion. However, there was no difference in perioperative morbidity (27% and 22%), mortality (4% and 3%), and long-term survival (at 5 years 23% and 24%). Subgroup analysis of patients with margins free of tumour (R0 resections) showed that those patients who had venous resections in whom histological examination did not show infiltration of tumour had the most favourable outcome. There is no reason to exclude patients with suspected venous infiltration from radical pancreaticoduodenectomy including venous resection.

References


❮ Previous
Next ❯

Citations

Nov 27, 2015·Gastroenterology Research and Practice·Thilo HackertMarkus W Büchler
Nov 27, 2015·Gastroenterology Research and Practice·Valentina BeltrameCosimo Sperti
Oct 24, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Michael A AbramsonEdward E Whang
Dec 6, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Dietmar J DinterMarco Niedergethmann
Oct 8, 2008·Annals of the New York Academy of Sciences·Martin LoosMarkus W Büchler
Oct 31, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Isao KurosakiDaisuke Sato
Dec 17, 2010·World Journal of Gastrointestinal Surgery·Shailesh V Shrikhande, Savio G Barreto
Oct 11, 2011·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A MehrabiJ Weitz
Jan 2, 2016·The Indian Journal of Surgery·Ruzica Rosalia LuketinaMarkus W Büchler
Jun 4, 2014·Journal of Hepato-biliary-pancreatic Sciences·Mehdi OuaïssiJean-Yves Mabrut
Jan 13, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sascha A MüllerMarkus W Büchler
Jan 1, 2008·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Olga N Tucker, Mohamed Rela
Sep 4, 2008·Current Oncology Reports·Martin LoosMarkus W Büchler
Aug 19, 2008·Journal of Gastroenterology and Hepatology·David K ChangUNKNOWN NSW Pancreatic Cancer Network
Apr 17, 2015·The British Journal of Surgery·Y MurakamiUNKNOWN Multicentre Study Group of Pancreatobiliary Surgery (MSG-PBS)
Mar 10, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yuichi HosokawaAkihiko Tsuchida
May 6, 2015·Indian Journal of Surgical Oncology·Hans F SchoellhammerGagandeep Singh
Nov 17, 2016·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Birgir Gudjonsson
Oct 9, 2021·Medicine·João Emílio Lemos Pinheiro FilhoJaques Waisberg
Oct 10, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Yakup KuluJan Schmidt

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Ductal

Ductal carcinoma is a malignant neoplasm involving the ductal systems of any of a number of organs, such as the mammary glands, pancreas, prostate or lacrimal gland. Discover the latest research on ductal carcinoma here.

Related Papers

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Michael A AbramsonEdward E Whang
Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Yaojun ZhangLong R Jiao
Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Rory L SmootMichael B Farnell
HPB : the Official Journal of the International Hepato Pancreato Biliary Association
Jean Robert DelperoJean Marie Boher
© 2021 Meta ULC. All rights reserved