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Survival following pancreaticoduodenectomy with resection of the superior mesenteric-portal vein confluence for adenocarcinoma of the pancreatic head

Survival following pancreaticoduodenectomy with resection of the superior mesenteric-portal vein confluence for adenocarcinoma of the pancreatic head,

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Survival following pancreaticoduodenectomy with resection of the superior mesenteric-portal vein confluence for adenocarcinoma of the pancreatic head   (Citations: 115)
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Journal: British Journal of Surgery - BRIT J SURG , vol. 85, no. 5, pp. 611-617, 1998
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    • ...especially appropriate for PD with PV–SMV resection because (1) it facilitates the exposure of SMA before pancreatoenteric continuity is interrupted, which can reduce the rate of nonradical PD when SMA is involved; (2) it avoids palliative resection owing to the involvement of the retroperitoneal margin which happens frequently in cases of invasion of the SMV; 12 (3) it shortens the vascular...

    Ji Zhang, et al. Long Mesentericoportal Vein Resection and End-to-End Anastomosis Witho...

    • ...Although utility of synthetic grafts has been reported, this method might be associated with graft infection and subsequent loss [25]...

    Yusuke Yamamoto, et al. Reconstruction of the portal and hepatic veins using venous grafts cus...

    • ... Several clinical studies have confirmed this hypothesis, and shown that the outcome of pancreaticoduodenectomy is unaffected by portal-vein resection...

    Christoph W Michalski, et al. Surgery Insight: surgical management of pancreatic cancer

    • ...In this system, disease stage is determined by three factors: (1) the size of the primary tumor and its relationship to the celiac axis and superior mesenteric artery (T); (2) the presence or absence of regional lymph node involvement (N), and (3) the presence or absence of distant metastases (M). Cancers diagnosed as stage I by preoperative imaging are small and localized to the pancreas, and are therefore routinely resectable. Stage II disease is characterized by a primary tumor that extends into adjacent organs or involves regional lymph nodes, without distant metastases or invasion into the celiac trunk or superior mesenteric artery. Such disease is also often resectable. Significantly, the most recent edition of the AJCC system includes tumors with isolated portal or superior mesenteric vein involvement in this group, reflecting the increasing perception of such tumors as potentially amenable to surgery [...

    Matthew H. Katz, et al. An Evidence-Based Approach to the Diagnosis and Staging of Pancreatic ...

    • ... Several technical series demonstrate that portal vein resection can be accomplished safely during radical pancreatoduodenectomy without increasing the perioperative morbidity, mortality, or length of hospital stay...

    Vivek Maheshwari, et al. Current management of locally advanced pancreatic cancer

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Citations (115)

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