Mesenteric-Portal Vein Resection during Pancreatectomy for Pancreatic Cancer
Joint Authors
Merigliano, Stefano
Gruppo, Mario
Pedrazzoli, Sergio
Pastorelli, Davide
Beltrame, Valentina
Sperti, Cosimo
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The aim of the present study was to determine the outcome of patients undergoing pancreatic resection with (VR+) or without (VR−) mesenteric-portal vein resection for pancreatic carcinoma.
Between January 1998 and December 2012, 241 patients with pancreatic cancer underwent pancreatic resection: in 64 patients, surgery included venous resection for macroscopic invasion of mesenteric-portal vein axis.
Morbidity and mortality did not differ between the two groups (VR+: 29% and 3%; VR−: 30% and 4.0%, resp.).
Radical resection was achieved in 55/64 (78%) in the VR+ group and in 126/177 (71%) in the VR− group.
Vascular invasion was histologically proven in 44 (69%) of the VR+ group.
Survival curves were not statistically different between the two groups.
Mean and median survival time were 26 and 15 months, respectively, in VR− versus 20 and 14 months, respectively, in VR+ group p=0.52.
In the VR+ group, only histologically proven vascular invasion significantly impacted survival p=0.02, while, in the VR− group, R0 resection p=0.001 and tumor’s grading p=0.01 significantly influenced long-term survival.
Vascular resection during pancreatectomy can be performed safely, with acceptable morbidity and mortality.
Long-term survival was the same, with or without venous resection.
Survival was worse for patients with histologically confirmed vascular infiltration.
American Psychological Association (APA)
Beltrame, Valentina& Gruppo, Mario& Pedrazzoli, Sergio& Merigliano, Stefano& Pastorelli, Davide& Sperti, Cosimo. 2015. Mesenteric-Portal Vein Resection during Pancreatectomy for Pancreatic Cancer. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1064080
Modern Language Association (MLA)
Beltrame, Valentina…[et al.]. Mesenteric-Portal Vein Resection during Pancreatectomy for Pancreatic Cancer. Gastroenterology Research and Practice No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1064080
American Medical Association (AMA)
Beltrame, Valentina& Gruppo, Mario& Pedrazzoli, Sergio& Merigliano, Stefano& Pastorelli, Davide& Sperti, Cosimo. Mesenteric-Portal Vein Resection during Pancreatectomy for Pancreatic Cancer. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1064080
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064080