[Analysis of portal vein resection during pancreaticoduodenectomy in patients with pancreatic cancer].
The feasibility of portal vein resection (PVR) during pancreaticoduodenectomy (PD) for cancer of the pancreatic head is controversial. We retrospectively evaluate the surgical results and prognosis of 26 patients with pancreatic cancer who received PD with PVR (PVR group, n=14) or without PVR (non-PVR group, n=12). The operation time was significantly greater in the PVR group, with a mean time of 13.6 ± 2.4 minutes. There were no differences between the PVR and non-PVR groups in the incidence of complications or the number of days in hospital. In the PVR group, 7 patients were histopathologically diagnosed with portal vein invasion (PV), but there was no difference in the postoperative survival between PV negative and positive patients. PVR during PD appears to be a safe and feasible treatment for appropriate stage pancreatic cancer patients receiving adjuvant chemotherapy.
Dept. of Surgery, Osaka Rosai Hospital.
Masahiro
M
Murakami
Junzo
J
Shimizu
Ho Min
HM
Kim
Toshiki
T
Hitora
Masaki
M
Hirota
Naofumi
N
Oda
Masato
M
Yoshikawa
Hirotaka
H
Morishima
Masakazu
M
Ikenaga
Shoki
S
Mikata
Nobuteru
N
Matsunami
Junichi
J
Hasegawa
D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D011169:Portal Vein / Q000601:surgery*; D011379:Prognosis; D012189:Retrospective Studies