title: Techniques of Vascular Resection and Reconstruction in Pancreatic Cancer.
abstract: Multimodality therapy has become the standard approach for the treatment of pancreatic cancer. With improved response rates to newer chemotherapeutic agents, tumors that used to be considered unresectable are now being considered for operation. Neoadjuvant therapy for borderline resectable pancreatic cancer is considered standard of care and venous resection/reconstruction is no longer controversial. Arterial resection and reconstruction in select patients has also proven to be safe when done in highly specialized centers by high-volume surgeons. This article reviews indications for, and technical aspects of, vascular resection/reconstruction and shunting procedures during pancreatectomy, including critical elements of perioperative care.
authors.affiliation: Pancreatic Cancer Program, Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA.
authors.forename: George
authors.initials: G
authors.lastname: Younan
authors.affiliation: Pancreatic Cancer Program, Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Tsai
authors.affiliation: Pancreatic Cancer Program, Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA.
authors.forename: Douglas B
authors.initials: DB
authors.lastname: Evans
authors.affiliation: Pancreatic Cancer Program, Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA. Electronic address: kchristi@mcw.edu.
authors.forename: Kathleen K
authors.initials: KK
authors.lastname: Christians
mesh_terms: D006801:Humans; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000098:blood supply* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Pancreaticoduodenectomy; Vascular reconstruction; Vascular resection; Whipple