title: The Role of Venous and Arterial Resection in Pancreatic Cancer Surgery.
abstract: Pancreatic cancer continues to carry a dismal prognosis with the majority of patients presenting at advanced stages of disease. Complete surgical resection remains essential for prolonging survival and increasing the possibility of cure. However, few patients will be resectable at diagnosis, with a significant portion presenting with borderline or locally advanced disease. The addition of vascular resection and reconstruction at the time of pancreatectomy enables expansion of the patient population able to undergo resection with curative intent and achieve tumor-free margins. This review provides an overview of the literature regarding the role of venous and arterial resection in the treatment of pancreatic cancer, with a focus on outcomes including survival, morbidity, and mortality.
authors.affiliation: Surgical Outcomes Analysis & Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
authors.forename: Gyulnara G
authors.initials: GG
authors.lastname: Kasumova
authors.affiliation: Department of Surgery, Ochsner Health System, New Orleans, LA, USA.
authors.forename: W Charles
authors.initials: WC
authors.lastname: Conway
authors.affiliation: Surgical Outcomes Analysis & Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. jftseng@bidmc.harvard.edu.
authors.forename: Jennifer F
authors.initials: JF
authors.lastname: Tseng
mesh_terms: D001158:Arteries / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D006801:Humans; D008642:Mesenteric Veins / Q000601:surgery*; D020360:Neoadjuvant Therapy; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000601:surgery* / Q000628:therapy; D016577:Pancreaticoduodenectomy / Q000379:methods; D011169:Portal Vein / Q000601:surgery*; D019651:Plastic Surgery Procedures; D014656:Vascular Surgical Procedures