作者
Birte Kulemann, Jens Hoeppner, Uwe Wittel, Torben Glatz, Tobias Keck, Ulrich F Wellner, Peter Bronsert, Olivia Sick, Ulrich T Hopt, Frank Makowiec, Hartwig Riediger
发表日期
2015/3/1
期刊
Journal of Gastrointestinal Surgery
卷号
19
期号
3
页码范围
438-444
出版商
No longer published by Elsevier
简介
Introduction
The value of extended resection (portal vein, multivisceral) in patients with pancreatic adenocarcinoma (PDAC) is not well defined. We analyzed the outcome after standard resection (standard pancreaticoduodenectomy (SPR)), additional portal vein (PV) and multivisceral (MV) resection in PDAC patients.
Methods
Clinicopathologic, perioperative, and survival data of patients undergoing pancreatic head resection (PHR) for PDAC 1994–2014 were reviewed from a prospective database.
Results
Three hundred fifty nine patients had PHR for PDAC: 208 (58 %) underwent SPR, 131 (36 %) additional PV, and 20 (6 %) MV. The postoperative complication rate in MV (65 %) was slightly higher than in PV (56 %) or SPR (50 %; p = 0.32). MV patients had higher in-hospital mortality (10 %) than SPR (3.8 %) and PV (1.5 %) patients (p = 0.12). Nodal status was comparable, whereas more patients in PV and MV …
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B Kulemann, J Hoeppner, U Wittel, T Glatz, T Keck… - Journal of Gastrointestinal Surgery, 2015