Efficacy of venous reconstruction in patients with adenocarcinoma of the pancreatic head

Thomas J. Howard, Nicholas Villanustre, Seth A. Moore, John Dewitt, Julia Leblanc, Dean Maglinte, Lee McHenry

Research output: Contribution to journalArticle

81 Scopus citations

Abstract

Pancreaticoduodenectomy is often avoided in patients with portal or superior mesenteric venous involvement due to the perception that venous resection is complex, morbid, and carries a poor long-term survival. Our recent experience using state-of-the-art imaging and strict resection criteria show that venous reconstruction increases operative time, transfusion requirements, intensive care unit stay, and total hospital length of stay, but has no significant impact on operative morbidity rates, mortality rates, or the incidence of positive histologic margins. Kalpan-Meier life table analysis shows similar survival curves when compared to a contemporary cohort of patients who do not undergo venous reconstruction.

Original languageEnglish (US)
Pages (from-to)1089-1095
Number of pages7
JournalJournal of Gastrointestinal Surgery
Volume7
Issue number8
DOIs
StatePublished - Dec 1 2003

Keywords

  • Endoscopic ultrasound
  • Helical computer tomography
  • Pancreatic adenocarcinoma
  • Pancreaticoduodenectomy
  • Venous reconstruction

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Efficacy of venous reconstruction in patients with adenocarcinoma of the pancreatic head'. Together they form a unique fingerprint.

  • Cite this