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

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

Research output: Contribution to journalArticle

80 Citations (Scopus)

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

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Length of Stay
Adenocarcinoma
Pancreaticoduodenectomy
Life Tables
Survival
Operative Time
Intensive Care Units
Morbidity
Mortality
Incidence

Keywords

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

ASJC Scopus subject areas

  • Surgery

Cite this

Efficacy of venous reconstruction in patients with adenocarcinoma of the pancreatic head. / Howard, Thomas; Villanustre, Nicholas; Moore, Seth A.; DeWitt, John; Leblanc, Julia; Maglinte, Dean; McHenry, Lee.

In: Journal of Gastrointestinal Surgery, Vol. 7, No. 8, 01.12.2003, p. 1089-1095.

Research output: Contribution to journalArticle

Howard, Thomas ; Villanustre, Nicholas ; Moore, Seth A. ; DeWitt, John ; Leblanc, Julia ; Maglinte, Dean ; McHenry, Lee. / Efficacy of venous reconstruction in patients with adenocarcinoma of the pancreatic head. In: Journal of Gastrointestinal Surgery. 2003 ; Vol. 7, No. 8. pp. 1089-1095.
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