Single vein resection in surgery for pancreatic ductal carcinoma as a criterion of resectability

Single vein resection in surgery for pancreatic ductal carcinoma as a criterion of resectability

Автор: Chichevatov D.A., Kalentjev V.V., Glukhov A.E.

Журнал: Сибирский онкологический журнал @siboncoj

Рубрика: Клинические исследования

Статья в выпуске: 4 т.21, 2022 года.

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Background. pancreatic ductal carcinoma (pdc) with involvement of the superior mesenteric vein (smV) or/and portal vein (pV) remains a discussible subject. We have evaluated vein invasion as a criterion of borderline resectability and long-term outcome. material and methods. in our center, 68 patients underwent either 65 standard pancreatoduodenal resections or 3 pancreatoduodenectomies for pdc. Resection of smV/pV was performed in 18 cases (26.5 %). three patients received neoadjuvant chemotherapy (Nact), and adjuvant chemotherapy (act) was assigned to 37 patients (54.4 %). Results. morbidity (42.0 vs 50.0 %, р=0.590) and mortality rates (4.0 vs 16.7 %, р=0.111) had no significant differences in groups of standard and angioplasty operations respectively. act was completed in 10 (16.7 %) patients only. there was true vein invasion in 12 of 18 patients with vein resection. рN+ (р=0.012) and angioplasty by itself (р

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Carcinoma, pancreatic ductal, portal vein, angioplasty

Короткий адрес: https://sciup.org/140295748

IDR: 140295748   |   DOI: 10.21294/1814-4861-2022-21-4-25-31

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