Combined pancreatoduodenectomy and vascular reconstruction in treatment of pancreatic head cancer
- VernacularTitle:胰十二指肠联合门静脉切除治疗胰头癌
- Author:
Ying ZHANG
;
Ping BIE
;
Cheng_xian SHI
;
Binqiang CUI
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasm;
Pancreatoduodenectomy;
Portal vein
- From:
Chinese Journal of Postgraduates of Medicine
2006;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate surgical indications and methods for regional pancreatoduodenectomy combined with blood vessel reconstruction. Method Eight patients underwent pancreatoduodenectomy combined with superior mesenteric vein and portal vein (SMV/PV) resection and reconstruction from May 2001 to December 2004,respectively. Results The overall mortality was 0 during perioperative period,no complications occurred. Histological specimen examinations demonstrated adenocarcinoma of pancreas head in all patients. The resected endothelium or margins of the blood vessel and pancreas were microscopically tumor free in all cases. Patients were followed-up from six months to four years.Two patients were died within one year. Four patients had survived for more than two years. Conclusion Regional pancreatoduodenectomy combined with blood vessel reconstruction could increase tumor resection rate in properly selected patients, and could be performed safely without increased morbidity and mortality.
