Long Term Results of Pancreatectomy With and Without Venous Resection: A Comparison of Safety and Complications of Spiral Graft, End-to-End and Tangential/Patch Reconstruction Techniques

Roughly 10% – 20% of pancreatic cancer patients are candidates for curative intent surgical treatment. In the 2000s, many studies showed similar survival rates comparing surgery with or without vein resection and reconstruction. The aim was to identify best method venous This a retrospective cohort study. A total 1 375 undergoing pancreatectomy between 2005 2018 were identified. Patients combined reconstruction included retrospectively. When tumour infiltration portal/superior mesenteric detected, excision tangential suturing/patch, end anastomosis, spiral graft from great saphenous performed. Next, 90 day long term outcomes across techniques analysed. Overall, 198 had involvement visible in pre-operative scans detected during surgery, broken down as follows: 171 (86%) pancreaticoduodenectomy, 12 (6%) pancreatectomy, 15 (8%) distal pancreatectomy. total, 69 (35%) reconstructions, 77 (39%) anastomoses, 52 (26%) tangential/patch reconstructions Tumour histology revealed adenocarcinomas 162 (82%) patients, intraductal mucinous neoplasia 14 (7%), cholangiocarcinoma five (3%), neuro-endocrine nine (5%), eight other diagnoses. 183 (92%) malignant benign. Two died within days, one hospital on post-operative 38 due thrombosis superior intestinal necrosis, Clavien–Dindo grade 5 complication. addition, 50 (23%) 3 4 complications. No differences complications detected. technique, used when more advanced occurs, does not increase complications, mirroring those accompanying shorter resections.