Pancreaticoduodenectomy with vascular resection for borderline resectable periampullary malignancy

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Pancreaticoduodenectomy With Vascular Resection

Major vascular resection performed at the time of pancreaticoduodenectomy (PD) for adenocarcinoma remains controversial. We analyzed all patients who underwent vascular resection (VR) at the time of PD for any histology at a single institution between 1990 and 2002. Preoperative imaging criteria for PD included the absence of tumor extension to the celiac axis or superior mesenteric artery (SMA...

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Neoadjuvant therapy including chemotherapy alone or concurrent chemotherapy with external bream radiation is a standard treatment strategy for borderline resectable pancreatic adenocarcinoma and is also used routinely for primary operable cancers at some institutions (1). The use of intraoperative radiation therapy (IORT) has been limited largely because of the logistical issues in delivery of ...

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Longterm survival after pancreaticoduodenectomy for periampullary adenocarcinomas.

OBJECTIVES The aim of this study was to identify predictors for longterm survival following pancreaticoduodenectomy (PD) for pancreatic and other periampullary adenocarcinomas. METHODS Clinicopathological factors were compared between short-term (<5 years) and longterm (≥ 5 years) survival groups. Rates of actual 5-year and actuarial 10-year survival were determined. RESULTS There were 109 ...

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Vascular reconstruction and major resection for malignancy.

HYPOTHESIS Complications of vascular procedures performed for tumor infiltration of major vessels or for the rescue of complex tumor resections may significantly affect perioperative patient outcome and long-term patient survival rate. DESIGN AND PATIENTS Retrospective review of 39 patients undergoing major resection for malignancy between April 1980 and April 1998; 35 patients underwent majo...

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Pancreaticoduodenectomy for secondary periampullary cancer following extrahepatic bile duct cancer resection

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ژورنال

عنوان ژورنال: HPB

سال: 2017

ISSN: 1365-182X

DOI: 10.1016/j.hpb.2017.02.330