Portal or superior mesenteric vein resection in pancreatoduodenectomy for pancreatic head carcinoma

@article{Murakami2015PortalOS,
  title={Portal or superior mesenteric vein resection in pancreatoduodenectomy for pancreatic head carcinoma},
  author={Yoshiaki Murakami and Sohei Satoi and Fuyuhiko Motoi and Mineta Sho and Manabu Kawai and Ippei Matsumoto and Goro Honda},
  journal={British Journal of Surgery},
  year={2015},
  volume={102}
}
The aim of this study was to determine the added value of portal or superior mesenteric vein (PV/SMV) resection during pancreatoduodenectomy for pancreatic head carcinoma. 
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The aim of this systematic review and meta‐analysis was to evaluate perioperative outcomes and survival in patients undergoing an artery‐first approach to pancreatoduodenectomy in comparison with
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Venous bypass graft first operations facilitate and enable the resection of the pancreatic head cancers in patients with a cavernous transformation of the portal vein thus rendering these patients resectable.
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References

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Benefit of portal or superior mesenteric vein resection with adjuvant chemotherapy for patients with pancreatic head carcinoma
The aim of this study was to evaluate the efficacy of portal or superior mesenteric vein (PV/SMV) resection for patients with pancreatic carcinoma who underwent pancreatoduodenectomy.
Histologic tumor involvement of superior mesenteric vein/portal vein predicts poor prognosis in patients with stage II pancreatic adenocarcinoma treated with neoadjuvant chemoradiation
Studies have shown that superior mesenteric vein (SMV)/portal vein (PV) resection with pancreaticoduodenectomy (PD) is safe and feasible for patient with pancreatic adenocarcinoma (PAC). However, the
Carcinoma of the pancreas with portal vein involvement--our experience with a modified technique of resection.
TLDR
PD with en bloc resection of the PV/SMV confluence can safely be done with morbidity and mortality similar to that of standard PD, and the survival advantage is directly related to the attainment of negative resection margins.
Isolated portal vein involvement in pancreatic adenocarcinoma. A contraindication for resection?
TLDR
The results suggest that suspected isolated portal vein involvement should not be a contraindication for pancreatic resection in patients with adenocarcinoma.
Does Portal-Superior Mesenteric Vein Invasion Still Indicate Irresectability for Pancreatic Carcinoma?
BackgroundPancreatic carcinoma frequently infiltrates the portal vein or the superior mesenteric vein; pancreatectomy combined with portal vein/superior mesenteric vein resection represents a
Benefit of venous resection for ductal adenocarcinoma of the pancreatic head.
TLDR
There is no reason to exclude patients with suspected venous infiltration from radical pancreaticoduodenectomy including venous resection, and subgroup analysis of patients with margins free of tumour showed that those patients who had Venous resections in whom histological examination did not show infiltration of tumours had the most favourable outcome.
Clinical Implications of Combined Portal Vein Resection as a Palliative Procedure in Patients Undergoing Pancreaticoduodenectomy for Pancreatic Head Carcinoma
TLDR
Most of patients requiring portal vein resection do not achieve a potentially curative resection or a favorable survival term, and as a result, the aggressive application and the strict selection of portal veins resection might reduce the incidence of positive surgical margins, enabling long-term survival in patients who do not require portal vein re resection.
Vascular Reconstruction During Pancreatoduodenectomy for Ductal Adenocarcinoma of the Pancreas Improves Resectability but does not Achieve Cure
TLDR
Vascular resection combined to pancreatoduodenectomy for pancreatic cancer increases local resectability without increasing mortality and morbidity rates but does not improve patients’ disease cure rate.
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