التفاصيل البيبلوغرافية
| العنوان: |
Feasibility of resecting the portal vein only when necessary during pancreatoduodenectomy for pancreatic cancer |
| المؤلفون: |
Y. Kishi, S. Nara, M. Esaki, N. Hiraoka, K. Shimada |
| المصدر: |
BJS Open, Vol 3, Iss 3, Pp 327-335 (2019) |
| بيانات النشر: |
Oxford University Press, 2019. |
| سنة النشر: |
2019 |
| المجموعة: |
LCC:Surgery |
| مصطلحات موضوعية: |
Surgery, RD1-811 |
| الوصف: |
Background Whether the portal/superior mesenteric vein (PV) should be resected during pancreatoduodenectomy for pancreatic ductal adenocarcinoma (PDAC) based on preoperative CT or intraoperative findings is controversial. Methods This was a retrospective study with data of patients who had undergone pancreatoduodenectomy for PDAC between 2002 and 2016 in a tertiary referral centre. Based on the extent of contact between the PV and tumour on CT, patients were categorized into: group 1, no contact; group 2, contact 180° or less; group 3, contact greater than 180°. Extent of pathological PV invasion (pPV) (no invasion, pv0; invasion to tunica adventitia, pv1; invasion to media, pv2; invasion to intima, pv3) was compared with patient survival. To assess the feasibility of performing PV resection (PVR) based on intraoperative findings, the prognosis of patients in groups 1 and 2 with pv0 and no PVR (PVR(−)pv0) was compared with that of patients who had PVR (PVR(+)pv0), selected using propensity score matching. Results Groups 1, 2 and 3 comprised 230, 232 and 38 patients respectively, and PVR was performed in 10·9, 73·3 and 95 per cent of them (P |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
2474-9842 |
| Relation: |
https://doaj.org/toc/2474-9842 |
| DOI: |
10.1002/bjs5.50130 |
| URL الوصول: |
https://doaj.org/article/da44d25dbe0d4217bfb4f68c54051e6f |
| رقم الانضمام: |
edsdoj.44d25dbe0d4217bfb4f68c54051e6f |
| قاعدة البيانات: |
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