Perioperative and Long-Term Outcome after Standard Pancreaticoduodenectomy, Additional Portal Vein and Multivisceral Resection for Pancreatic Head Cancer

2015 ◽  
Vol 19 (3) ◽  
pp. 438-444 ◽  
Author(s):  
Birte Kulemann ◽  
Jens Hoeppner ◽  
Uwe Wittel ◽  
Torben Glatz ◽  
Tobias Keck ◽  
...  
2013 ◽  
Vol 38 (6) ◽  
pp. 1558-1559
Author(s):  
Darko Zdravkovic ◽  
Dragoljub Bilanovic ◽  
Tomislav Randjelovic ◽  
Marija Zdravkovic ◽  
Srdjan Dikic

2014 ◽  
Vol 146 (5) ◽  
pp. S-1047
Author(s):  
Birte Kulemann ◽  
Uwe A. Wittel ◽  
Ulrich F. Wellner ◽  
Tobias Keck ◽  
Hryhoriy Lapshyn ◽  
...  

ISRN Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Ulrich Friedrich Wellner ◽  
Frank Makowiec ◽  
Dirk Bausch ◽  
Jens Höppner ◽  
Olivia Sick ◽  
...  

Pancreatic cancer is a highly aggressive disease with poor survival. The only effective therapy offering long-term survival is complete surgical resection. In the setting of nonmetastatic disease, locally advanced tumors constitute a technical challenge to the surgeon and may result in margin-positive resection margins. Few studies have evaluated the implications of the latter in depth. The aim of this study was to compare the margin-positive situation to palliative bypass procedures and margin-negative resections in terms of perioperative and long-term outcome. By retrospective analysis of prospectively maintained data from 360 patients operated for pancreatic cancer at our institution, we provide evidence that margin-positive resection still yields a significant survival benefit over palliative bypass procedures. At the same time, perioperative severe morbidity and mortality are not significantly increased. Our observations suggest that pancreatic cancer should be resected whenever technically feasible, including, cases of locally advanced disease.


Author(s):  
Fabio Ausania ◽  
Santiago Sanchez-Cabus ◽  
Paula Senra del Rio ◽  
Alex Borin ◽  
Juan Ramon Ayuso ◽  
...  

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