Feasibility of portal or superior mesenteric vein resection and reconstruction by allogeneic vein for pancreatic head cancer-a case-control study.
BMC Gastroenterol
; 18(1): 49, 2018 Apr 16.
Article
en En
| MEDLINE
| ID: mdl-29661201
ABSTRACT
BACKGROUND:
There are few reports about resection of portal vein (PV)/superior mesenteric vein (SMV) and reconstruction by using allogeneic vein. This case-control study was designed to explore the feasibility and safety of this operation type in patients with T3 stage pancreatic head cancer.METHODS:
A total of 42 patients (Group A) underwent PV/SMV resection and reconstruction by using allogeneic vein were 11 matched to 42 controls (Group B) with other types of resection and reconstruction. The two groups were well matched.RESULTS:
There was no significantly prolonged total operation time (Group A vs. Group B [490.0 min vs. 470 min], P = 0.067) and increased intraoperative blood loss (Group A vs. Group B [650.0 min vs. 450 min], P = 0.108) was found between the two groups. R1 rate of PV/SMV was slightly reduced in group A compared to group B (4.8% vs. 14.3%, P = 0.137), although no significant difference was found. The incidences of main postoperative complications between the two groups were similar. A slightly increased 1-year and 2-year overall survival rate (OS) (Group A vs. Group B [1-year OS 62.9% vs. 57.0%; 2-year OS 31.5% vs. 25.6%], P = 0.501) and disease-free survival rate (DFS) (Group A vs. Group B [1-year DFS 43.9% vs. 36.6%; 2-year DFS 10.5% vs. 7.4%], P = 0.502) could be found in group A compared to group B, although the differences were not significant.CONCLUSIONS:
The operation types of PV/SMV resection and reconstruction by using allogeneic vein is safety and feasible, it might have a potential benefit for patients.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neoplasias Pancreáticas
/
Vena Porta
/
Venas
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Carcinoma Ductal Pancreático
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Venas Mesentéricas
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adult
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Aged
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Aged80
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
BMC Gastroenterol
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2018
Tipo del documento:
Article
País de afiliación:
China