Pancreatic resection combined with vascular resection of pancreatic cancer effects.doc

 PAGE \* MERGEFORMAT 8 Pancreatic resection combined with vascular resection of pancreatic cancer effects Of: tension peak, Fanxian Jun, Huang Bo, Tan Wong industry, Wei Xiaobo [Abstract] Objective To investigate violations of pancreatic cancer combined with vascular reconstruction of the portal vein and the indications. Methods of January 2001 ~ April 2009 to 5 cases of pancreatic cancer admitted to violations of the portal vein of patients, the joint line of pancreaticoduodenectomy portal vein resection and portal vein to the end anastomosis revascularization surgery were retrospectively analyzed. All patients with combined superior mesenteric vein - portal vein resection, portal vein occlusion time was 21 ~ 32 min. Results after surgery in 5 patients all recovered well without bile, pancreatic fistula, infection and bleeding, thrombosis, liver failure and other complications. pathologic examination: tumor resection were adenocarcinoma. resection of 4 cases of vascular invasion, and 1 case of inflammatory adhesion .5 patients were followed up . 3 patients survived more than two years, survived for more than 5 years in 1 case, 1 case still under follow-up. Conclusions In patients choose the right implementation of pancreatic cancer resection in radical surgery of blood vessels can improve the resection rate and improve the quality of life of patients and prolong survival, surgical safety. [Keywords:] pancreatic head duodenectomy; portal vein The anatomical and biological factors, pancreatic easy to violations of the superior mesenteric vein - portal vein, portal vein - superior mesenteric vein resection pancreaticoduodenectomy surgery can improve the resection rate and improve the quality of life of patients and improve survival, our hospital from January 2001 on April -2009 combined with portal vein invasion of pancreatic head carcinoma with portal vein resection in radical pancreaticoduodenectomy, to obtain better results, are reported below.