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Pancreaticoduodenectomy with Segmental Venous Resection: a Standardized Technique Avoiding Graft Interposition

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References

  1. Hackert T, Sachsenmaier M, Hinz U, et al. Locally Advanced Pancreatic Cancer: Neoadjuvant Therapy With Folfirinox Results in Resectability in 60% of the Patients. Ann Surg 2016;264:457-63.

    Article  Google Scholar 

  2. Conroy T, Desseigne F, Ychou M, et al. FOLFIRINOX versus gemcitabine for metastatic pancreatic cancer. N Engl J Med 2011;364:1817-25.

    Article  CAS  Google Scholar 

  3. Conroy T, Hammel P, Hebbar M, et al. FOLFIRINOX or Gemcitabine as Adjuvant Therapy for Pancreatic Cancer. N Engl J Med 2018;379:2395-406.

    Article  CAS  Google Scholar 

  4. Truty MJ, Kendrick ML, Nagorney DM, et al. Factors Predicting Response, Perioperative Outcomes, and Survival Following Total Neoadjuvant Therapy for Borderline/Locally Advanced Pancreatic Cancer. Ann Surg 2019.

  5. Addeo P, Rosso E, Fuchshuber P, et al. Resection of Borderline Resectable and Locally Advanced Pancreatic Adenocarcinomas after Neoadjuvant Chemotherapy. Oncology 2015;89:37-46.

    Article  CAS  Google Scholar 

  6. Belfiori G, Fiorentini G, Tamburrino D, et al. Vascular resection during pancreatectomy for pancreatic head cancer: A technical issue or a prognostic sign? Surgery 2020.

  7. van Roessel S, van Veldhuisen E, Klompmaker S, et al. Evaluation of Adjuvant Chemotherapy in Patients With Resected Pancreatic Cancer After Neoadjuvant FOLFIRINOX Treatment. JAMA Oncol 2020.

  8. Versteijne E, Vogel JA, Besselink MG, et al. Meta-analysis comparing upfront surgery with neoadjuvant treatment in patients with resectable or borderline resectable pancreatic cancer. Br J Surg 2018;105:946-58.

    Article  CAS  Google Scholar 

  9. Addeo P, Velten M, Averous G, et al. Prognostic value of venous invasion in resected T3 pancreatic adenocarcinoma: Depth of invasion matters. Surgery 2017;162:264-74.

    Article  Google Scholar 

  10. Malleo G, Maggino L, Marchegiani G, et al. Pancreatectomy with venous resection for pT3 head adenocarcinoma: Perioperative outcomes, recurrence pattern and prognostic implications of histologically confirmed vascular infiltration. Pancreatology 2017;17:847-57.

    Article  Google Scholar 

  11. Addeo P, De Mathelin P, Averous G, et al. The left splenorenal venous shunt decreases clinical signs of sinistral portal hypertension associated with splenic vein ligation during pancreaticoduodenectomy with venous resection. Surgery 2020;168:267-73.

    Article  Google Scholar 

  12. Bockhorn M, Uzunoglu FG, Adham M, et al. Borderline resectable pancreatic cancer: a consensus statement by the International Study Group of Pancreatic Surgery (ISGPS). Surgery 2014;155:977-88.

    Article  Google Scholar 

  13. Bultmann U, Niedergethmann M, Gelos M. Postoperative results, pathologic outcome, and long-term patency rate of autologous vein reconstruction of the mesentericoportal axis after pancreatectomy. Langenbecks Arch Surg 2020.

  14. Chu CK, Farnell MB, Nguyen JH, et al. Prosthetic graft reconstruction after portal vein resection in pancreaticoduodenectomy: a multicenter analysis. J Am Coll Surg 2010;211:316-24.

    Article  Google Scholar 

  15. Krepline AN, Christians KK, Duelge K, et al. Patency rates of portal vein/superior mesenteric vein reconstruction after pancreatectomy for pancreatic cancer. J Gastrointest Surg 2014;18:2016-25.

    Article  CAS  Google Scholar 

  16. Raptis DA, Sanchez-Velazquez P, Machairas N, et al. Defining Benchmark Outcomes for Pancreatoduodenectomy With Portomesenteric Venous Resection. Ann Surg 2020;272:731-7.

    Article  Google Scholar 

  17. Bachellier P, Addeo P, Faitot F, Nappo G, Dufour P. Pancreatectomy With Arterial Resection for Pancreatic Adenocarcinoma: How Can It Be Done Safely and With Which Outcomes?: A Single Institution's Experience With 118 Patients. Ann Surg 2020;271:932-40.

    Article  Google Scholar 

  18. Terasaki F, Fukami Y, Maeda A, et al. Comparison of end-to-end anastomosis and interposition graft during pancreatoduodenectomy with portal vein reconstruction for pancreatic ductal adenocarcinoma. Langenbecks Arch Surg 2019;404:191-201.

    Article  Google Scholar 

  19. Kim PT, Wei AC, Atenafu EG, et al. Planned versus unplanned portal vein resections during pancreaticoduodenectomy for adenocarcinoma. Br J Surg 2013;100:1349-56.

    Article  CAS  Google Scholar 

  20. Fujisaki S, Tomita R, Fukuzawa M. Utility of mobilization of the right colon and the root of the mesentery for avoiding vein grafting during reconstruction of the portal vein. J Am Coll Surg 2001;193:576-8.

    Article  CAS  Google Scholar 

  21. Bachellier P, Nakano H, Oussoultzoglou PD, et al. Is pancreaticoduodenectomy with mesentericoportal venous resection safe and worthwhile? Am J Surg 2001;182:120-9.

    Article  CAS  Google Scholar 

  22. Strasberg SM, Sanchez LA, Hawkins WG, Fields RC, Linehan DC. Resection of tumors of the neck of the pancreas with venous invasion: the "Whipple at the Splenic Artery (WATSA)" procedure. J Gastrointest Surg 2012;16:1048-54.

    Article  Google Scholar 

  23. Addeo P, Rosso E, Fuchshuber P, et al. Double purse-string telescoped pancreaticogastrostomy: an expedient, safe, and easy technique. J Am Coll Surg 2013;216:e27-33.

    Article  Google Scholar 

  24. Sanjay P, Takaori K, Govil S, Shrikhande SV, Windsor JA. 'Artery-first' approaches to pancreatoduodenectomy. Br J Surg 2012;99:1027-35.

    Article  CAS  Google Scholar 

  25. Addeo P, Nappo G, Felli E, Oncioiu C, Faitot F, Bachellier P. Management of the splenic vein during a pancreaticoduodenectomy with venous resection for malignancy. Updates Surg 2016;68:241-6.

    Article  Google Scholar 

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Substantial contributions to the conception or design of the work: all

Acquisition, analysis, or interpretation of data for the work: PA, PB

Drafting the work or revising it critically for important intellectual content: PA, PB

Final approval of the version to be published: PA, PB

Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: PA, PB

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Correspondence to Pietro Addeo.

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Addeo, P., Bachellier, P. Pancreaticoduodenectomy with Segmental Venous Resection: a Standardized Technique Avoiding Graft Interposition. J Gastrointest Surg 25, 1925–1931 (2021). https://doi.org/10.1007/s11605-021-05012-2

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