Techniques of Vascular Resection and Reconstruction in Pancreatic Cancer

George Younan, Susan Tsai, Douglas B. Evans, Kathleen K. Christians

Research output: Contribution to journalReview articlepeer-review

Abstract

Multimodality therapy has become the standard approach for the treatment of pancreatic cancer. With improved response rates to newer chemotherapeutic agents, tumors that used to be considered unresectable are now being considered for operation. Neoadjuvant therapy for borderline resectable pancreatic cancer is considered standard of care and venous resection/reconstruction is no longer controversial. Arterial resection and reconstruction in select patients has also proven to be safe when done in highly specialized centers by high-volume surgeons. This article reviews indications for, and technical aspects of, vascular resection/reconstruction and shunting procedures during pancreatectomy, including critical elements of perioperative care.

Original languageEnglish (US)
Pages (from-to)1351-1370
Number of pages20
JournalSurgical Clinics of North America
Volume96
Issue number6
DOIs
StatePublished - Dec 1 2016
Externally publishedYes

Keywords

  • Pancreaticoduodenectomy
  • Vascular reconstruction
  • Vascular resection
  • Whipple

ASJC Scopus subject areas

  • Surgery

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