Portal vein patency after pancreatoduodenectomy for periampullary cancer  

Oleh:

Kang, M.J. ; Jang, J-Y. ; Chang, Y.R. ; Jung, W. ; Kim, S.-W.

Jenis: Article from Article - diterbitkan di jurnal ilmiah internasional
Dalam koleksi: BJS: British Journal of Surgery vol. 102 no. 01 (Jan. 2015), page 77-84.
Topik: cancer; PV; transplantation; pancreatuduodenectomy; CT images; tumor
Fulltext: bjs9682.pdf (1.07MB)

Ketersediaan

Perpustakaan FK Nomor Panggil: B15.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Background The fate of the portal vein (PV) after pancreatoduodenectomy, especially its long-term patency and associated complications, has received little attention. The aim of this study was to explore the long-term patency rate of the PV after pancreatoduodenectomy, focusing on risk factors for PV stenosis/occlusion and associated complications. Methods Serial CT images of patients who underwent pancreatoduodenectomy for periampullary cancer between January 2000 and June 2012 in a single institution were evaluated for PV stenosis or occlusion. Results A total of 826 patients were enrolled. The PV stenosis/occlusion rate after pancreatoduodenectomy was 19·6 per cent and the 5-year patency rate 69·9 per cent. The most frequent cause of PV stenosis/occlusion was local recurrence followed by postoperative change and PV thrombosis. Patients who underwent PV resection had a higher PV stenosis/occlusion rate than those who did not (51 versus 17·4 per cent; P?

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