Pancreatoduodenectomy for pancreatic malignancies: the impact of performing venous resections.

AGUIRRE NICOLAS; SANTIAGO RUBIO; NESTOR PEDRAZZA; DIEGO RAMISCH; BARROS SCHELOTTO PABLO; GABRIEL E. GONDOLESI

Congreso; AHPBA 2017; 2017

Pancreaticoduodenectomy is the gold standard treatment for malignancies envolving the pancreatic head, but most of the cases are not resectable at the time of diagnoses.Resectability can be increased by including vascular structures; although that will increase R0 resections, increased complication rates and a worse outcome has been published.We aim here to report the outcome of patients undergoing pancreatodoudenectomy with vascular resection (VR+PD), compared to the group of patients resected without vascular resection (VR-PD) in a single HPB Methods: Retrospective review from 1/2008 to 12/2015. We analyzed demographics, tumor characteristics, including histologically proven vascular invasion, and post operative complications stratified by Dindo-Clavien.Overall patient and recurrence free survival, were analyzed using SPSS® v.20; p