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- W2894776786 abstract "Introduction: Surgery for pancreatic endocrine tumors (PETs) with blood vessel involvement is controversial. Studies have shown vascular invasion in advanced PETs is associated with decreased survival. But other studies have shown after resection RO of PETs with major blood vessel involvement can be beneficial. Method: Single database was obtained. An operation, pathologic condition, complications, and disease-free survival. Results: Of 72 patients with PETs, 46 (17%) had preoperative computed tomography evidence of major vascular involvement. 12 patients with PETs diagnosis was performed. The mean size of the primary PETs was 3.0 cm. Stage T3N1 was more frequent . The involved major vessel was as follows: portal vein (n = 3), superior mesenteric vein (n = 4), mesenteric-porto axis (n=4)and hepatic artery (n = 1). We had performed 4 Whipple procedures, total pancreaticoduodenectomy(n=4) and spleen-pancreatectomies(n = 4). In vessels infiltrated than more 2 cm We have used a prosthesis (Figure 1), surgical median time was 640 minutes. There were 2 deaths postoperative complications and 3 recurred with follow-up, leaving 60% disease-free after one year of surgery. Infiltrated adenopathies were associated with a better overall survival (P < .001), and liver metastases decreased overall survival (P < .001). Conclusion: These findings suggest that surgical resection of PETs with vascular abutment/invasion and nodal or distant metastases is indicated when is possible to obtain good surgical margin tumor." @default.
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- W2894776786 date "2018-09-01" @default.
- W2894776786 modified "2023-10-14" @default.
- W2894776786 title "Vascular resection for pancreatic endocrine tumors" @default.
- W2894776786 doi "https://doi.org/10.1016/j.hpb.2018.06.2242" @default.
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