Hepatobiliary Pancreat Dis Int ; 16 2 :Apr. Increasing evidence showed that a periadventiceal dissection of the SMA with early transection of the inflow during pancreaticoduodenectomy associates better early perioperative results, and setup the scene for long-term oncological benefits.
Через пять лет, истратив полмиллиона рабочих часов и почти два миллиарда долларов, АН Б вновь доказало жизненность своего девиза.
The objectives of the current study are to compare the operative results and long-term oncological outcomes of SMA first approach pancreaticoduodenectomy SMA-PD with standard pancreaticoduodenectomy S-PD. The SMA-PD was associated with less intraoperative peritoneal cancer incidence, less blood transfusions and higher peritoneal cancer incidence of associated venous resections.
The pancreatic fistula and delayed gastric emptying had a significantly lower rate in the SMA-PD group. There were no differences between the two approaches regarding overall complications, major complication rates and in-hospital mortality.
There was no difference regarding R0 resection rate, and one- two- or three-year overall survival. Although the one- two- or three-year overall survival rate is not superior, the SMA-PD has a lower local and metastatic recurrence rate.