SynthesisJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2010
Extended pancreaticoduodenectomy with vascular resection for pancreatic cancer: a systematic review.
Synthesis in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03443921 (Artery Divestment Technique in Artery-Involved Pancreatic Cancer), which is not on this map. Cited by 57 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Artery Divestment Technique in Artery-Involved Pancreatic Cancer: A Single-Institution, Open-Labeled Randomized Controlled Trial
Who cites it
57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 143 citations in OpenAlex.
- Pooled it
- Anticoagulation policy after venous resection with a pancreatectomy: a systematic review.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2014Pooled it
- Intraoperative Radiotherapy for Resectable Pancreatic Cancer Using a Low-Energy X-Ray Source: Postoperative Complications and Early Outcomes.Yonsei medical journal · 2022Trial
- Article
- Comparison of short‑ and long‑term outcomes between laparoscopic and open pancreaticoduodenectomy in overweight patients: a propensity score‑matched study.Surgical endoscopy · 2025Article
- Curative intent treatment for pancreatic duct adenocarcinoma invade superior mesenteric vein.Radiology case reports · 2024Article
- Short‑ and long‑term outcomes after laparoscopic and open pancreatoduodenectomy for elderly patients: a propensity score‑matched study.BMC geriatrics · 2024Article
- Review
- Preoperative sarcopenia is a negative predictor for enhanced postoperative recovery after pancreaticoduodenectomy.Langenbeck's archives of surgery · 2022Article
- Risk Factors of Early Liver Metastasis for Pancreatic Ductal Adenocarcinoma after Radical Resection.Gastroenterology research and practice · 2022Article
- Review
- Preoperative Decision to Perform Portal Vein Resection Improves Survival in Patients With Resectable Pancreatic Head Cancer Adjacent to Portal Vein.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Hepatic artery reconstruction after extended resection for borderline resectable pancreatic head cancer: A case report.Experimental and therapeutic medicine · 2021Article
- Clinical usefulness of saphenous vein graft in major arterial reconstruction during extended pancreatectomy.Langenbeck's archives of surgery · 2020Article
- Article
- Surgical resection of metastatic pancreatic cancer: is it worth it?-a 15-year experience at a single Chinese center.Journal of gastrointestinal oncology · 2020Article
- Surgical, survival, and oncological outcomes after vascular resection in robotic and open pancreaticoduodenectomy.Surgical endoscopy · 2020Article
- Pancreaticoduodenectomy complicated by Budd-Chiari syndrome: A case report and review of literature.World journal of gastrointestinal surgery · 2018Article
- Laparoscopic pancreaticoduodenectomy with segmental resection of superior mesenteric vein-splenic vein-portal vein confluence in pancreatic head cancer: can it be a standard procedure?Annals of hepato-biliary-pancreatic surgery · 2018Article
- Short-Term Outcomes of Extended Pancreatectomy: A Single-Surgeon Experience.Gastrointestinal tumors · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis systematic review objectively evaluates the safety and outcomes of extended pancreaticoduodenectomy with vascular resection for pancreatic cancer involving critical adjacent vessels namely the superior mesenteric-portal veins, hepatic artery, superior mesenteric artery, and celiac axis.
methodsElectronic searches were performed on two databases from January 1995 to August 2009. The end points were: firstly, to evaluate the safety through reporting the mortality rate and associated complications and, secondly, the outcome by reporting the survival after surgery. This was synthesized through a narrative review with full tabulation of results of all included studies.
resultsTwenty-eight retrospective studies comprising of 1,458 patients were reviewed. Vein thrombosis and arterial involvement were reported as contraindications to surgery in 62% and 71% of studies, respectively. The median mortality rate was 4% (range, 0% to 17%). The median R0 and R1 rates were 75% (range, 14% to 100%) and 25% (range, 0% to 86%), respectively. In high volume centers, the median survival was 15 months (range, 9 to 23 months). Nine of 10 (90%) studies comparing the survival after extended pancreaticoduodenectomy with vascular resection versus standard pancreaticoduodenectomy reported statistically similar (p > 0.05) survival outcomes. Undertaking vascular resection was not associated with a poorer survival.
conclusionsThe morbidity, mortality, and survival outcome after undertaking extended pancreaticoduodenectomy with vascular resection for pancreatic cancer with venous involvement and/or limited arterial involvement is acceptable in the setting of an expert referral center and should not be a contraindication to a curative surgery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.