Outcomes from mesenteric-portal axis resection during pancreatectomy

Area of Science:

• Gastroenterology
• Surgical Oncology
• Vascular Surgery

Background:

• Mesenteric-portal axis resection during pancreatectomy was historically complex and risky.
• Technical advancements have made this procedure standard in major medical centers.

Purpose of the Study:

• To evaluate the outcomes of patients undergoing mesenteric-portal axis resection during pancreatectomy.
• To assess the feasibility and safety of this complex surgical intervention.

Main Methods:

• Prospective assessment of patients undergoing mesenteric-portal axis resection during pancreatectomy.
• Procedure indication based on imaging and intraoperative anatomical criteria.

Main Results:

• Ten patients (50% male, mean age 55.7) with pancreatic adenocarcinoma and Frantz tumor were included.
• 60% morbidity rate, with pancreatic fistula (30%) being most common; 10% mortality rate.
• Circumferential resection with primary anastomosis was frequent; average surgery time 556 mins, hospitalization 34.8 days.

Conclusions:

• Mesenteric-portal axis resection is a technically valid procedure.
• Clinical assessment, tumor infiltration, and prognosis are key for patient selection.
• This approach should be considered in appropriate pancreatic cancer cases.