Long-term outcome of portomesenteric vein invasion and prognostic factors in pancreas head adenocarcinoma.


BACKGROUND:The purpose of this study was to clarify the post-operative prognosis of pancreatic head cancer with pathologic portal vein (PV) or superior mesenteric vein (SMV) invasion. METHODS:From May 1995 to December 2009, preoperative, intra-operative and post-operative data from 276 patients who underwent pancreaticoduodenectomy for pancreatic ductal adenocarcinoma were reviewed retrospectively. The long-term prognosis was compared between patients with a pathologic PV-SMV invasion and those without invasion. RESULTS:Fourty-six patients (16.7%) underwent PV-SMV resection during pancreaticoduodenectomy. Pathologic PV-SMV invasion was observed in 30 (65.2%). Post-operative severe morbidity (grade 3 or 4) was similar for patients with and without PV-SMV resection (8.7% with versus 7.0% without P = 0.754). The mortality rate was 2.2% with PV-SMV resection and 0.9% without PV-SMV resection (P = 0.423). Survival of PV-SMV resection and no resection group had no significant difference (median survival, 16 versus 12 months; P = 0.086). No significant difference in overall survival was seen between patients with and without pathologic PV-SMV invasion (median survival, 13 versus 16 months; P = 0.663). Tumour differentiation, R status, tumour size and type of operation were revealed as independent prognostic factors. CONCLUSIONS:34.8% of patients who underwent PV-SMV resection had no pathologic invasion. And PV-SMV resection did not increase the rate of severe complications and mortality. Furthermore, the prognosis for patients with pathologic PV-SMV invasion may be nearly the same as patients with no invasion. So, PV-SMV resection with reconstruction should be considered in pancreatic head cancer patients with suspected PV-SMV invasion.


ANZ J Surg


ANZ journal of surgery


Jeong J,Choi DW,Choi SH,Heo JS,Jang KT




Has Abstract


2015-04-01 00:00:00












  • Australian audit for the endoluminal repair of abdominal aortic aneurysm: the first 12 months.

    abstract:BACKGROUND:The Australian Safety and Efficacy Register for New Interventional Procedures - Surgical (ASERNIP-S) was contracted by the Commonwealth Department of Health and Aged Care to audit the procedure of endoluminal repair of abdominal aortic aneurysm. The purpose of the audit was to examine the safety and efficacy...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Boult M,Babidge W,Anderson J,Denton M,Fitridge R,Harris J,Lawrence-Brown M,May J,Myerstt K,Maddern G

    更新日期:2002-03-01 00:00:00

  • Use of face masks by non-scrubbed operating room staff: a randomized controlled trial.

    abstract:BACKGROUND:Ambiguity remains about the effectiveness of wearing surgical face masks. The purpose of this study was to assess the impact on surgical site infections (SSIs) when non-scrubbed operating room staff did not wear surgical face masks. METHODS:Eight hundred twenty-seven participants undergoing elective or emer...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验


    authors: Webster J,Croger S,Lister C,Doidge M,Terry MJ,Jones I

    更新日期:2010-03-01 00:00:00

  • Update in achalasia: what the surgeon needs to know.

    abstract::Achalasia is a motility disorder encountered by surgeons during the investigation and treatment of dysphagia. Recent advances in manometry technology, a widely accepted new classification system and a new treatment rapidly gaining international acceptance, have changed the working knowledge required to successfully ma...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Hamer PW,Holloway RH,Crosthwaite G,Devitt PG,Thompson SK

    更新日期:2016-07-01 00:00:00

  • Laser tenotomy and vocal process resection for bilateral midline vocal fold fixation.

    abstract:BACKGROUND:The present retrospective study presents the outcomes of a group of 21 patients with laryngeal obstruction caused by bilateral vocal fold fixation. All of these patients were treated by laser assisted muscle tenotomy and vocal process resection - a modification of the technique described by Michael and Eugen...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Havas TE,Priestley KJ

    更新日期:2003-05-01 00:00:00

  • Identifying prostate cancer in men with non-suspicious multi-parametric magnetic resonance imaging of the prostate.

    abstract:BACKGROUND:To formulate clinical pathways for identifying clinically significant prostate cancer (csPC) and avoiding insignificant prostate cancer (isPC) in those without suspicious regions of interest on multi-parametric magnetic resonance imaging (mpMRI) of the prostate. METHODS:A retrospective review identified pat...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Doan P,Lahoud J,Kim L,Patel MI

    更新日期:2021-01-21 00:00:00

  • Carotid redo surgery: both safe and durable.

    abstract:AIM:To examine the outcomes and complications of surgery for recurrent carotid stenosis. METHODS:From 1974 to 2000, 1922 carotid endarterectomies were performed in our unit. A retrospective cohort analysis of these records identified 24 patients (1.2%) who underwent surgery for recurrent stenosis. RESULTS:There were ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Harris RA,Stow N,Fisher CM,Neale ML,Appleberg M

    更新日期:2003-12-01 00:00:00

  • Discrepancies in Gleason scoring of prostate biopsies and radical prostatectomy specimens and the effects of multiple needle biopsies on scoring accuracy. A regional experience in Tamworth, Australia.

    abstract:BACKGROUND:The aim of this study was to review the discrepancies in Gleason scores (GS) of prostate biopsies and radical prostatectomy specimens and the effects of multiple-needle biopsies on scoring accuracy. METHODS:One hundred patients who had undergone consecutive radical prostatectomies (RP) between January 2004 ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Ooi K,Samali R

    更新日期:2007-05-01 00:00:00

  • Pancreatic resection in patients with synchronous extra-pancreatic malignancy: outcomes and complications.

    abstract:BACKGROUND:Patients may present with a resectable pancreatic tumour in the context of a concurrent primary extra-pancreatic malignancy. These patients pose a dilemma regarding their suitability for surgery. We evaluated our experience with such patients who underwent pancreatic resection with curative intent and detail...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Mehta S,Tan GI,Nahm CB,Chua TC,Pearson A,Gill AJ,Samra JS,Mittal A

    更新日期:2020-03-01 00:00:00

  • Impact of post-operative serum albumin level on anastomotic leakage after transthoracic oesophagectomy for oesophageal squamous cell carcinoma.

    abstract:BACKGROUND:The correlation of post-operative serum albumin level with the occurrence of anastomotic leakage (AL) in oesophageal squamous cell carcinoma (ESCC) remains unclear. The aim of this study was to evaluate the impact of post-operative serum albumin level on AL after transthoracic oesophagectomy. METHODS:Patien...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Zhuge L,Zheng D,Mao H,Xiang J,Chen H

    更新日期:2020-11-05 00:00:00

  • Blood management in total hip replacement: an analysis of factors associated with allogenic blood transfusion.

    abstract:BACKGROUND:The aim of this study was to audit the blood transfusion practice throughout the Epworth Healthcare Hospitals for patients undergoing primary total hip replacement (THR). We determined if blood-saving techniques were having an impact on the risk of allogenic blood transfusion and which patients were at risk ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Wong S,Tang H,de Steiger R

    更新日期:2015-06-01 00:00:00

  • Variability of perioperative mortality of hepatic resection in Australia.

    abstract:BACKGROUND:Hepatic resection is a relatively young and complex specialized procedure. A strong relationship between volume and perioperative mortality has been reported internationally. However, there has been no multicentre study into hepatic resection in Australia. This retrospective, population-based cohort study wa...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Stevens CL,Babidge WJ,Maddern GJ

    更新日期:2018-10-01 00:00:00

  • Early urinary diversion with ileal conduit and vesicovaginostomy in the treatment of radiation cystitis due to carcinoma cervix: a study from a tertiary care hospital in South India.

    abstract:BACKGROUND:To study the magnitude of radiation cystitis following radiation therapy for carcinoma cervix, and propose an algorithm to decide on early diversion, with or without vesicovaginostomy. METHODS:Women who developed radiation cystitis following radiotherapy for carcinoma cervix from January 1998 to December 20...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Banerji JS,Devasia A,Kekre NS,Chacko N

    更新日期:2015-10-01 00:00:00

  • Parathyroid hormone venous sampling prior to reoperation for primary hyperparathyroidism.

    abstract:BACKGROUND:The surgical cure rate for primary hyperparathyroidismis greater than 95%. For those who have recurrent or persistent disease, preoperative localization improves reoperation success rates. Selective parathyroid venous sampling (SPVS) for intact parathyroid hormone is particularly useful when non-invasive loc...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Estella E,Leong MS,Bennett I,Hartley L,Wetzig N,Archibald CA,Harper JS,Cuneo RC

    更新日期:2003-10-01 00:00:00

  • U-shaped prostatobulbar anastomosis for urethral injury after pelvic trauma.

    abstract:BACKGROUND:We describe a technique of U-shaped bulboprostatic anastomosis for urethral injury after pelvic trauma. METHODS:Sixty-eight male patients were included in our study. Suprapubic cystostomy was carried out initially, followed by U-shaped prostatobulbar anastomosis after 6-12 weeks. Follow ups were carried out...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Mathur RK,Aggarwal H,Odiya S,Lubana PS

    更新日期:2008-07-01 00:00:00

  • Population-based study of age, gender and causes of severe injury in Auckland, 2004.

    abstract:BACKGROUND:The burden of severe injury is an important health statistic. When accurate injury data are linked to census population data a reference dataset can be obtained. This information is vital to direct injury prevention and trauma system development. METHODS:Severe injury was defined as death or injury severity...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Creamer GL,Civil I,Koelmeyer T,Adams D,Cacala S,Thompson J

    更新日期:2008-11-01 00:00:00

  • Facial transplantation as an option in reconstructive surgery: no mountains too high?

    abstract:BACKGROUND:Human facial allotransplantation (FA) is a testament to the impressive progress, which was and is still happening in the field of transplantation medicine and reconstructive surgery. Like every pioneering treatment option, FA faces both the clinicians' and public opinion with a huge amount of medical and psy...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Błogowski W

    更新日期:2009-12-01 00:00:00

  • Residual cancerous lesion and vein tumour thrombus identified intraoperatively using a fluorescence navigation system in liver surgery.

    abstract:AIM:The main aims of this study are to investigate the clinical application value of using indocyanine green fluorescence imaging for ensuring complete resection of tumour tissue during hepatectomy and to evaluate the diagnostic efficacy of near-infrared (NIR) fluorescence imaging system using indocyanine green in hepa...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: He P,Su S,Fang C,He K,Chi C,Xia X,Tian J,Li B

    更新日期:2019-07-01 00:00:00

  • Acute forearm compartment syndrome following haemodialysis access fistula puncture in uraemia.

    abstract:BACKGROUND:Acute compartment syndrome is a well-described surgical emergency that requires immediate diagnosis and operative intervention. Vascular access-associated compartment syndrome is rarely reported in haemodialysis patients. The purpose of this article is to document evidence that catheter-related puncture, whi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Lin CT,Dai NT,Chen SG,Chang SC

    更新日期:2016-10-01 00:00:00

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    abstract::Chronic constipation is a common condition in both adults and children. Children with chronic constipation frequently have symptoms that continue into adulthood. In the second part of the review we describe advances in the identification of abnormalities in the control of motility. The role of neurotransmitters in bot...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: King SK,Sutcliffe JR,Hutson JM,Southwell BR

    更新日期:2004-10-01 00:00:00

  • Blood transfusion following major orthopaedic surgery in cerebral palsy: a retrospective analysis.

    abstract:BACKGROUND:Progressive musculoskeletal pathology is ubiquitous among children with cerebral palsy (CP). Corrective surgery places them at risk of major blood loss and red blood cell (RBC) transfusion. Significant variability exists in uptake of perioperative patient blood management (PBM) strategies. This study aimed t...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Lu MZH,Reid SM,Lundine K,Crighton G

    更新日期:2020-09-06 00:00:00

  • Anatomy of the pudendal nerve and its terminal branches: a cadaver study.

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    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Schraffordt SE,Tjandra JJ,Eizenberg N,Dwyer PL

    更新日期:2004-01-01 00:00:00

  • Cardiac surgery versus stenting: what is better for the patient?

    abstract::Patterns of myocardial revascularization have changed significantly over the past decade. There has been a relative decrease of coronary artery bypass grafting (CABG) compared with percutaneous coronary intervention (PCI) and some patients are undergoing PCI for coronary lesions traditionally reserved for CABG. The mi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Edelman JJ,Wilson MK,Bannon PG,Vallely MP

    更新日期:2012-11-01 00:00:00

  • Reconstruction of limited parotidectomy defects using the dermofat graft.

    abstract:BACKGROUND:Removal of part or all of the parotid gland may leave a visible contour defect and may also be associated with complications such as Frey's syndrome. These aesthetic and functional issues can be addressed using dermofat graft reconstruction. The aim of this study is to assess patient satisfaction and complic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Pham M,Eviston TJ,Clark JR

    更新日期:2017-12-01 00:00:00

  • Thirteen-year experience with hand-assisted laparoscopic surgery in colorectal patients.

    abstract:BACKGROUND:We report outcomes on 324 consecutive cases of hand-assisted laparoscopic surgery (HALS) in colorectal patients over 13 years performed by a single surgeon. METHODS:A prospectively maintained database was used to identify all patients undergoing HALS colorectal procedures for benign or malignant indications...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Siddiqui J,Young CJ

    更新日期:2020-01-01 00:00:00

  • Quality of life and gastric acid-suppression medication 20 years after laparoscopic fundoplication.

    abstract:BACKGROUND:Laparoscopic fundoplication is an effective treatment for gastro-oesophageal reflux disease (GERD). We aimed to assess quality of life (QoL), long-term residual symptoms, patient satisfaction and use of acid-suppression medication at 5, 10 and 20 years after surgery. METHODS:We identified a cohort of 100 pa...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Campanello M,Westin E,Unosson J,Lindskog S

    更新日期:2020-01-01 00:00:00

  • Surgery: no profession for a lady.

    abstract::There are currently over 700 active female Fellows of the Royal Australasian College of Surgeons, accounting for just less than 10% of the surgical workforce. The first female Fellow of the College was Lillian Violet Cooper, of Queensland, who was admitted to Fellowship on 17 June 1927. Over the following half century...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章,评审


    authors: Neuhaus SJ

    更新日期:2016-01-01 00:00:00

  • Preoperative factors prolonging the length of stay in elective colorectal surgery.

    abstract:BACKGROUND:In elective colorectal resections, the patient's preoperative social situation may play a significant role in delaying their discharge from hospital. The aim of this study was to identify which preoperative factors are associated with non-medical reasons for a delay in discharge and prolonged length of stay ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Ngui NK,Hitos K,Ctercteko G

    更新日期:2011-09-01 00:00:00

  • Ward safety checklist in the acute surgical unit.

    abstract:BACKGROUND:Deficiencies in daily ward rounds are increasingly identified. A ward safety checklist has recently been devised to improve the fast-paced surgical ward round. METHODS:Over 2 weeks the morning post-take surgical ward round was evaluated using the ward safety checklist. In order to avoid the Hawthorne effect...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Blucher KM,Dal Pra SE,Hogan J,Wysocki AP

    更新日期:2014-10-01 00:00:00

  • Safety of single-incision laparoscopic cholecystectomy for acute cholecystitis.

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    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Byun GY,Lee SR,Koo BH

    更新日期:2018-07-01 00:00:00

  • Single-stage laparoscopic cholecystectomy and intraoperative endoscopic retrograde cholangiopancreatography: is this strategy feasible in Australia?

    abstract::Currently in Australasia, concomitant cholecystolithiasis and choledocholithiasis are usually managed with two procedures: laparoscopic cholecystectomy (LC) and pre or postoperative endoscopic retrograde cholangiopancreatography (ERCP). This approach exposes the patient to the risk of complications from the common bil...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: March B,Burnett D,Gani J

    更新日期:2016-11-01 00:00:00