Modern aspects of surgical treatment of patients with pancreatic tumors
From 2000 to 2016, we conducted 1195 radical operations in patients with pancreatic tumors. We personalized our surgical strategy and implemented modern techniques. In 102 patients the extended pancreatectomy (EP) with additional vascular resections was conducted. The extended pancreatectomy with arterial resection was conducted in 11 patients, with venous resection - in 91 patients.Complications developed in 212 (19,4%) patients after the standard pancreatectomy, and in 21 (20,6%) patients - after the extended pancreatectomy with vascular resections. Postoperative mortality was 1,7% after the standard pancreatectomy, and 3,9% after the extended pancreatectomy with vascular resections. The median of survival and 5-year overall survival rate were comparable inpatients that have EP with those, who underwent the standard resection (18 months and 18,3%, 16 months and 15,7%, respectively, c2=0,3, p>0,05).