Abstract:
We read with interest the paper by Glebova et.1 The
study included a considerable number of patients
compared with the other reports in the literature and
gave valuable information about the results of arterial
resections during pancreatectomy. We have a limited
experience in arterial resections during pancreatectomies,
including two right-sided (Whipple) and five
left-sided pancreatic resections (distal pancreatectomy).
Two patients who underwent Whipple operation with
arterial resection died on postoperative days 5 and 35.
However, all of the five patients who underwent distal
pancreatectomy with celiac axis resection survived. We
believe that perioperative morbidity and mortality are
not the same after left- or right-sided pancreatectomies
with arterial resection, as the extent of surgery in
these operations is markedly different. Whereas vascular
reconstruction is generally required in the right-sided
resection, it is not generally required in the left-sided
pancreatectomy.
