Regarding Outcomes of arterial resection during pancreatectomy for tumor

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.