Morbidity of left pancreatectomy when associated with multivisceral resection for XXXX .

@entity1 @entity5 @entity1661 @entity8678 @entity260 @entity3472 @entity674 @entity361
CONTEXT: Resection of adjacent visceral organs is often required in surgery for abdominal @entity361 . OBJECTIVES: To analyze the specific perioperative morbidity and mortality of a left pancreatectomy in multivisceral resections for @entity361 . @entity1 : This paper considered all @entity1 treated at National @entity5 Institute, Milan, Italy, from January 1997 to May 2009 for the resection of @entity1661 requiring a concomitant left pancreatectomy. The extension of surgery, pathology of both the @entity5 and the pancreatic tissue, completeness of resection, administration of pre or postoperative treatments and postoperative outcome were analyzed. The overall survival of the entire population was also assessed. RESULTS: Fifty-seven @entity1 affected by localized @entity8678 or intra-abdominal @entity674 were identified. A macroscopically complete resection was achieved in all but 3 @entity1 (5.3%) and the neoplastic involvement of pancreatic tissue was documented at pathology in 26 (45.6%) @entity1 . @entity260 occurred in 20 @entity1 (35.1%); 7 @entity1 (12.3%) developed a postoperative @entity3472 . With a median follow-up of the surviving @entity1 of 32 months (interquartile range: 20-57 months), the overall survival at 5 years was 67.0%. CONCLUSION: Left pancreatic resection seemed to be a safe procedure, even when it is part of a multivisceral resection for @entity1661 . When margins are crucial for cure, the left pancreas should then always be resected, independently of its direct infiltration.
