Vascular Resection in XXXX .

@entity1 @entity3123 @entity788 @entity1124 @entity5 @entity3
@entity1124 ( @entity1124 ) is one of the most aggressive @entity5 and represents the fifth most common cause of @entity5 . It is associated with a poor prognosis, likely due to the tendency of the @entity5 for early local and distant spread. One of the major obstacles of effectively treating @entity1124 is the often late diagnosis. Among all options currently available for @entity1124 , surgical resection offers the only potential cure with 5-year survival rate of approximately 15-20  %. However, in the absence of @entity3 , which precludes resection, assessment of vascular invasion is an important parameter for determining resectability for @entity788 . The vascular involvement in @entity1 with @entity3123 ranges between 21 and 64  %. Historically, vascular involvement has been considered a contraindication to resective cure. Meanwhile, the surgical approach of pancreatoduodenectomy (PD) combined with vascular resection and reconstruction has been widely applied in clinical practice to remove the @entity5 completely. Therefore, vascular invasion is no longer a surgical contraindication and the rate of surgical resection has greatly increased. Moreover, PD combined with vascular resection can account for 20 to 25  % of the total cases of PD surgery in a number of the larger pancreas treatment centers. The aim of this review is to provide an overview of management and outcome of vascular resection in @entity1124 surgery.
