Outcomes of arterial resection during pancreatectomy for tumor.

Objective: Arterial resection (AR) during pancreatic tumor resection is controversial. We examined the safety and efficacy of AR during pancreatectomy.

Methods: We used a prospective institutional database that includes 6522 patients who underwent pancreatectomy from 1970 to 2014; 35 had AR.

Risk of venous thromboembolic events following inferior vena cava resection and reconstruction.

Objective: The perioperative risk of an acute venous thromboembolism (VTE) event after inferior vena cava (IVC) reconstruction is unknown. We sought to describe VTE outcomes of our 15-year IVC reconstruction experience.

Methods: We performed a retrospective institutional review of all patients who underwent IVC reconstruction (September 1999-October 2014) and describe perioperative VTE outcomes.

Treatment of a complex thoracoabdominal aneurysm and dissection with a branched graft.

This article describes the management of a patient with a complex symptomatic thoracoabdominal aneurysm and discusses the branched graft approach to surgical repair of complex aortic aneurysms. The case highlights the importance of a team approach during a complex, high-risk surgery and the perioperative period.

Outcomes of Bypass Support Use during Inferior Vena Cava Resection and Reconstruction.

Background: The safety and effectiveness of using venovenous and cardiopulmonary bypass for resection of the inferior vena cava (IVC) is not well studied. The goal of this study was to compare outcomes following IVC resection with and without bypass support.

Methods: We analyzed all patients undergoing IVC resection at our institution (September 1999 to June 2014) and compared the use of bypass support with cross-clamp alone using univariable and Kaplan-Meier analyses.

Technical risk factors for portal vein reconstruction thrombosis in pancreatic resection.

Objective: Vascular reconstruction can facilitate pancreas tumor resection, but optimal methods of reconstruction are not well studied. We report our results for portal vein reconstruction (PVR) for pancreatic resection and determinants of postoperative patency.

Methods: We identified 173 patients with PVR in a prospective database of 6522 patients who underwent pancreatic resection at our hospital from 1970 to 2014.