Total pancreatoduodenectomy (TP) is the standard surgical approach for treatment of extended pancreas tumors. If the gastric coronary vein has to be sacrificed for oncologic or for technical reasons in total pancreatectomy with splenectomy, gastric venous congestion (GVC) may result because all major venous draining routes are terminated. In the sequelae of GVC, gastric venous infarction ultimately leads to gastric perforation with abdominal sepsis. To avoid gastric venous infarction, partial or even total gastrectomy is usually performed in the event of GVC after TP. However, this significantly impacts the patient's quality of life. Reconstruction of gastric venous outflow represents a technical approach to overcome GVC and to avoid gastric venous infarction making (partial) gastrectomy unnecessary. The current study aims to assess the role of gastric venous outflow reconstruction in GVC after TP to prevent (partial) gastrectomy.
Age range
18 Years
Sex
ALL
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Incidence of gastric venous congestion
Timeframe: 30 days postoperative
Incidence of gastric ischemia
Timeframe: 30 days postoperative
Postpancreatectomy gastrectomy rate
Timeframe: 30 days postoperative
Reoperation rate
Timeframe: 30 days postoperative
Morbidity rate
Timeframe: 30 days postoperative
Mortality rate
Timeframe: 30 days postoperative