Vascular resection in pancreatic cancer surgery
This material includes 118 patients with resection of the large vessels of the pancreatic region. The Blood loss and dura-tion of GPDR with vascular resection was significantly more than that of GPDR without resection of adjacent major vessels. The complication rate after GPDR with the resection of surrounding major vessels was 60.1% -in the control group - 45.7%. mortal-ity after GPDR with resection of the great vessels was 8.9% - in the control group - 6.4%. Five-year survival rate in the study group was 6%, the median - 17 months, which was not significantly different from the results of GPDR without resection of the vessels. Blood loss and duration of left-sided pancreatectomy with resection of the vessels was significantly greater than the cor-responding figures in the left-sided resection without resection of major vessels. Rate of complications and mortality after left-sided pancreatectomy with resection of the vessels was not significantly different from the operation without resection of the vessels. The two-year survival rate after the left-sided pancreatic resection with the resection of the great vessels at the ductal carcinoma was 9%, median - 9 months, in the control group the five-year survival rate was 5%, median - 12 months. Preference should be given to circular resection of vessels with the formation of the vascular anastomosis "end to end". Left-sided pancreate-ctomy with resection of the celiac artery and the common hepatic artery provides a marked and persistent analgesic effect.