Accès ouvert déclaré2025article
Analysis of Short-Term Outcomes in Pancreatic Surgery with Vascular Resection from a Prospective Multicenter Global Study
Pascale Tinguely, Camila Hidalgo Salinas, Sebastian M. Staubli, Dimitri Aristotle Raptis, Giuseppe Fusai, The Pancreasgroup.org Chief Investigator, Cristina Ferrone, Mohammad Abu Hilal, Claudio Bassi, Marc G. Besselink, Kevin C. Conlon, Brian Davidson, Marco Del Chiaro, Christos Dervenis, Massimo Falconi, Thilo Hackert, Ewen M. Harrison, Shailesh V. Shrikhande, Ajith K. Siriwardena, Martin H. Smith, Christopher L. Wolfgang, Aditya Borakati, Deniz Balcı, Nikolaos Machairas, Giovanni Marchegiani, Atsushi Oba, Christian E. Oberkofler, Ioannis Passas, Reena Ravikumar, Patricia Sánchez‐Velázquez, Martín de Santibañes, Andreas A. Schnitzbauer, Fiammetta Soggiu, Domenico Tamburrino, Alice C. Wei, Marinos Zachiotis, The Pancreasgroup.org Country Leaders, Kamel Bentabak, Salah Eddine Kacimi, Mehrdad Nikfarjam, Aliaksei Shcherba, Gregory Sergeant, Gustavo Coelho, Orlando Jorge Martins Torres, Nikolay Belev, Burundi Fabrice, Ephraim Tang, Janet Martin, Christian Diaz, Nicolás Devaud, Kongyuan Wei, Maher Hendi, Danko Mikulić, Nikolaos Gouvas, Andrej Nikov, Dalia Fathallah, Mahmoud Saad, Olav Tammik, Heikki Huhta, Laurent Sulpice, Renato Micelli Lupinacci, Gregor A. Stavrou, Evangelos Felekouras, Vasileios Papaziogas, Sanjeev Misra, Erik Prabowo, Hashim Talib Hashim, Maytham Al-Juaifari Al-Sader, Sohei Satoi, Khaled Obeidat, Maram Mohsen, Ho‐Seong Han, Mohamad Khalife, Muhammed Elhadi, Audrius Dulskas, Jin Bong, Shahi Ghani, Alejandro Eduardo Padilla, Javier Melchor-Ruan, Sarnai Erdene, Amine Benkabbou, Pueya Nashidengo, Jonathan Koea, Ademola Adeyeye, Olusegun Isaac Alatise, Sami Ullah, Mustafa Abu Jayyab, Sarah Amro, Walaa Mohammed Alnammourah, Catherine The, Michał Pędziwiatr, Wojciech Polkowski, Sorin T. Barbu, Aleksandar Karamarković, Daniel Galun, Brian K. P. Goh, Blaž Trotovšek, Jones Omoshoro-Jones, Ielpo B, Abdelfatah Abdelmageed, Per Sandström, Alessandra Cristaudi, Beat Gloor, Christoph Kuemmerli, Alaa Hamdan Tishreen, Mohammad Karam Chaaban, Chien Hui Wu, Po-Chih Yang Fu Jen, Ammar Houssem, Oussama Baraket, Ahmet Çöker, Mark Taylor, Nigel B. Jamieson, Satheesh Iype, Emmanouil Giorgakis, Motaz Qadan, Sabha Ganai, Hamza Al-Naggar, Onesai Chihaka, all Pancreasgroup.org collaborators, Amor El Behi, Anisse Tidjane, Ilhem Ouahab, Souad Bouaoud, Mounira Rais, Meriem Abdoun, Amel Ouyahia, Lucas Mc Cormack, Pablo Barros Schelotto, Shantanu Joglekar, Sivakumar Gananadha, Kat Hall, Russell Hodgson, Alistair Rowcroft, Lynn Chong, Kalpesh Shah, Stanley Chen, David Burnett, Zi Qin Ng, Christos Apostolou, Peter Kornprat, Radoslava Stoyanova, Bert Van Den Bossche, Vera Hartman, Filip Gryspeerdt, Frederik Berrevoet, Sébastien Strypstein, Rinaldo de Angeli Pinto, Matheus Militz, Pablo Duarte Rodrigues, Narimã Marques, Adriano Sampaio, Panche Krastev, Mihail Slavchev, Ivelin Takorov, Nikola Vladov, Vassil Mihaylov, Evgeni Nikolaev, D. Kostov, Pablo E. Serrano, Cristián Díaz, Alejandro Brañes, Lei Cai, Yiming Chen, Ivan Štironja, Tomislav Bubalo, Martin Loveček, Pavel Záruba, Almoatazbellah Attalla, Mosaab Tayiawi, Muneera Alboridy, Mohamed Mourad, Mostafa Refaie Elkeleny, Yousef Tanas, Hajer Ealreibi, Mohamed Abd El Moneam, Mohammed Hamouda, Ahmed Nafea, Mohamed Abdelalemm, Ahmed Mansour, Marina Farag, Mohamed Salah, Mohamed Abdelkarem, Hatem Sayed, Sherein Diab, Mira Gobran, Abdelrahman Fahim, Selmy Awad, Sherif Abdelmawgoud, Emad Alazab, Mostafa Nagy, Islam H. Metwally, Ahmed Shehta, Ahmed Monier, Mohammed Omar, Feras Alsabbagh, Joonas H. Kauppila, Minna Nortunen, Raffaele Brustia, Stéphanie Truant, Guillaume Piessen, Aurélien Dupré, Régis Souche, Natalia Savala, Sébastien Gaujoux, Nicolas Goasguen, Morgan Anyla, Lilian Schwarz, Fabio Giannone, Zaza Demetrashvili, Isabel Bartella, Ioannis Pozios, Orlin Belyaev, Dirk R. Bulian, Christian Praetorius, Sandra Korn, Maximilian Brunner, Elena Mazzella, Martin Reichert, Jochen Gaedcke, Ulrich Ronellenfitsch, Tim Reese, Kim Wagner, Pasquale Scognamiglio, Faik G. Uzunoǧlu, Jakob R. Izbicki, Benjamin Struecker, Dimitrios Kardassis, Silvio Nadalin, Georgios Makridis, Nikolaos Tsoukalas, Aristotelis Kechagias, Argyrios Ioannidis, Nikolaos Arkadopoulos, Dimitrios Papakonstantinou, Nikolaos Michalopoulos, Panagiotis Kokoropoulos, Pantelis Vassiliu, Dimitrios V. Stergiou, Maria Sotiropoulou, Nefeli Tomara, Panagiotis Dorovinis, G. Tzimas, Dimitrios Schizas, Alexandros Papalampros, Andreas Polydorou, Georgios Fragulidis, Konstantinos Toutouzas, Αntonios Vezakis, Konstantinos Bramis, Dimitrios Korkolis, Εvangelos C. Fradelos, Georgios K. Glantzounis, Dimitrios E. Magouliotis, Grigorios Christodoulidis, Francesk Mulita, Elissaios Kontis, Dimitris Giakoustidis, Anastasios Katsourakis, Achilleas Νtinas, Panagiotis Petras, Attila Bursics, András Vereczkei, Sreenivasan Karuparthi, Govind Purushothaman, Rahul Gupta, Kaushal Yadav, Sundeep Jain, Jeewan Ram Vishnoi, V. P. Varshney, Kshaunish Das, Somnath Chattopadhyay, Jayapala Reddy Velagala, Varun Bansal, S Induchoodan, Tarun Kumar, Maytham Al-Juaifari, Eran Sadot, Marco Vivarelli, Valeria Andriola, Michele Ciola, Mario Virgilio Papa, Adelmo Antonucci, Diego Sasia, Valentina Testa, Lapo Bencini, Tommaso Nelli, Fabrizio D’Acapito, Carlo Alberto Pacilio, Giacomo Carganico, Raffaele De Rosa, Stefano D’Ugo, Edoardo Saladino, Alfonso Recordare, Michele Mazzola, Vincenzo Mazzaferro, Alessandro Zerbi, Caterina Baldi, Marco Stella, Fabrizio Di Benedetto, Fabio Uggeri, Alessandro Iacomino, Gianluca Rompianesi, Andrea Belli, Lucia Moletta, Francesca Tolin, Mario Giuffrida, Lorenzo Cobianchi, Paolo Regi, Luca Morelli, Emanuele F. Kauffmann, Enrico Pinotti, Felice Giuliante, Alessandro Coppola, Tommaso Maria Manzia, Alberto Porcu, Claudio Feo, Teresa Perra, Francesco Antonio Ciarleglio, Simone Novello, Alessandro Ferrero, S Intini, Giorgio Querini, Andrea Ruzzenente, Tommaso Campagnaro, Simone Conci, Sara Napetti, Alice Frontali, Daisuke Hashimoto, Ippei Matsumoto, Hiromitsu Maehira, Minoru Tanabe, Subhi Al-Issawi, Aiman Obed, Hebah Rababa, Khayry Al‐Shami, Mohamed Alsabah, Saeed Shumrakh, Abdulaziz Al-Samawi, Almu’atasim Khamees, Ildar Fakhradiyev, K. Atstupens, Walid Faraj, Fatoom Alowjali, Abdulhadi Alshatshat, Aihab Benamwor, Eman Younes, D Burgan, Marwa Morgom, Muhannud Binnawara, Entisar Alshareea, Sultan Ahmeed, Eman M. Othman, Ahmed Gerwash, Osama Salem, Wegdan Khalil, Eman Abdulwahed, Mohamed Alharari, Tomas Vanagas, Vitalijus Eismontas, Jonas Jurgaitis, Algirdas Šlepavičius, Vytenis Mikutaitis, Mindaugas Kvietkauskas, Edoardo Rosso, Andee Dzulkarnaen Zakaria, Ian Chik, Carlos Florez Zorrilla, Moniba Korch, Iltimass Gouazar, Badr Serji, Aziz Zentar, Reda Elhassouni, Sabrillah Echiguer, Mohammed Anass Majbar, Abdulrashid Pueya Nashidengo, Paleswan Joshi Lakhey, John A. Windsor, Michael Jen Jie Chu, Peter Johnston, Vanshay Bindra, Andrea Cross, Ashok Gunawardene, Fraser Welsh, Jibran Abbasy, Hasan Siddiqui, Mohammad Sohail Asghar, Qusai Zreqat, Rawand Titi, Fatima Manasrah, Ahlam Hammoudeh, Guillermo Coayla, Catherine Teh, Cenon Alfonso, Marta Flisińska, Justyna Rymarowicz, Marek Sierżęga, Wojciech Ciesielski, Oliwia Grząsiak, P. Szewczyk, Krzysztof Szwedziak, Wojciech Korcz, Oskar Kornasiewicz, Emanuel Vigia, Raluca Bievel Radulescu, Traian Dumitraşcu, Mara Mardare, Octav Ginghina, Iulian Brezean, Sorin Petrea, Adrian Bartoş, Raluca Bodea, Sergiu Matei, Ana-Maria Mușină, Natalia Velenciuc, Alexander Belyaev, Д. В. Мизгирев, Andrey Litvin, И. А. Семененко, Arkady Bedzhanyan, Н Н Багмет, Ayrat Kaldarov, Denis Kuchin, E. S. Drozdov, Mahir Gachabayov, Mohammed Alharthi, Aleksandar Bogdanović, Stefan Kmezić, Dragana Arbutina, Mihailo Bezmarević, Jovan Juloski, Mladjan Protić, Emil Loots, Manuel Marcello, José Manuel Ramia, María Del Mar Rico-Morales, Fabio Ausania, Ana Belén Martín Arnau, Esther Pilar García Santos, P. Ruíz, Laia Falgueras, Farah Al Shwely, Juli Busquets, Iago Justo, Jana Dziaková, Marcello Di Martino, Miguel Ángel Suárez Muñóz, Lorena Solar García, Juan José Segura‐Sampedro, Fernando Rotellar, Luis Muñoz‐Bellvís, Valle Vera, María García Domingo, Carlos Domingo del Pozo, Cristina Ballester Ibáñez, Dimitri Dorcaratto, M. Rodríguez-López, Alejandro Serrablo, Hytham K. S. Hamid, Linda Lundgren, Bobby Tingstedt, Caroline Williamsson, Bodil Andersson, Ernesto Sparrelid, Beat Moeckli, Fariba Abbassi, Jan Schmidt, Stefan Gutknecht, Jan Philipp Jonas, Mais Alhashemi, Zain Douba, Ahmad Amir H. Kayali, Oula Azizeh, Omar Al-Abed, Aya Abdulmonem, Ahmad Nabil Alhouri, Hasan Nabil Al Houri, Ayman Suliman, Bashar Haj Hassan, Alaa Hamdan, Ming‐Chin Yu, Hanen Bouaziz, Ali Kchaou, Mesut Tez, Mustafa Kerem, Hüseyin Bayhan, Ulaş Aday, Alpen Yahya Gümüşoğlu, Hüsnü Aydın, Fatema Hanefa, Ali Emre Atıcı, Hanife Şeyda Ülgür, İsmail Sert, Semra Demirli Atıcı, Elif Çolak, Denys Skoryi, Kostiantyn Kopchak, Oleksandr Kvasivka, Valeriia Sumarokova, James Skipworth, William Lim, Ahmed Mohamed, Hemant M. Kocher, Amjad Khalil, Nicola de Liguori Carino, Fahed Gareb, Sanjay Pandanaboyana, Krishnakumure Patel, Carlo Ceresa, Thomas Russell, Matt Mortimer, Megan L. Sulciner, Thomas E. Clancy, Martina Nebbia, Rachel E. Thompson, Dimitrios Moris, Jennifer L. Gnerlich, Richard Spencer‐Cole, Derek Krinock, Tamara Osborn, Hailey Hardgrave, Joe Nigh, Beth Schrope, Ryan Lamm, Harish Lavu, Wilbur B. Bowne, Jonathan G. Sham, Paulo N. Martins, Aisha Albar, Fatima Al-Eryani, Hamza Al-Naggar, Rafat Al-Saban
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Résumé fourni par la source
BACKGROUND: Pancreatic resection with concomitant vascular resection is increasingly practiced with outcomes mainly reported from specialist centers but lacking results from prospective global data. This study aimed to investigate factors associated with short-term outcomes after vascular resections in pancreatic surgery worldwide. PATIENTS AND METHODS: Data were extracted from a prospective, multicenter, international cross-sectional snapshot study in 2021 (pancreasgroup.org) assessing short-term outcomes after pancreatic surgery worldwide (NCT04652271). In the patient cohort of pancreatic surgery with simultaneous vascular resection for various diseases, short-term outcomes were reported and compared with established benchmark values. Factors affecting major complications, mortality, and histopathological resection status were assessed in multivariable logistic regression analyses with interaction testing. RESULTS: From a total of 3926 patients undergoing pancreatic surgery, 565 had associated vascular resections, of which 444 had venous resections alone and 121 had arterial resections alone or with concomitant venous resection. Of the 153 (47%) benchmark cases with pancreatoduodenectomy and venous resection, median postoperative morbidity fell within established benchmark criteria. Median 90-day major complication and mortality rates were similar in pancreatic resection with venous, arterial or no vascular resections (45 and 10%, 47 and 6.6%, 42 and 9.6% respectively). Patients undergoing arterial resections that developed a clinically relevant pancreatic fistula faced substantially elevated odds of 90-day mortality (OR 8.8 CI 1.6-48). In pancreatic ductal adenocarcinoma, the R1 rate was 26%, neoadjuvant chemotherapy being protective for both overall and venous-specific margins. CONCLUSIONS: Vascular pancreatic surgery is performed across diverse healthcare settings worldwide. While perioperative complications were comparable to nonvascular pancreatic resections, the observed 90-day mortality was considerable overall. International collaborative efforts should focus on understanding practice variations and improve accessibility of optimal perioperative care to promote rescue capabilities.
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Pancreatic and Hepatic Oncology ResearchReconstructive Surgery and Microvascular TechniquesPancreatitis Pathology and Treatment