Annals of surgery
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To describe our approach to resection of pancreatic head cancers, which involve 1 or both of the first-order branches of the superior mesenteric vein (SMV). ⋯ Segmental resection of one of the 2 first-order branches of the SMV may be performed without venous reconstruction if mesenteric venous flow is preserved through the remaining first-order branch. Detailed knowledge of the vascular anatomy of the root of the mesentery is necessary for the performance of complex surgical procedures involving the pancreatic head and root of mesentery.
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To assess feasibility, risks, and long-term outcome of 2-stage hepatectomy as a means to improve resectability of colorectal liver metastases (CLM). ⋯ Two-stage hepatectomy provides a 5-year survival of 42% and a hope of long-term survival for selected patients with extensive bilobar CLM, irresectable by any other means.