**10. Conclusions**

At present, it is accepted that pancreatoduodenectomy with resection of the vein does not increase the postoperative risk and significantly improves survival compared with drainage procedures, this being supported by the results obtained from our study too. Most of the published series include mainly patients with exceptionally invasive tumors or patients, in which the infiltration of the vein is found lately during the operation with inability for dis‐ continuing of the pancreatic resection. That is why the comparison of the results with stan‐ dard pancreatectomy is not completely correct. Vascular resection must be performed only upon carefully selected patients with data for presence of resectable tumors or tumors with borderline resectability from the preoperative imaging studies. The prompt management of pancreatic cancer with vascular involvement should involve multidisciplinary consultation in high‐volume centers.
