Sub-adventitial divestment technique for resecting artery-involved pancreatic cancer: a retrospective cohort study.
作者： John P. Neoptolemos , John P. Neoptolemos , Markus W. Büchler , Kuirong Jiang , Min Tu
DOI: 10.1007/S00423-021-02080-5
关键词:
摘要: PURPOSE To introduce sub-adventitial divestment technique (SDT), a procedure to remove the tumor while preserving artery during curative pancreatectomy. Peri-operative safety profile was also evaluated. METHODS In single center consecutive series of pancreatectomy for pancreatic cancer, outcome patients who had with SDT compared standard surgery. RESULTS From June 2014 2016, 72 and 235 Tumor stage T4 in all (100%) tumors removed using four (2%) (p < 0.001). All group were III 24 (10%) surgery Both groups high proportion poorly differentiated (52 (72%) 163 (69%) respectively) perineural invasion (62 (86%) 186 (79%) respectively). R1 (< 1 mm) found 28 group, (60%) out 120 (p = 0.01). Complications occurred 29 (40%) 88 (37%) group. The in-hospital mortality (6%) one (0.4%) (p = 0.01), 90-day 5 (8%)/60 6 (3%)/209 (p = 0.07) respectively. CONCLUSIONS appeared be an effective surgical artery. This approach warrants further validation prospective studies.
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Mahmoud M. Al-Hawary, Isaac R. Francis, Suresh T. Chari, Elliot K. Fishman, David M. Hough, David S. Lu, Michael Macari, Alec J. Megibow, Frank H. Miller, Koenraad J. Mortele, Nipun B. Merchant, Rebecca M. Minter, Eric P. Tamm, Dushyant V. Sahani, Diane M. Simeone, Pancreatic Ductal Adenocarcinoma Radiology Reporting Template: Consensus Statement of the Society of Abdominal Radiology and the American Pancreatic Association Radiology. ,vol. 270, pp. 248- 260 ,(2014) , 10.1148/RADIOL.13131184
Moritz N. Wente, Claudio Bassi, Christos Dervenis, Abe Fingerhut, Dirk J. Gouma, Jakob R. Izbicki, John P. Neoptolemos, Robert T. Padbury, Michael G. Sarr, L. William Traverso, Charles J. Yeo, Markus W. Büchler, Delayed gastric emptying (DGE) after pancreatic surgery: A suggested definition by the International Study Group of Pancreatic Surgery (ISGPS) Surgery. ,vol. 142, pp. 761- 768 ,(2007) , 10.1016/J.SURG.2007.05.005
Mark P. Callery, Kenneth J. Chang, Elliot K. Fishman, Mark S. Talamonti, L. William Traverso, David C. Linehan, Pretreatment Assessment of Resectable and Borderline Resectable Pancreatic Cancer: Expert Consensus Statement Annals of Surgical Oncology. ,vol. 16, pp. 1727- 1733 ,(2009) , 10.1245/S10434-009-0408-6
Matthew H. G. Katz, Robert Marsh, Joseph M. Herman, Qian Shi, Eric Collison, Alan P. Venook, Hedy L. Kindler, Steven R. Alberts, Philip Philip, Andrew M. Lowy, Peter W. T. Pisters, Mitchell C. Posner, Jordan D. Berlin, Syed A. Ahmad, Borderline Resectable Pancreatic Cancer: Need for Standardization and Methods for Optimal Clinical Trial Design Annals of Surgical Oncology. ,vol. 20, pp. 2787- 2795 ,(2013) , 10.1245/S10434-013-2886-9
Werner Hartwig, Alexander Gluth, Ulf Hinz, Frank Bergmann, Pauline E. R. Spronk, Thilo Hackert, Jens Werner, Markus W. Büchler, Total pancreatectomy for primary pancreatic neoplasms: renaissance of an unpopular operation. Annals of Surgery. ,vol. 261, pp. 537- 546 ,(2015) , 10.1097/SLA.0000000000000791
Matthew H.G. Katz, Peter W.T. Pisters, Douglas B. Evans, Charlotte C. Sun, Jeffrey E. Lee, Jason B. Fleming, J. Nicolas Vauthey, Eddie K. Abdalla, Christopher H. Crane, Robert A. Wolff, Gauri R. Varadhachary, Rosa F. Hwang, Borderline Resectable Pancreatic Cancer: The Importance of This Emerging Stage of Disease Journal of the American College of Surgeons. ,vol. 206, pp. 833- 846 ,(2008) , 10.1016/J.JAMCOLLSURG.2007.12.020
Gauri R. Varadhachary, Eric P. Tamm, James L. Abbruzzese, Henry Q. Xiong, Christopher H. Crane, Huamin Wang, Jeffrey E. Lee, Peter W. T. Pisters, Douglas B. Evans, Robert A. Wolff, Borderline Resectable Pancreatic Cancer: Definitions, Management, and Role of Preoperative Therapy Annals of Surgical Oncology. ,vol. 13, pp. 1035- 1046 ,(2006) , 10.1245/ASO.2006.08.011
Johanna A.M.G. Tol, Dirk J. Gouma, Claudio Bassi, Christos Dervenis, Marco Montorsi, Mustapha Adham, Ake Andrén-Sandberg, Horacio J. Asbun, Maximilian Bockhorn, Markus W. Büchler, Kevin C. Conlon, Laureano Fernández-Cruz, Abe Fingerhut, Helmut Friess, Werner Hartwig, Jakob R. Izbicki, Keith D. Lillemoe, Miroslav N. Milicevic, John P. Neoptolemos, Shailesh V. Shrikhande, Charles M. Vollmer, Charles J. Yeo, Richard M. Charnley, Definition of a standard lymphadenectomy in surgery for pancreatic ductal adenocarcinoma: a consensus statement by the International Study Group on Pancreatic Surgery (ISGPS). Surgery. ,vol. 156, pp. 591- 600 ,(2014) , 10.1016/J.SURG.2014.06.016
Philippe Bachellier, Edoardo Rosso, Ionut Lucescu, Elie Oussoultzoglou, Jacky Tracey, Patrick Pessaux, Nelio Ferreira, Daniel Jaeck, Is the Need for an Arterial Resection a Contraindication to Pancreatic Resection for Locally Advanced Pancreatic Adenocarcinoma? A Case-Matched Controlled Study Journal of Surgical Oncology. ,vol. 103, pp. 75- 84 ,(2011) , 10.1002/JSO.21769
Werner Hartwig, Charles M. Vollmer, Abe Fingerhut, Charles J. Yeo, John P. Neoptolemos, Mustapha Adham, Åke Andrén-Sandberg, Horacio J. Asbun, Claudio Bassi, Max Bockhorn, Richard Charnley, Kevin C. Conlon, Christos Dervenis, Laureano Fernandez-Cruz, Helmut Friess, Dirk J. Gouma, Clem W. Imrie, Keith D. Lillemoe, Miroslav N. Milićević, Marco Montorsi, Shailesh V. Shrikhande, Yogesh K. Vashist, Jakob R. Izbicki, Markus W. Büchler, Extended pancreatectomy in pancreatic ductal adenocarcinoma: definition and consensus of the International Study Group for Pancreatic Surgery (ISGPS). Surgery. ,vol. 156, pp. 1- 14 ,(2014) , 10.1016/J.SURG.2014.02.009