• J. Am. Coll. Surg. · Aug 2012

    Case Reports

    Retroperitoneal dissection in patients with borderline resectable pancreatic cancer: operative principles and techniques.

    • Matthew H G Katz, Jeffrey E Lee, Peter W T Pisters, Roman Skoracki, Eric Tamm, and Jason B Fleming.
    • Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. mhgkatz@mdanderson.org
    • J. Am. Coll. Surg.. 2012 Aug 1;215(2):e11-8.

    AbstractPancreatectomy with aggressive vascular resection is increasingly being recognized as an appropriate treatment strategy for patients with borderline resectable PDAC after administration of chemotherapy and/or chemoradiation. Because tumor downstaging is an uncommon event, both venous and hepatic arterial resection and reconstruction might be necessary to achieve negative surgical margins and the favorable short-term and long-term outcomes we have reported previously. The technical approaches we have described here can be used as a basic foundation for operative safety and efficiency during these challenging operations.

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