RT Book, Section
A1 Katz, Matthew H. G.
A2 Morita, Shane Y.
A2 Balch, Charles M.
A2 Klimberg, V. Suzanne
A2 Pawlik, Timothy M.
A2 Posner, Mitchell C.
A2 Tanabe, Kenneth K.
SR Print(0)
ID 1145764949
T1 Borderline Resectable Pancreatic Cancer and Techniques of Vascular Resection
T2 Textbook of Complex General Surgical Oncology
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071793315
LK hemonc.mhmedical.com/content.aspx?aid=1145764949
RD 2024/04/20
AB Reports  of  the  use  of  vascular  resection  at  the  time  of  pancreatectomy  have  circulated  since  Fortner  attempted  to  popularize  the  techniques  approximately  40  years  ago.  At  that  time,  resection  of  major  mesenteric  vessels  was  advocated  as  part  of  a  regional  pancreatectomy  procedure  designed  to  maximize  soft-tissue  clearance  in  the  face  of  infiltrating  cancers  of  the  pancreas.1,2  Although  vascular  resection  subsequently  lost  favor,  as  it  was  perceived  to  be  associated  with  significant  morbidity  and  mortality,  the  past  20  years  have  seen  a  greater  understanding  of  both  its  role  and  its  limitations.  Experienced  surgeons  have  steadily  been  increasing  the  use  of  vascular  exposures  and  resection  techniques  to  achieve  margin  negative  resections  as  part  of  comprehensive  multimodality  treatment  strategies  for  patients  with  pancreatic  ductal  adenocarcinoma  (PDAC).