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01-12-2021 | Pancreatectomy | ASO Author Reflections

ASO Author Reflections: The Operative and Perioperative Strategy for Distal Pancreatectomy with Celiac Axis Resection—Can We Improve the Safety for This Morbid Operation?

Authors: Yosuke Inoue, MD, PhD, Akio Saiura, MD, PhD, Takafumi Sato, MD, PhD, Atsushi Oba, MD, PhD, Yoshihiro Ono, MD, PhD, Yoshihiro Mise, MD, PhD, Hiromichi Ito, MD, Yu Takahashi, MD, PhD

Published in: Annals of Surgical Oncology | Issue 13/2021

Excerpt

For advanced pancreatic body cancers, distal pancreatectomy with celiac axis resection (DP-CAR) is one promising option to achieve R0 resection.1 However, resection of the CA and left gastric artery (LGA) led to postoperative ischemic events, which resulted in a major cause of mortality.2 Another adverse event—postoperative pancreatic fistula (POPF)-related bleeding from the CA stump—was fatal as well. The safe technical standardization of DP-CAR has never been established. …

Hirano S, Kondo S, Hara T, et al. Distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer: long-term results. Ann Surg. 2007;246(1):46–51.CrossRef

Klompmaker S, Peters NA, van Hilst J, et al. Outcomes and risk score for distal pancreatectomy with celiac axis resection (DP-CAR): an international multicenter analysis. Ann Surg Oncol. 2019;26(3):772–81.CrossRef

Inoue Y, Saiura A, Sato T, et al. Details and outcomes of distal pancreatectomy with celiac axis resection preserving the left gastric arterial flow. Ann Surg Oncol. 2021. https://doi.org/10.1245/s10434-021-10303-8.

Sato T, Saiura A, Inoue Y, Takahashi Y, Arita J, Takemura N. Distal pancreatectomy with en bloc resection of the celiac axis with preservation or reconstruction of the left gastric artery in patients with pancreatic body cancer. World J Surg. 2016;40(9):2245–53.CrossRef

Takeda Y, Saiura A, Takahashi Y, Inoue Y, Mise Y, Ito H. Conservative drain management increases the incidence of grade B postoperative pancreatic fistula without increasing serious complications: does persistent drainage reflect the quality of pancreatic surgery or institutional policy? J Hepato-Biliary-Pancreat Sci. 2020;27(12):1011–8.CrossRef

Title: ASO Author Reflections: The Operative and Perioperative Strategy for Distal Pancreatectomy with Celiac Axis Resection—Can We Improve the Safety for This Morbid Operation?
Authors: Yosuke Inoue, MD, PhD
Akio Saiura, MD, PhD
Takafumi Sato, MD, PhD
Atsushi Oba, MD, PhD
Yoshihiro Ono, MD, PhD
Yoshihiro Mise, MD, PhD
Hiromichi Ito, MD
Yu Takahashi, MD, PhD
Publication date: 01-12-2021
Publisher: Springer International Publishing
Keyword: Pancreatectomy
Published in: Annals of Surgical Oncology / Issue 13/2021
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-021-10270-0

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Springer Medicine

ASO Author Reflections: The Operative and Perioperative Strategy for Distal Pancreatectomy with Celiac Axis Resection—Can We Improve the Safety for This Morbid Operation?

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

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