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Global survey on surgeon preference and current practice for pancreatic neck and body cancer with portomesenteric venous involvement

Background - Evidence regarding the optimal surgical approach for pancreatic neck/body cancer with portomesenteric vein (PV) involvement is scarce. We aimed to clarify the current practice using an international survey. - Methods - An online survey was distributed to members of nine international as...

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Main Authors: Ishida, Hiroyuki (Author) , Stoop, Thomas F. (Author) , Oba, Atsushi (Author) , Bachellier, Philippe (Author) , Ban, Daisuke (Author) , Endo, Itaru (Author) , Franklin, Oskar (Author) , Fujii, Tsutomu (Author) , Gulla, Aiste (Author) , Hackert, Thilo (Author) , Halimi, Asif (Author) , Hirano, Satoshi (Author) , Jang, Jin-Young (Author) , Katz, Matthew H. G. (Author) , Maekawa, Aya (Author) , Nealon, William H. (Author) , Perri, Giampaolo (Author) , Ramia, Jose M. (Author) , Rompen, Ingmar F. (Author) , Satoi, Sohei (Author) , Schulick, Richard D. (Author) , Shrikhande, Shailesh V. (Author) , Tsung, Allan (Author) , Wolfgang, Christopher L. (Author) , Besselink, Marc G. (Author) , Del Chiaro, Marco (Author) , Akahoshi, Keiichi (Author) , Choi, Dongho (Author) , De Pastena, Matteo (Author) , Rodoriguez Franco, Salvador (Author) , Zyromski, Nicholas J. (Author)
Format: Article (Journal)
Language:English
Published: July 2025
In: HPB
Year: 2025, Volume: 27, Issue: 7, Pages: 910-921
ISSN:1477-2574
DOI:10.1016/j.hpb.2025.03.005
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.hpb.2025.03.005
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1365182X25000802
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Author Notes:Hiroyuki Ishida, Thomas F. Stoop, Atsushi Oba, Philippe Bachellier, Daisuke Ban, Itaru Endo, Oskar Franklin, Tsutomu Fujii, Aiste Gulla, Thilo Hackert, Asif Halimi, Satoshi Hirano, Jin-Young Jang, Matthew H. G. Katz, Aya Maekawa, William H. Nealon, Giampaolo Perri, Jose M. Ramia, Ingmar F. Rompen, Sohei Satoi, Richard D. Schulick, Shailesh V. Shrikhande, Allan Tsung, Christopher L. Wolfgang, Marc G. Besselink, Marco Del Chiaro, Americas Hepato-Pancreato-Biliary Association, Asian-Pacific Hepato-Pancreato-Biliary Association, Scientific and Research Committee of European-African Hepato-Pancreato-Biliary Association, European Pancreatic Club, Pancreas Club, Japanese Society of Hepato-Biliary-Pancreatic Surgery, Korean Association of Hepato-Biliary-Pancreatic Surgery, International Collaborative Group on Locally Advanced Pancreatic Cancer, International Hepato-Pancreato-Biliary Association, Collaborators
Description
Summary:Background - Evidence regarding the optimal surgical approach for pancreatic neck/body cancer with portomesenteric vein (PV) involvement is scarce. We aimed to clarify the current practice using an international survey. - Methods - An online survey was distributed to members of nine international associations and study groups. Surgeons who performed pancreatectomy with PV resection (PVR) in the last 12 months were asked about three clinical scenarios with different PV involvement: scenarios A (<90°; length 1 cm), B (<90°; length 3 cm), and C (90-180°; length 3 cm), with or without common hepatic artery (CHA) involvement. PVR was defined according to the ISGPS definition. - Results - Overall, 222 surgeons from 49 countries in 6 continents completed the survey. The most selected procedures were left pancreatectomy with PVR ISGPS-type 1 for scenario A (52.3 %), PVR ISGPS-type 2 for B (28.8 %), and pancreatoduodenectomy with PVR ISGPS-type 3 for C (28.4 %). In patients with CHA involvement, the most selected procedures were left pancreatectomy without arterial reconstruction for A (57.7 %) and B (50.0 %), and total pancreatectomy for C (29.7 %). - Conclusions - The survey illustrates the heterogeneity in surgical management of pancreatic neck/body cancer with PV involvement, indicating the need for prospective studies and guidelines.
Item Description:Online verfügbar: 15. März 2025, Artikelversion: 27. Juni 2025
Gesehen am 27.11.2025
Physical Description:Online Resource
ISSN:1477-2574
DOI:10.1016/j.hpb.2025.03.005

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