Inicio  /  Cancers  /  Vol: 13 Par: 14 (2021)  /  Artículo
ARTÍCULO
TITULO

Reconsideration of the Appropriate Dissection Range Based on Japanese Anatomical Classification for Resectable Pancreatic Head Cancer in the Era of Multimodal Treatment

Yuichi Nagakawa    
Naoya Nakagawa    
Chie Takishita    
Ichiro Uyama    
Shingo Kozono    
Hiroaki Osakabe    
Kenta Suzuki    
Nobuhiko Nakagawa    
Yuichi Hosokawa    
Tomoki Shirota    
Masayuki Honda    
Tesshi Yamada    
Kenji Katsumata and Akihiko Tsuchida    

Resumen

Although the survival benefit of ?regional lymph node dissection? for pancreatic head cancer remains unclear, the R0 resection rate is reportedly associated with prognosis. We reviewed the literature that could be helpful in determining the appropriate resection range. The recent development of high-quality computed tomography has made it possible to evaluate the extent of cancer infiltration. Even if the ?dissection to achieve R0 resection? range is simulated based on the computed tomography evaluation, it is difficult to identify the range intraoperatively. It is necessary to be aware of the anatomical landmarks to determine the appropriate dissection range intraoperatively.

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