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Periarterial Divestment and Triangle Clearance in Pancreatic Cancer: A Video Vignette.
Ann Surg Oncol
November 2024
GI and HPB Services, Department of Surgical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India.
Periarterial and Sub-adventitial Divestment Along with Triangle Operation and RAMPS for Pancreatic Body Cancer.
Ann Surg Oncol
July 2024
Department of Surgical Oncology, Manipal Comprehensive Cancer Care Centre, Kasturba Medical College, Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Background: Locally advanced cancers of the pancreatic body can abut or involve the celiac axis, hepatic artery, or superior mesenteric artery. Recent evidence suggests that these tumors are amenable to surgery after neoadjuvant chemotherapy (Hackert et al., Locally advanced pancreatic cancer: neoadjuvant therapy with FOLFIRINOX results in resectability in 60 % of the patients.
View Article and Find Full Text PDFDevelopments in pancreatic cancer surgery.
Updates Surg
January 2024
GI and HPB Surgery, Sher-i-Kashmir of Medical Sciences, Srinagar, Jammu & Kashmir, India.
Pancreatic cancer surgery, with one of the worst prognoses in oncology, is a challenge to the surgical community. Centralization of pancreatic surgery has led to the foundation of high-volume centers, thereby greatly facilitating the successful performance of more radical approaches. This review spotlights on recent advances in surgical approaches to pancreatic cancer and the risks and benefits of vascular reconstruction to improve resectability.
View Article and Find Full Text PDFAssessment of the level III of Inoue by preoperative endoscopic ultrasound and elastography: a novel approach to predict a periarterial divestment technique in borderline resectable (BR) or locally advanced (LA) pancreatic adenocarcinoma-How I do it.
Langenbecks Arch Surg
September 2023
Department of Hepatopancreatobiliary and Trasplant Surgery, Hospital Vall d'Hebron, Barcelona, Spain.
Background: Periarterial divestment is a surgical technique to approach borderline resectable (BR) or locally advanced (LA) pancreatic ductal adenocarcinoma (PDAC) with arterial involvement. There are no reports in the literature regarding the role of endoscopic ultrasound and elastography (EUS-EG) in exploring the integrity of Inoue's level III and its correlation with the periarterial divestment technique feasibility. Our research is aimed at exploring the role of EUS-EG in this scenario.
View Article and Find Full Text PDFA Sequential "Top-Down" and "Retro Mesenteric Caudo-cranial Superior Mesenteric Artery Approach" for Posteriorly Located Locally Advanced Pancreatic Head Cancers.
J Gastrointest Cancer
December 2023
Gastrointestinal and Hepato-Pancreato-Biliary Service, Department of Surgical Oncology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, 400012, Maharashtra, India.
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