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Updated: Aug 24, 2026
Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction
Published on: January 3, 2020
Extended radical resection versus standard resection for pancreatic cancer: the rationale for extended radical
Akimasa Nakao1, Shin Takeda, Mitsuru Sakai
1Department of Surgery II, Nagoya University Hospital, Nagoyashi, Japan. nakaoaki@med.nagoya-u.ac.jp
Objectives:
This clinical study was carried out to clarify the indications for extended radical resection for pancreatic carcinoma.
Methods:
From July 1981 to September 2003, 250 of 391 (63.9%) patients with pancreatic carcinoma underwent tumor resection in our department. Portal vein resection was performed in 171 of these 250 (68.4%) resected cases. The postoperative survival rate was studied using the operative and histologic findings.
Results:
Most of the patients who survived for 2 or 3 years were in the carcinoma-free surgical margins group.
Conclusion:
The most important indication for an extended radical resection combined with portal vein resection for pancreatic cancer is the ability to obtain surgical cancer-free margins. There is no indication for an extended resection in patients in whom the surgical margins will become cancer positive if such an operation is employed.
