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Lymphadenectomy and Extended Resections - Pancreatic Cancer ...

Lymphadenectomy and Extended Resections - Pancreatic Cancer ...

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BORDERLINE RESECTABLE TUMORS:<br />

The Contradictions…<br />

St<strong>and</strong>ard PD<br />

VR<br />

181 patients 26.5 months<br />

110 patients 23.4 months<br />

VR must be offered <strong>and</strong> results are superior<br />

to historical “Locally advanced disease”<br />

BUT<br />

If vein positive, artery also positive!<br />

Tseng JF, Raut CP et al. J Gastrointest Surg 2004:8;935-4949

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