AJCC Cancer Staging Manual

Peritoneal cancer incidence


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    Hepatobiliary Pancreat Dis Int ; 16 2 :Apr. Increasing evidence showed that a periadventiceal dissection of the SMA with early transection of the inflow during pancreaticoduodenectomy associates better early perioperative results, and setup the scene for long-term oncological benefits.

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    The objectives of the current study are to compare the operative results and long-term oncological outcomes of SMA first approach pancreaticoduodenectomy SMA-PD with standard pancreaticoduodenectomy S-PD.

    The SMA-PD was associated with less intraoperative bleeding, less blood peritoneal cancer incidence and higher rate of associated venous resections.

    peritoneal cancer incidence

    The pancreatic fistula peritoneal cancer incidence delayed gastric emptying had a significantly lower rate in the SMA-PD group. There were no differences between the two approaches regarding overall complications, major complication rates and in-hospital mortality.

    There was no difference regarding R0 resection rate, and one- two- or three-year overall survival. Although the one- two- or three-year overall survival rate is not superior, the SMA-PD has a lower local and metastatic recurrence rate.