How to Approach Para-Aortic Lymph Node Metastases During Exploration for Suspected Periampullary Carcinoma: Resection or Bypass?

ABSTRACT:

Background

Intraoperative para-aortic lymph node (PALN) sampling during surgical exploration in patients with suspected pancreatic head cancer remains controversial.

Objective

The aim of this study was to assess the value of routine PALN sampling and the consequences of different treatment strategies on overall patient survival.

Methods

A retrospective, multicenter cohort study was performed in patients who underwent surgical exploration for suspected pancreatic head cancer. In cohort A, the treatment strategy was to avoid pancreatoduodenectomy and to perform a double bypass procedure when PALN metastases were found during exploration. In cohort B, routinely harvested PALNs were not examined intraoperatively and pancreatoduodenectomy was performed regardless. PALNs we

SUBMITTER: Pranger BK 

PROVIDER: S-EPMC7334266 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature