Clockwise Anterior-to-Posterior-Double Isolation (CAP-DI) Approach for Portal Lymphadenectomy in Biliary Tract Cancer: Technique, Yield, and Outcomes.

ABSTRACT: Portal lymphadenectomy (PLND) is the current standard for oncologic resection of biliary tract cancers (BTCs). However, published data show it is performed infrequently and often yields less than the recommended 6 lymph nodes. We sought to identify yield and outcomes using a Clockwise Anterior-to-Posterior technique with Double Isolation of critical structures (CAP-DI) for PLND. Consecutive patients undergoing complete PLND for BTCs using CAP-DI technique were identified (2015-2021). Lymph node (LN) yield and predictors of LN count were examined. Secondary outcomes included intraoperative and postoperative outcomes, which were compared to patients having hepatectomy without PLND. In total, 534 patients were included; 71 with complete PLND (36 gallbladder cancers, 24 intrahepatic cholangioc

SUBMITTER: Sinnamon AJ 

PROVIDER: S-EPMC9738406 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature