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BACKGROUND/AIM: During distal pancreatectomy with celiac axis resection (DP-CAR), hepatic arterial blood flow must be maintained. This study aimed to identify the characteristics of and treatment strategies for patients who are ineligible for DP-CAR. PATIENTS AND METHODS: Data from 20 patients for whom DP-CAR was attempted at the University of Toyama from January 2018-June 2023 were retrospectively analyzed. There were no significant differences in recurrence-free survival or overall survival between the DP group and the DP-CAR group. CONCLUSION: The IPDA diameter can predict the feasibility of DP-CAR. CA- or CHA-sparing surgery may be acceptable for pancreatic cancer with CA invasion in patients who have undergone CRT.
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Muranushi et al. (2026) studied this question.
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