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. 2019 Apr;156(2):97-101.
doi: 10.1016/j.jviscsurg.2018.06.014. Epub 2018 Jul 17.

Outcomes of pancreatic adenocarcinoma that was not resected because of isolated para-aortic lymph node involvement

U Marchese  1 , J Ewald  2 , M Gilabert  3 , J-R Delpero  2 , O Turrini  2
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Free article

Outcomes of pancreatic adenocarcinoma that was not resected because of isolated para-aortic lymph node involvement

U Marchese et al. J Visc Surg. 2019 Apr.
Free article

Abstract

Purpose: Survival appears to be poor in cases of pancreatic ductal adenocarcinoma (PDAC) with para-aortic lymph node involvement (PALN+). However, resection is still performed in these cases because the prognostic impact of PALN+remains controversial.

Methods: PALN+was intraoperatively found in 14 patients (4.8%) with resectable PDAC who consequently did not undergo pancreatectomy.

Results: The median overall survival time after laparotomy was 21 months. The 1- and 3-year overall survival rates were 58.3% and 25%, respectively.

Conclusions: We support the advisability of reconsidering pancreatectomy in patients with intraoperatively detected PALN+because the reported survival of such patients who undergo pancreatectomy is poorer than the survival observed for patients in our series.

Keywords: Borderline Tumour; Pancreatic adenocarcinoma; Para-aortic lymph node; Station 16 lymph node.

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