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Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC)

  • Authors:
    • Chen Liu
    • Rufu Chen
    • Yingtai Chen
    • Deliang Fu
    • Defei Hong
    • Jihui Hao
    • Dawei Liu
    • Jiangtao Li
    • Shengping Li
    • Yixiong Li
    • Gang Mai
    • Yiping Mou
    • Quanxing Ni
    • Li Peng
    • Honggang Qian
    • Renyi Qin
    • Bei Sun
    • Chenghao Shao
    • Yongwei Sun
    • Bole Tian
    • Jian Wang
    • Wei Wang
    • Weilin Wang
    • Gang Zhao
    • Xianjun Yu
  • View Affiliations / Copyright

    Affiliations: Department of Pancreatic and Hepatobiliary Surgery, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University; Pancreatic Cancer Institute, Fudan University, Shanghai, P.R. China, Department of Pancreaticobiliary Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, P.R. China, Department of Abdominal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, P.R. China, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, P.R. China, Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People's Hospital, Hangzhou, P.R. China, Department of Pancreatic Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin, P.R. China, Department of General Surgery of Heilongjiang Provincial Hospital, Harbin, Heilongjiang, P.R. China, Department of Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, P.R. China, Department of Hepatobiliary Oncology, Cancer Center, Sun Yat-sen University, Guangzhou, P.R. China, Department of Pancreatic-Bililary Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China, Department of Hepatobiliopancreatic Surgery, The People's Hospital of Deyang, Deyang, P.R. China, Department of Gastroenterological and Pancreatic Surgery, Zhejiang Provincial People's Hospital, Hangzhou, P.R. China, Department of Hepato-Pancreato-Biliary Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, P.R. China, Department of Hepato-Pancreato-Biliary Surgery, Peking University Cancer Hospital and Institute, Beijing, P.R. China, Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P.R. China, Department of Pancreatic and Biliary Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, P.R. China, Department of Pancreatic-Biliary Surgery, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, P.R. China, Department of Biliary-Pancreatic Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, P.R. China, Department of Hepato-Biliary-Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, P.R. China, Department of Surgery, Huadong Hospital, Fudan University, Shanghai, P.R. China, Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, P.R. China, The Pancreatic Disease Institute, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P.R. China
  • Pages: 1512-1516
    |
    Published online on: August 21, 2015
       https://doi.org/10.3892/ijo.2015.3128
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Abstract

Understanding and formulating an appropriate strategy for the para-aortic lymph nodes (LN16) during curative surgery for pancreatic head cancer have been controversial for some time. This study intended to provide a recommendation for surgeons to perform an optimal curative surgery on pancreatic cancer patients with or without LN16 involvement. Based on an updated literature search and review, the members of the Chinese Study Group for Pancreatic Cancer (CSPAC) from high-volume centers reached a consensus on the issue of LN16 in pancreatic head cancer. Metastasis to LN16 is quite common in pancreatic head cancer cases. Depending on the location of the tumor, including the ventral and dorsal pancreas, there could be various lymph node drainage pathways whereby LN16 does not necessarily belong to the Group 3 lymph node stations for all cases of pancreatic head cancer. Although LN16 involvement generally indicates a poor prognosis, some cohorts of LN16-involved cases have benefited from a curative surgery, and there is still a lack of level I evidence to convince surgeons to abandon all resectable cases with LN16 positivity. Resection of LN16 combined with a standard lymphadenectomy during pancreatoduodenectomy is recommended by CSPAC, except in patients with both positive LN16 and criteria based on: i) the resectability status of primary tumor; ii) the extent of involved para-aortic lymph nodes; and iii) the serum tumor burden assessed preoperatively.
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View References

1 

Li D, Xie K, Wolff R and Abbruzzese JL: Pancreatic cancer. Lancet. 363:1049–1057. 2004. View Article : Google Scholar : PubMed/NCBI

2 

Shi S, Yao W, Xu J, Long J, Liu C and Yu X: Combinational therapy: New hope for pancreatic cancer? Cancer Lett. 317:127–135. 2012. View Article : Google Scholar

3 

Long J, Luo GP, Xiao ZW, Liu ZQ, Guo M, Liu L, Liu C, Xu J, Gao YT, Zheng Y, et al: Cancer statistics: Current diagnosis and treatment of pancreatic cancer in Shanghai, China. Cancer Lett. 346:273–277. 2014. View Article : Google Scholar : PubMed/NCBI

4 

Liu C, Long J, Liu L, Xu J, Zhang B, Yu X and Ni Q: Pancreatic stump-closed pancreaticojejunostomy can be performed safely in normal soft pancreas cases. J Surg Res. 172:e11–e17. 2012. View Article : Google Scholar

5 

Pedrazzoli S, DiCarlo V, Dionigi R, Mosca F, Pederzoli P, Pasquali C, Klöppel G, Dhaene K and Michelassi F; Lymphadenectomy Study Group. Standard versus extended lymphadenectomy associated with pancreatoduodenectomy in the surgical treatment of adenocarcinoma of the head of the pancreas: A multicenter, prospective, randomized study. Ann Surg. 228:508–517. 1998. View Article : Google Scholar : PubMed/NCBI

6 

Farnell MB, Pearson RK, Sarr MG, DiMagno EP, Burgart LJ, Dahl TR, Foster N and Sargent DJ; Pancreas Cancer Working Group. A prospective randomized trial comparing standard pancreatoduodenectomy with pancreatoduodenectomy with extended lymphadenectomy in resectable pancreatic head adenocarcinoma. Surgery. 138:618–630. 2005. View Article : Google Scholar : PubMed/NCBI

7 

Jang JY, Kang MJ, Heo JS, Choi SH, Choi DW, Park SJ, Han SS, Yoon DS, Yu HC, Kang KJ, et al: A prospective randomized controlled study comparing outcomes of standard resection and extended resection, including dissection of the nerve plexus and various lymph nodes, in patients with pancreatic head cancer. Ann Surg. 259:656–664. 2014. View Article : Google Scholar

8 

Tol JA, Gouma DJ, Bassi C, Dervenis C, Montorsi M, Adham M, Andrén-Sandberg A, Asbun HJ, Bockhorn M, Büchler MW, et al; International Study Group on Pancreatic Surgery. Definition of a standard lymphadenectomy in surgery for pancreatic ductal adenocarcinoma: A consensus statement by the International Study Group on Pancreatic Surgery (ISGPS). Surgery. 156:591–600. 2014. View Article : Google Scholar : PubMed/NCBI

9 

Kondo S: Japanese Pancreas Society staging systems for pancreatic cancer. Pancreatic Cancer. Neoptolemos JP, Urrutia R, Abbruzzese JL and Bücher MW: Springer; New York, NY: pp. 1035–1050. 2010, View Article : Google Scholar

10 

Kayahara M, Nagakawa T, Ueno K, Ohta T, Tsukioka Y and Miyazaki I: Surgical strategy for carcinoma of the pancreas head area based on clinicopathologic analysis of nodal involvement and plexus invasion. Surgery. 117:616–623. 1995. View Article : Google Scholar : PubMed/NCBI

11 

Kayahara M, Nagakawa T, Kobayashi H, Mori K, Nakano T, Kadoya N, Ohta T, Ueno K and Miyazaki I: Lymphatic flow in carcinoma of the head of the pancreas. Cancer. 70:2061–2066. 1992. View Article : Google Scholar : PubMed/NCBI

12 

Nakao A, Harada A, Nonami T, Kaneko T, Murakami H, Inoue S, Takeuchi Y and Takagi H: Lymph node metastases in carcinoma of the head of the pancreas region. Br J Surg. 82:399–402. 1995. View Article : Google Scholar : PubMed/NCBI

13 

Sho M, Murakami Y, Motoi F, Satoi S, Matsumoto I, Kawai M, Honda G, Uemura K, Yanagimoto H, Kurata M, et al: Postoperative prognosis of pancreatic cancer with para-aortic lymph node metastasis: A multicenter study on 822 patients. J Gastroenterol. 50:694–702. 2015. View Article : Google Scholar

14 

Sakai M, Nakao A, Kaneko T, Takeda S, Inoue S, Kodera Y, Nomoto S, Kanazumi N and Sugimoto H: Para-aortic lymph node metastasis in carcinoma of the head of the pancreas. Surgery. 137:606–611. 2005. View Article : Google Scholar : PubMed/NCBI

15 

Yamada S, Nakao A, Fujii T, Sugimoto H, Kanazumi N, Nomoto S, Kodera Y and Takeda S: Pancreatic cancer with paraaortic lymph node metastasis: A contraindication for radical surgery? Pancreas. 38:e13–e17. 2009. View Article : Google Scholar

16 

Hirono S, Tani M, Kawai M, Okada K, Miyazawa M, Shimizu A, Uchiyama K and Yamaue H: Identification of the lymphatic drainage pathways from the pancreatic head guided by indocyanine green fluorescence imaging during pancreaticoduo-denectomy. Dig Surg. 29:132–139. 2012. View Article : Google Scholar

17 

Okamura Y, Fujii T, Kanzaki A, Yamada S, Sugimoto H, Nomoto S, Takeda S and Nakao A: Clinicopathologic assessment of pancreatic ductal carcinoma located at the head of the pancreas, in relation to embryonic development. Pancreas. 41:582–588. 2012. View Article : Google Scholar : PubMed/NCBI

18 

Makino I, Kitagawa H, Ohta T, Nakagawara H, Tajima H, Ohnishi I, Takamura H, Tani T and Kayahara M: Nerve plexus invasion in pancreatic cancer: Spread patterns on histopathologic and embryological analyses. Pancreas. 37:358–365. 2008. View Article : Google Scholar : PubMed/NCBI

19 

Kitagawa H, Ohta T, Makino I, Tani T, Tajima H, Nakagawara H, Ohnishi I, Takamura H, Kayahara M, Watanabe H, et al: Carcinomas of the ventral and dorsal pancreas exhibit different patterns of lymphatic spread. Front Biosci. 13:2728–2735. 2008. View Article : Google Scholar

20 

Hartwig W, Vollmer CM, Fingerhut A, Yeo CJ, Neoptolemos JP, Adham M, Andrén-Sandberg A, Asbun HJ, Bassi C, Bockhorn M, et al; International Study Group on Pancreatic Surgery. Extended pancreatectomy in pancreatic ductal adenocarcinoma: Definition and consensus of the International Study Group for Pancreatic Surgery (ISGPS). Surgery. 156:1–14. 2014. View Article : Google Scholar : PubMed/NCBI

21 

Gaedcke J, Gunawan B, Grade M, Szöke R, Liersch T, Becker H and Ghadimi BM: The mesopancreas is the primary site for R1 resection in pancreatic head cancer: Relevance for clinical trials. Langenbecks Arch Surg. 395:451–458. 2010. View Article : Google Scholar :

22 

Gockel I, Domeyer M, Wolloscheck T, Konerding MA and Junginger T: Resection of the mesopancreas (RMP): A new surgical classification of a known anatomical space. World J Surg Oncol. 5:442007. View Article : Google Scholar : PubMed/NCBI

23 

Inoue Y, Saiura A, Yoshioka R, Ono Y, Takahashi M, Arita J, Takahashi Y and Koga R: Pancreatoduodenectomy with systematic Mesopancreas dissection using a Supracolic anterior artery-first approach. Ann Surg. Jan 13–2015.(Epub ahead of print). View Article : Google Scholar

24 

Adham M and Singhirunnusorn J: Surgical technique and results of total mesopancreas excision (TMpE) in pancreatic tumors. Eur J Surg Oncol. 38:340–345. 2012. View Article : Google Scholar : PubMed/NCBI

25 

Peparini N and Chirletti P: Mesopancreas: A boundless structure, namely R1 risk in pancreaticoduodenectomy for pancreatic head carcinoma. Eur J Surg Oncol. 39:1303–1308. 2013. View Article : Google Scholar : PubMed/NCBI

26 

Doi R, Kami K, Ito D, Fujimoto K, Kawaguchi Y, Wada M, Kogire M, Hosotani R, Imamura M and Uemoto S: Prognostic implication of para-aortic lymph node metastasis in resectable pancreatic cancer. World J Surg. 31:147–154. 2007. View Article : Google Scholar

27 

Choi SH, Kim SH, Choi JJ, Kang CM, Hwang HK and Lee WJ: Clinical necessity of the immunohistochemical reassessment of para-aortic lymph nodes in resected pancreatic ductal adenocarcinoma. Oncol Lett. 6:1189–1194. 2013.PubMed/NCBI

28 

Schwarz L, Lupinacci RM, Svrcek M, Lesurtel M, Bubenheim M, Vuarnesson H, Balladur P and Paye F: Para-aortic lymph node sampling in pancreatic head adenocarcinoma. Br J Surg. 101:530–538. 2014. View Article : Google Scholar : PubMed/NCBI

29 

Kayahara M, Funaki K, Tajima H, Takamura H, Ninomiya I, Kitagawa H and Ohta T: Surgical implication of micrometastasis for pancreatic cancer. Pancreas. 39:884–888. 2010. View Article : Google Scholar : PubMed/NCBI

30 

Xu HX, Chen T, Wang WQ, Wu CT, Liu C, Long J, Xu J, Zhang YJ, Chen RH, Liu L, et al: Metabolic tumour burden assessed by 18F-FDG PET/CT associated with serum CA19-9 predicts pancreatic cancer outcome after resection. Eur J Nucl Med Mol Imaging. 41:1093–1102. 2014. View Article : Google Scholar : PubMed/NCBI

31 

Liu L, Xu H, Wang W, Wu C, Chen Y, Yang J, Cen P, Xu J, Liu C, Long J, et al: A preoperative serum signature of CEA+/CA125+/CA19-9 ≥ 1000 U/ml indicates poor outcome to pancreatectomy for pancreatic cancer. Int J Cancer. 136:2216–2227. 2015. View Article : Google Scholar

32 

Yamada S, Fujii T, Sugimoto H, Kanazumi N, Kasuya H, Nomoto S, Takeda S, Kodera Y and Nakao A: Pancreatic cancer with distant metastases: A contraindication for radical surgery? Hepatogastroenterology. 56:881–885. 2009.PubMed/NCBI

33 

Murakami Y, Uemura K, Sudo T, Hashimoto Y, Yuasa Y and Sueda T: Prognostic impact of para-aortic lymph node metastasis in pancreatic ductal adenocarcinoma. World J Surg. 34:1900–1907. 2010. View Article : Google Scholar : PubMed/NCBI

34 

Kanda M, Fujii T, Nagai S, Kodera Y, Kanzaki A, Sahin TT, Hayashi M, Yamada S, Sugimoto H, Nomoto S, et al: Pattern of lymph node metastasis spread in pancreatic cancer. Pancreas. 40:951–955. 2011. View Article : Google Scholar : PubMed/NCBI

35 

Imai H, Doi R, Kanazawa H, Kamo N, Koizumi M, Masui T, Iwanaga Y, Kawaguchi Y, Takada Y, Isoda H, et al: Preoperative assessment of para-aortic lymph node metastasis in patients with pancreatic cancer. Int J Clin Oncol. 15:294–300. 2010. View Article : Google Scholar : PubMed/NCBI

36 

Kim H, Hyung WJ, Lim JS, Park MS, Choi JY, Chung YE, Kim MJ and Kim KW: Laparoscopic ultrasonography-assisted retroperitoneal lymph node sampling in patients evaluated for stomach cancer recurrence. J Ultrasound Med. 27:1229–1233. 2008.PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Liu C, Chen R, Chen Y, Fu D, Hong D, Hao J, Liu D, Li J, Li S, Li Y, Li Y, et al: Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC). Int J Oncol 47: 1512-1516, 2015.
APA
Liu, C., Chen, R., Chen, Y., Fu, D., Hong, D., Hao, J. ... Yu, X. (2015). Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC). International Journal of Oncology, 47, 1512-1516. https://doi.org/10.3892/ijo.2015.3128
MLA
Liu, C., Chen, R., Chen, Y., Fu, D., Hong, D., Hao, J., Liu, D., Li, J., Li, S., Li, Y., Mai, G., Mou, Y., Ni, Q., Peng, L., Qian, H., Qin, R., Sun, B., Shao, C., Sun, Y., Tian, B., Wang, J., Wang, W., Wang, W., Zhao, G., Yu, X."Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC)". International Journal of Oncology 47.4 (2015): 1512-1516.
Chicago
Liu, C., Chen, R., Chen, Y., Fu, D., Hong, D., Hao, J., Liu, D., Li, J., Li, S., Li, Y., Mai, G., Mou, Y., Ni, Q., Peng, L., Qian, H., Qin, R., Sun, B., Shao, C., Sun, Y., Tian, B., Wang, J., Wang, W., Wang, W., Zhao, G., Yu, X."Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC)". International Journal of Oncology 47, no. 4 (2015): 1512-1516. https://doi.org/10.3892/ijo.2015.3128
Copy and paste a formatted citation
x
Spandidos Publications style
Liu C, Chen R, Chen Y, Fu D, Hong D, Hao J, Liu D, Li J, Li S, Li Y, Li Y, et al: Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC). Int J Oncol 47: 1512-1516, 2015.
APA
Liu, C., Chen, R., Chen, Y., Fu, D., Hong, D., Hao, J. ... Yu, X. (2015). Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC). International Journal of Oncology, 47, 1512-1516. https://doi.org/10.3892/ijo.2015.3128
MLA
Liu, C., Chen, R., Chen, Y., Fu, D., Hong, D., Hao, J., Liu, D., Li, J., Li, S., Li, Y., Mai, G., Mou, Y., Ni, Q., Peng, L., Qian, H., Qin, R., Sun, B., Shao, C., Sun, Y., Tian, B., Wang, J., Wang, W., Wang, W., Zhao, G., Yu, X."Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC)". International Journal of Oncology 47.4 (2015): 1512-1516.
Chicago
Liu, C., Chen, R., Chen, Y., Fu, D., Hong, D., Hao, J., Liu, D., Li, J., Li, S., Li, Y., Mai, G., Mou, Y., Ni, Q., Peng, L., Qian, H., Qin, R., Sun, B., Shao, C., Sun, Y., Tian, B., Wang, J., Wang, W., Wang, W., Zhao, G., Yu, X."Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC)". International Journal of Oncology 47, no. 4 (2015): 1512-1516. https://doi.org/10.3892/ijo.2015.3128
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