Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
World Academy of Sciences Journal
Join Editorial Board Propose a Special Issue
Print ISSN: 2632-2900 Online ISSN: 2632-2919
Journal Cover
September-October 2022 Volume 4 Issue 5

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
September-October 2022 Volume 4 Issue 5

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article Open Access

Superior mesenteric artery‑first approach for resectable pancreatic head cancer

  • Authors:
    • Fang-Fei Wang
    • Shao-Cheng Lyu
    • Zhang-Yong Ren
    • Xin Zhao
    • Ji-Qiao Zhu
    • Qiang He
  • View Affiliations / Copyright

    Affiliations: Department of Hepatobiliary Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, P.R. China
    Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 34
    |
    Published online on: August 25, 2022
       https://doi.org/10.3892/wasj.2022.169
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

Superior mesenteric artery‑first approach has been proposed for the surgical treatment of pancreatic head cancer. However, little is known about its effects on resectable pancreatic head cancer. In the present study, data from patients with resectable pancreatic head cancer, who underwent radical pancreatoduodenectomy with or without the superior mesenteric artery‑first approach at from January, 2014 to December, 2019, were retrospectively collected and analyzed. A total of 204 patients were included in the study. The blood loss and blood transfusion of the arterial approach group (n=94) were less than those of the conventional approach group (n=110). Diarrhea occurred in 31 cases (15.2%) of the arterial approach group and in 18 cases (8.8%) of the conventional approach group (P<0.05). A higher rate of R0 resection and a higher number of lymph nodes harvested were achieved in the arterial approach group (P<0.05). The 1‑, 2‑ and 3‑year tumor‑free survival rates of the patients in the arterial approach group were 60.9, 43.2 and 37.9%, respectively, and those of the patients in the conventional approach group were 64.2, 24.9 and 15.6%, respectively (P<0.05). Moreover, the 1‑, 2‑, and 3‑year overall survival rates of the patients in the arterial approach group were 79.5, 49.7 and 36.7%, and those of the patients in the conventional approach group were and 75.9, 38.6 and 18.7%, respectively (P<0.05). On the whole, the present study demonstrates that the superior mesenteric artery‑first approach can reduce intraoperative blood loss and consequent blood transfusion, facilitate the achievement of an R0 resection, and thus prolong the survival of patients, despite resulting in a higher rate of diarrhea.
View Figures

Figure 1

Figure 2

View References

1 

Vincent A, Herman J, Schulick R, Hruban RH and Goggins M: Pancreatic cancer. Lancet. 378:607–620. 2011.PubMed/NCBI View Article : Google Scholar

2 

Ansari D, Tingstedt B, Andersson B, Holmquist F, Sturesson C, Williamsson C, Sasor A, Borg D, Bauden M and Andersson R: Pancreatic cancer: Yesterday, today and tomorrow. Future Oncol. 12:1929–1946. 2016.PubMed/NCBI View Article : Google Scholar

3 

Mouradides C, Taha A, Borbath I, Deprez PH and Moreels TG: How to treat intestinal obstruction due to malignant recurrence after Whipple's resection for pancreatic head cancer: Description of 2 new endoscopic techniques. World J Gastroenterol. 23:6181–6186. 2017.PubMed/NCBI View Article : Google Scholar

4 

Huang JL, Li WG, Chen FZ, Su ZJ, Li FM and Liu B: The clinical impact of artery-first approach combined with vascular resection and reconstruction in the treatment of pancreatic head carcinoma. Zhonghua Zhong Liu Za Zhi. 39:225–230. 2017.PubMed/NCBI View Article : Google Scholar : (In Chinese).

5 

Tempero MA: NCCN guidelines updates: Pancreatic cancer. J Natl Compr Canc Netw. 17:603–605. 2019.PubMed/NCBI View Article : Google Scholar

6 

Jang JY, Kang JS, Han Y, Heo JS, Choi SH, Choi DW, Park SJ, Han SS, Yoon DS, Park JS, et al: Long-term outcomes and recurrence patterns of standard versus extended pancreatectomy for pancreatic head cancer: A multicenter prospective randomized controlled study. J Hepatobiliary Pancreat Sci. 24:426–433. 2017.PubMed/NCBI View Article : Google Scholar

7 

Zhang JJ, Li QZ, Wang JH, Chen X, Ren S, Ye DD, Zhang HF and Wang ZQ: Contrast-enhanced CT and texture analysis of mass-forming pancreatitis and cancer in the pancreatic head. Zhonghua Yi Xue Za Zhi. 99:2575–2580. 2019.PubMed/NCBI View Article : Google Scholar : (In Chinese).

8 

Lin QJ, Yang F, Jin C and Fu DL: Current status and progress of pancreatic cancer in China. World J Gastroenterol. 21:7988–8003. 2015.PubMed/NCBI View Article : Google Scholar

9 

Kawai M, Hirano S and Yamaue H: Artery-first approach for pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci. 25:319–320. 2018.PubMed/NCBI View Article : Google Scholar

10 

Nakao A and Takagi H: Isolated pancreatectomy for pancreatic head carcinoma using catheter bypass of the portal vein. Hepatogastroenterology. 40:426–429. 1993.PubMed/NCBI

11 

Leach SD, Davidson BS, Ames FC and Evans FC: Alternative method for exposure of the retropancreatic mesenteric vasculature during total pancreatectomy. J Surg Oncol. 61:163–165. 1996.PubMed/NCBI View Article : Google Scholar

12 

Machado MC, Penteado S, Cunha JE, Jukemura J, Herman P, Bacchella T, Machado MA and Montagnini AL: Pancreatic head tumors with portal vein involvement: An alternative surgical approach. Hepatogastroenterology. 48:1486–1487. 2001.PubMed/NCBI

13 

Pessaux P, Varma D and Arnaud JP: Pancreaticoduodenectomy: Superior mesenteric artery first approach. J Gastrointest Surg. 10:607–611. 2006.PubMed/NCBI View Article : Google Scholar

14 

Zhu J, Han D, Li X, Pan F, Ma J, Kou J, Fan H, Lang R and He Q: Inferior infracolic ‘superior mesenteric artery first’ approach with a no-touch isolation surgical technique in patients with a borderline resectable cancer of the pancreatic head. Ann Surg Oncol. 23 (Suppl 5):S976–S980. 2016.PubMed/NCBI View Article : Google Scholar

15 

Siegel RL, Miller KD and Jemal A: Cancer statistics, 2018. CA Cancer J Clin. 68:7–30. 2018.PubMed/NCBI View Article : Google Scholar

16 

Chu LC, Goggins MG and Fishman EK: Diagnosis and detection of pancreatic cancer. Cancer J. 23:333–342. 2017.PubMed/NCBI View Article : Google Scholar

17 

Saluja A and Maitra A: Pancreatitis and pancreatic cancer. Gastroenterology. 156:1937–1940. 2019.PubMed/NCBI View Article : Google Scholar

18 

Kalisvaart M, Broadhurst D, Marcon F, Pande R, Schlegel A, Sutcliffe R, Marudanayagam R, Mirza D, Chatzizacharias N, Abradelo M, et al: Recurrence patterns of pancreatic cancer after pancreatoduodenectomy: Systematic review and a single-centre retrospective study. HPB (Oxford). 22:1240–1249. 2020.PubMed/NCBI View Article : Google Scholar

19 

Gedge K: Pancreatic cancer: A symptomless killer. J Perioper Pract. 27:158–161. 2017.PubMed/NCBI View Article : Google Scholar

20 

Masiak-Segit W, Rawicz-Pruszyński K, Skórzewska M and Polkowski WP: Surgical treatment of pancreatic cancer. Pol Przegl Chir. 90:45–53. 2018.PubMed/NCBI View Article : Google Scholar

21 

Younan G, Tsai S, Evans DB and Christians KK: Techniques of vascular resection and reconstruction in pancreatic cancer. Surg Clin North Am. 96:1351–1370. 2016.PubMed/NCBI View Article : Google Scholar

22 

Hamner JB, White M, Crowder C and Singh G: Resection of metachronous pancreatic cancer 4 years after pancreaticoduodenectomy for stage III pancreatic adenocarcinoma. World J Surg Oncol. 13(290)2015.PubMed/NCBI View Article : Google Scholar

23 

Wolpin BM: Pancreatic cancer. Hematol Oncol Clin North Am. 29:13–14. 2015.PubMed/NCBI View Article : Google Scholar

24 

Jiang X, Yu Z, Ma Z, Deng H, Ren W, Shi W and Jiao Z: Superior mesenteric artery first approach can improve the clinical outcomes of pancreaticoduodenectomy: A meta-analysis. Int J Surg. 73:14–24. 2020.PubMed/NCBI View Article : Google Scholar

25 

Vallance AE, Young AL, Pandanaboyana S, Lodge JP and Smith AM: Posterior superior mesenteric artery first dissection versus classical approach in pancreaticoduodenectomy: Outcomes of a case-matched study. Pancreas. 46:276–281. 2017.PubMed/NCBI View Article : Google Scholar

26 

Du F, Wang X, Lin H and Zhao X: Pancreaticoduodenectomy with arterial approach of total mesenteric resection of the pancreas for pancreatic head cancer. Gastroenterology Res. 12:256–262. 2019.PubMed/NCBI View Article : Google Scholar

27 

Nakao A: Isolated pancreatectomy using mesenteric approach. J Hepatobiliary Pancreat Sci. 29:293–300. 2022.PubMed/NCBI View Article : Google Scholar

Related Articles

  • Abstract
  • View
  • Download
Copy and paste a formatted citation
Spandidos Publications style
Wang F, Lyu S, Ren Z, Zhao X, Zhu J and He Q: Superior mesenteric artery‑first approach for resectable pancreatic head cancer. World Acad Sci J 4: 34, 2022.
APA
Wang, F., Lyu, S., Ren, Z., Zhao, X., Zhu, J., & He, Q. (2022). Superior mesenteric artery‑first approach for resectable pancreatic head cancer. World Academy of Sciences Journal, 4, 34. https://doi.org/10.3892/wasj.2022.169
MLA
Wang, F., Lyu, S., Ren, Z., Zhao, X., Zhu, J., He, Q."Superior mesenteric artery‑first approach for resectable pancreatic head cancer". World Academy of Sciences Journal 4.5 (2022): 34.
Chicago
Wang, F., Lyu, S., Ren, Z., Zhao, X., Zhu, J., He, Q."Superior mesenteric artery‑first approach for resectable pancreatic head cancer". World Academy of Sciences Journal 4, no. 5 (2022): 34. https://doi.org/10.3892/wasj.2022.169
Copy and paste a formatted citation
x
Spandidos Publications style
Wang F, Lyu S, Ren Z, Zhao X, Zhu J and He Q: Superior mesenteric artery‑first approach for resectable pancreatic head cancer. World Acad Sci J 4: 34, 2022.
APA
Wang, F., Lyu, S., Ren, Z., Zhao, X., Zhu, J., & He, Q. (2022). Superior mesenteric artery‑first approach for resectable pancreatic head cancer. World Academy of Sciences Journal, 4, 34. https://doi.org/10.3892/wasj.2022.169
MLA
Wang, F., Lyu, S., Ren, Z., Zhao, X., Zhu, J., He, Q."Superior mesenteric artery‑first approach for resectable pancreatic head cancer". World Academy of Sciences Journal 4.5 (2022): 34.
Chicago
Wang, F., Lyu, S., Ren, Z., Zhao, X., Zhu, J., He, Q."Superior mesenteric artery‑first approach for resectable pancreatic head cancer". World Academy of Sciences Journal 4, no. 5 (2022): 34. https://doi.org/10.3892/wasj.2022.169
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team