Clinical Study

The Falciform Ligament for Mesenteric and Portal Vein Reconstruction in Local Advanced Pancreatic Tumor: A Surgical Guide and Single-Center Experience

Table 1

Patient demographics, surgical procedure, and histopathologic results.

PatientAge/SexDiagnosisSurgical procedureNeoadjuvant chemotherapyPathology (TNM)Category

A49/MDuctal adenocarcinoma pancreatic bodyDistal pancreatectomy, splenectomy,
celiac trunk resection,
portal vein wedge resection
NopT2 pN1 (2/24) L1 V1 Pn1 G3R1

B66/MDuctal adenocarcinoma
pancreatic head
PPPD,
portal vein wedge resection
NopT2 pN1 (3/21) L1 V0 Pn1 G2R1

C82/MIPMCPPPD,
portal vein wedge resection
NopT1c pN0 (0/28) L0 V0 Pn0 G2R0

D63/MDuctal adenocarcinoma
pancreatic body
Distal pancreatectomy, splenectomy,
celiac trunk resection,
portal vein wedge resection
NopT2 pN0 (0/11) L0 V1 Pn1 G2R1

E58/FDuctal adenocarcinoma
pancreatic tail
Distal pancreatectomy, splenectomy,
Portal vein segment resection
Yes
FOLFIRINOX (6#)
ypT2 ypN0 (0/11) L0 V1 Pn1 G2R1

F65/FDuctal adenocarcinoma
pancreatic body
Distal pancreatectomy, splenectomy,
Portal vein wedge resection
NopT2 pN2 (5/48) L0 V1 Pn1 G3R1

G70/MDuctal adenocarcinoma
pancreatic head
Pylorus preservation pancreatectomy,
portal vein wedge resection
Yes
FOLFIRINOX (10#)
ypT2 ypN2 (4/24) L0 V0 Pn0 G2R0

H63/FDuctal adenocarcinoma
pancreatic head
Pylorus preservation pancreatectomy,
portal vein wedge resection
Yes
FOLFIRINOX (6#)
ypT3 ypN1 (1/17) L0 V0 Pn1 G2R1

I72/FDuctal adenocarcinoma
pancreatic head
PPPD,
portal vein wedge resection
NopT3 pN1(1/12) L0 V1 Pn1 G2R1

J43/FDuctal adenocarcinoma
pancreatic head
PPPD,
portal vein segment resection
NopT2 pN0 (0/14) L0 V0 Pn1 G2R0

K63/MDuctal adenocarcinoma
pancreatic head
PPPD,
portal vein wedge resection
NopT3 N0 (0/28) R0 L0 V0 Pn1 G3R0