Global survey on surgeon preference and current practice for pancreatic neck and body cancer with portomesenteric venous involvement

Hiroyuki Ishida; Thomas F. Stoop; Atsushi Oba; Philippe Bachellier; Daisuke Ban; Itaru Endo; Oskar Franklin; Tsutomu Fujii; Aiste Gulla; Thilo Hackert; Asif Halimi; Satoshi Hirano; Jin Young Jang; Matthew H.G. Katz; Aya Maekawa; William H. Nealon; Giampaolo Perri; Jose M. Ramia; Ingmar F. Rompen; Sohei Satoi; Richard D. Schulick; Shailesh V. Shrikhande; Allan Tsung; Christopher L. Wolfgang; Marc G. Besselink; Marco Del Chiaro; Keiichi Akahoshi; Dongho Choi; Matteo De Pastena; Salvador Rodoriguez Franco; Nicholas J. Zyromski

doi:10.1016/j.hpb.2025.03.005

Global survey on surgeon preference and current practice for pancreatic neck and body cancer with portomesenteric venous involvement

Hiroyuki Ishida, Thomas F. Stoop, Atsushi Oba, Philippe Bachellier, Daisuke Ban, Itaru Endo, Oskar Franklin, Tsutomu Fujii, Aiste Gulla, Thilo Hackert, Asif Halimi, Satoshi Hirano, Jin Young Jang, Matthew H.G. Katz, Aya Maekawa, William H. Nealon, Giampaolo Perri, Jose M. Ramia, Ingmar F. Rompen, Sohei SatoiRichard D. Schulick, Shailesh V. Shrikhande, Allan Tsung, Christopher L. Wolfgang, Marc G. Besselink, Marco Del Chiaro^*, Keiichi Akahoshi, Dongho Choi, Matteo De Pastena, Salvador Rodoriguez Franco, Nicholas J. Zyromski

^*Corresponding author for this work

Department of Surgery & Science

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Evidence regarding the optimal surgical approach for pancreatic neck/body cancer with portomesenteric vein (PV) involvement is scarce. We aimed to clarify the current practice using an international survey. Methods: An online survey was distributed to members of nine international associations and study groups. Surgeons who performed pancreatectomy with PV resection (PVR) in the last 12 months were asked about three clinical scenarios with different PV involvement: scenarios A (<90°; length 1 cm), B (<90°; length 3 cm), and C (90–180°; length 3 cm), with or without common hepatic artery (CHA) involvement. PVR was defined according to the ISGPS definition. Results: Overall, 222 surgeons from 49 countries in 6 continents completed the survey. The most selected procedures were left pancreatectomy with PVR ISGPS-type 1 for scenario A (52.3 %), PVR ISGPS-type 2 for B (28.8 %), and pancreatoduodenectomy with PVR ISGPS-type 3 for C (28.4 %). In patients with CHA involvement, the most selected procedures were left pancreatectomy without arterial reconstruction for A (57.7 %) and B (50.0 %), and total pancreatectomy for C (29.7 %). Conclusions: The survey illustrates the heterogeneity in surgical management of pancreatic neck/body cancer with PV involvement, indicating the need for prospective studies and guidelines.

Original language	English
Journal	HPB
DOIs	https://doi.org/10.1016/j.hpb.2025.03.005
State	Accepted/In press - 2025

ASJC Scopus subject areas

Hepatology
Gastroenterology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.hpb.2025.03.005

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Ishida, H., Stoop, T. F., Oba, A., Bachellier, P., Ban, D., Endo, I., Franklin, O., Fujii, T., Gulla, A., Hackert, T., Halimi, A., Hirano, S., Jang, J. Y., Katz, M. H. G., Maekawa, A., Nealon, W. H., Perri, G., Ramia, J. M., Rompen, I. F., ... Zyromski, N. J. (Accepted/In press). Global survey on surgeon preference and current practice for pancreatic neck and body cancer with portomesenteric venous involvement. HPB. https://doi.org/10.1016/j.hpb.2025.03.005

@article{4389da0b6e2c4a06adce1e2bad0f2e5f,

title = "Global survey on surgeon preference and current practice for pancreatic neck and body cancer with portomesenteric venous involvement",

abstract = "Background: Evidence regarding the optimal surgical approach for pancreatic neck/body cancer with portomesenteric vein (PV) involvement is scarce. We aimed to clarify the current practice using an international survey. Methods: An online survey was distributed to members of nine international associations and study groups. Surgeons who performed pancreatectomy with PV resection (PVR) in the last 12 months were asked about three clinical scenarios with different PV involvement: scenarios A (<90°; length 1 cm), B (<90°; length 3 cm), and C (90–180°; length 3 cm), with or without common hepatic artery (CHA) involvement. PVR was defined according to the ISGPS definition. Results: Overall, 222 surgeons from 49 countries in 6 continents completed the survey. The most selected procedures were left pancreatectomy with PVR ISGPS-type 1 for scenario A (52.3 %), PVR ISGPS-type 2 for B (28.8 %), and pancreatoduodenectomy with PVR ISGPS-type 3 for C (28.4 %). In patients with CHA involvement, the most selected procedures were left pancreatectomy without arterial reconstruction for A (57.7 %) and B (50.0 %), and total pancreatectomy for C (29.7 %). Conclusions: The survey illustrates the heterogeneity in surgical management of pancreatic neck/body cancer with PV involvement, indicating the need for prospective studies and guidelines.",

author = "Hiroyuki Ishida and Stoop, {Thomas F.} and Atsushi Oba and Philippe Bachellier and Daisuke Ban and Itaru Endo and Oskar Franklin and Tsutomu Fujii and Aiste Gulla and Thilo Hackert and Asif Halimi and Satoshi Hirano and Jang, {Jin Young} and Katz, {Matthew H.G.} and Aya Maekawa and Nealon, {William H.} and Giampaolo Perri and Ramia, {Jose M.} and Rompen, {Ingmar F.} and Sohei Satoi and Schulick, {Richard D.} and Shrikhande, {Shailesh V.} and Allan Tsung and Wolfgang, {Christopher L.} and Besselink, {Marc G.} and {Del Chiaro}, Marco and Keiichi Akahoshi and Dongho Choi and {De Pastena}, Matteo and {Rodoriguez Franco}, Salvador and Zyromski, {Nicholas J.}",

note = "Publisher Copyright: {\textcopyright} 2025 International Hepato-Pancreato-Biliary Association Inc.",

year = "2025",

doi = "10.1016/j.hpb.2025.03.005",

language = "英語",

journal = "HPB",

issn = "1365-182X",

publisher = "Elsevier B.V.",

}

Ishida, H, Stoop, TF, Oba, A, Bachellier, P, Ban, D, Endo, I, Franklin, O, Fujii, T, Gulla, A, Hackert, T, Halimi, A, Hirano, S, Jang, JY, Katz, MHG, Maekawa, A, Nealon, WH, Perri, G, Ramia, JM, Rompen, IF, Satoi, S, Schulick, RD, Shrikhande, SV, Tsung, A, Wolfgang, CL, Besselink, MG, Del Chiaro, M, Akahoshi, K, Choi, D, De Pastena, M, Rodoriguez Franco, S & Zyromski, NJ 2025, 'Global survey on surgeon preference and current practice for pancreatic neck and body cancer with portomesenteric venous involvement', HPB. https://doi.org/10.1016/j.hpb.2025.03.005

TY - JOUR

T1 - Global survey on surgeon preference and current practice for pancreatic neck and body cancer with portomesenteric venous involvement

AU - Ishida, Hiroyuki

AU - Stoop, Thomas F.

AU - Oba, Atsushi

AU - Bachellier, Philippe

AU - Ban, Daisuke

AU - Endo, Itaru

AU - Franklin, Oskar

AU - Fujii, Tsutomu

AU - Gulla, Aiste

AU - Hackert, Thilo

AU - Halimi, Asif

AU - Hirano, Satoshi

AU - Jang, Jin Young

AU - Katz, Matthew H.G.

AU - Maekawa, Aya

AU - Nealon, William H.

AU - Perri, Giampaolo

AU - Ramia, Jose M.

AU - Rompen, Ingmar F.

AU - Satoi, Sohei

AU - Schulick, Richard D.

AU - Shrikhande, Shailesh V.

AU - Tsung, Allan

AU - Wolfgang, Christopher L.

AU - Besselink, Marc G.

AU - Del Chiaro, Marco

AU - Akahoshi, Keiichi

AU - Choi, Dongho

AU - De Pastena, Matteo

AU - Rodoriguez Franco, Salvador

AU - Zyromski, Nicholas J.

PY - 2025

Y1 - 2025

N2 - Background: Evidence regarding the optimal surgical approach for pancreatic neck/body cancer with portomesenteric vein (PV) involvement is scarce. We aimed to clarify the current practice using an international survey. Methods: An online survey was distributed to members of nine international associations and study groups. Surgeons who performed pancreatectomy with PV resection (PVR) in the last 12 months were asked about three clinical scenarios with different PV involvement: scenarios A (<90°; length 1 cm), B (<90°; length 3 cm), and C (90–180°; length 3 cm), with or without common hepatic artery (CHA) involvement. PVR was defined according to the ISGPS definition. Results: Overall, 222 surgeons from 49 countries in 6 continents completed the survey. The most selected procedures were left pancreatectomy with PVR ISGPS-type 1 for scenario A (52.3 %), PVR ISGPS-type 2 for B (28.8 %), and pancreatoduodenectomy with PVR ISGPS-type 3 for C (28.4 %). In patients with CHA involvement, the most selected procedures were left pancreatectomy without arterial reconstruction for A (57.7 %) and B (50.0 %), and total pancreatectomy for C (29.7 %). Conclusions: The survey illustrates the heterogeneity in surgical management of pancreatic neck/body cancer with PV involvement, indicating the need for prospective studies and guidelines.

AB - Background: Evidence regarding the optimal surgical approach for pancreatic neck/body cancer with portomesenteric vein (PV) involvement is scarce. We aimed to clarify the current practice using an international survey. Methods: An online survey was distributed to members of nine international associations and study groups. Surgeons who performed pancreatectomy with PV resection (PVR) in the last 12 months were asked about three clinical scenarios with different PV involvement: scenarios A (<90°; length 1 cm), B (<90°; length 3 cm), and C (90–180°; length 3 cm), with or without common hepatic artery (CHA) involvement. PVR was defined according to the ISGPS definition. Results: Overall, 222 surgeons from 49 countries in 6 continents completed the survey. The most selected procedures were left pancreatectomy with PVR ISGPS-type 1 for scenario A (52.3 %), PVR ISGPS-type 2 for B (28.8 %), and pancreatoduodenectomy with PVR ISGPS-type 3 for C (28.4 %). In patients with CHA involvement, the most selected procedures were left pancreatectomy without arterial reconstruction for A (57.7 %) and B (50.0 %), and total pancreatectomy for C (29.7 %). Conclusions: The survey illustrates the heterogeneity in surgical management of pancreatic neck/body cancer with PV involvement, indicating the need for prospective studies and guidelines.

UR - http://www.scopus.com/inward/record.url?scp=105002332496&partnerID=8YFLogxK

U2 - 10.1016/j.hpb.2025.03.005

DO - 10.1016/j.hpb.2025.03.005

M3 - 学術論文

AN - SCOPUS:105002332496

SN - 1365-182X

JO - HPB

JF - HPB

ER -

Global survey on surgeon preference and current practice for pancreatic neck and body cancer with portomesenteric venous involvement

Abstract

ASJC Scopus subject areas

UN SDGs

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