title: Distal pancreatectomy with en bloc celiac axis resection for pancreatic body-tail cancer: Is it justified?
abstract: BACKGROUND
  The aim of this study was to evaluate the safety and efficacy of distal pancreatectomy with en bloc celiac axis resection (DP-CAR) for pancreatic body-tail cancer.
  
  
  METHODS
  The medical records of 12 patients who underwent DP-CAR for pancreatic body-tail cancer were retrospectively studied, together with a literature review of studies including at least 3 cases of DP-CAR.
  
  
  RESULTS
  There were no deaths among our 12 cases. Postoperative morbidity developed in 9 cases and was successfully managed by non-surgical treatment. No patients developed ischemic complications. Median overall survival was 10 months. A total of 19 studies involving 203 patients who underwent DP-CAR were included in the literature review. The overall morbidity and mortality rates were 50.2% and 3.0%, respectively. The overall median survival after surgery ranged from 9.3 to 26 months.
  
  
  CONCLUSIONS
  DP-CAR is a safe and effective treatment for patients with locally advanced pancreatic body-tail cancer.
authors.affiliation: Department of Hepatobiliary and Pancreatovascular Surgery, First Affiliated Hospital of Xiamen University, Oncologic Center of Xiamen, Xiamen, China (mainland).
authors.forename: Yan-Ming
authors.initials: YM
authors.lastname: Zhou
authors.affiliation: Department IV of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China (mainland).
authors.forename: Xiao-Feng
authors.initials: XF
authors.lastname: Zhang
authors.affiliation: Department of Hepatobiliary and Pancreatovascular Surgery, First Affiliated Hospital of Xiamen University, Oncologic Center of Xiamen, Xiamen, China (mainland).
authors.forename: Xiu-Dong
authors.initials: XD
authors.lastname: Li
authors.affiliation: Department of Hepatobiliary and Pancreatovascular Surgery, First Affiliated Hospital of Xiamen University, Oncologic Center of Xiamen, Xiamen, China (mainland).
authors.forename: Xiao-Bin
authors.initials: XB
authors.lastname: Liu
authors.affiliation: Department of Hepatobiliary and Pancreatovascular Surgery, First Affiliated Hospital of Xiamen University, Oncologic Center of Xiamen, Xiamen, China (mainland).
authors.forename: Lu-Peng
authors.initials: LP
authors.lastname: Wu
authors.affiliation: Department of Hepatobiliary and Pancreatovascular Surgery, First Affiliated Hospital of Xiamen University, Oncologic Center of Xiamen, Xiamen, China (mainland).
authors.forename: Bin
authors.initials: B
authors.lastname: Li
mesh_terms: D002445:Celiac Artery / Q000601:surgery*; D002681:China; D006801:Humans; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D015996:Survival Rate